Distribution of Some Risk Factors Related to Soft Tissue Injuries in Dentoalveolar Traumas

Objective: Treatment failures in soft tissue injuries may result in economic, psychological, and esthetic problems. The aim of this study was to investigate the presentation of soft tissue injuries in dento-alveolar traumas. MaterialandMethods: The data were obtained from 268 children aged 1-15 years who were referred to a pedodontics clinic within one week of experiencing dental trauma during 2010-2015. The criteria used to categorize the data obtained from the dental trauma records were gender, age, localization (lips, gingiva, cheeks, tongue, and perioral tissues), wound type (abrasion, laceration, contusion, and mixed), time elapsed to treatment of the injury, and classification of the dentoalveolar trauma. Results: Soft tissue trauma was noted in 90 (33.6%) children. There was no statistically significant difference between the patients according to gender, age, and the time elapsed between the injury and treatment. With regard to the type of soft tissue trauma, 18.9% were contusions, 7.8% were abrasions, 43.3% were lacerations, and 30% were mixed injuries. Soft tissue injuries were frequently (64.4%) accompanied by periodontal injuries. Conclusion: Soft tissue injuries are occasionally seen in dento-alveolar traumas. Within the limits of this study, the type, localization, and classification of the trauma were more important factors than gender in soft tissue injuries.

Dento Alveolar Travmalarda Görülen Yumuşak Doku Yaralanmalarıyla Bağlantılı Risk Faktörlerinin Dağılımı

Amaç: Yumuşak dolu yaralanmalarında görülen tedavi başarısızlıkları ekonomik, psikolojik ve estetik problemlerle sonuçlanabilmektedir. Biz bu çalışmayla diş-alveol travmalarında görülen yumuşak doku yaralanmalarını incelemeyi amaçladık. Gereç ve Yöntemler: Veriler 2010-2015 yılları arasında diş travmasından dolayı 1 hafta içerisinde pedodonti kliniğine başvuran 1-15 yaş arasındaki 268 çocuk hastadan elde edildi. Diş travmasından elde edilen veriler cinsiyet, yaş, lokalizasyon (dudak, diş eti, yanak, dil ve periodontal dokular), yaralanma tipi (abrazyon, laserasyon, kontüzyon ve karışık), yaralanma ve tedavi arasında geçen zaman ve diş travma sınıflaması kriterleri kullanılarak kategorize edildi. Bulgular: Tüm hastalardan 90 (%33,6) hastada yumuşak doku yaralanması görüldü. Hastalarda yaş, cinsiyet, yaralanma ve tedavi arasında geçen zaman açısından istatistiksel olarak bir farklılık gözlenmedi. Yumuşak yaralanma tipine bakıldığında kontüzyon %18,9, abrazyon %7,8, laserasyon %43,3 ve karışık %30 oranında görüldü. Yumuşak doku yaralanmaları sıklıkla (%64,4) periodontal yaralanmalarla birlikte görüldü. Sonuç: Dental travmalarda yumuşak doku yaralanmaları sıklıkla görülmektedir. Bu çalışma sınırları içerisinde yumuşak doku yaralanmalarının lokasyonu, tipi ve travma sınıflaması gibi kriterler cinsiyete göre daha önemli bulunmuştur.

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Petersson EE, Andersson L, Sörensen S. Traumatic oral vs nonoral injuries. Swed Dent J 1997; 21: 55-68.

Nair KB, Paul G. Incidence and aetiology of fractures of the faciomaxillary skeleton in Trivandrum: a retrospective study. Br J Oral Maxillofac Surg 1986; 24: 40-3

Osunde OD, Amole IO, Ver-or N, Akhiwu BI, Adebola RA, Iyogun CA, et al. Pediatric maxillofacial injuries at a Nigerian teaching hospital: a three-year review. Niger J Clin Pract 2013; 16: 149-54.

Díaz JA, Bustos L, Brandt AC, Fernández BE. Dental injuries among children and adolescents aged 1-15 years attending to public hospital in Temuco, Chile. Dent Traumatol 2010; 26: 25461.

Al-Jundi SH. The importance of soft tissue examination in traumatic dental injuries: a case report. Dent Traumatol 2010; 26: 509-11.

Kotecha S, Scannell J, Monaghan A, Williams RW. A four year retrospective study of 1,062 patients presenting with maxillofacial emergencies at a specialist paediatric hospital. Br J Oral Maxillofac Surg 2008; 46: 293-6.

Andreasen JO, Bakland LK, Flores MT, Andreasen FM, Andersson L. Classification of dental injuries. In: Andreasen JO, Bakland LK, Flores MT, Andreasen FM, Andersson L, eds. Traumatic dental injuries : a manual. 3rd ed. Oxford, Wiley-Blackwell, 2011; pp 16-77.

O'Neil DW, Clark MV, Lowe JW, Harrington MS. Oral trauma in children: a hospital survey. Oral Surg Oral Med Oral Pathol 1989; 68: 691-6.

Gassner R, Bösch R, Tuli T, Emshoff R. Prevalence of dental trauma in 6000 patients with facial injuries: implications for prevention. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 87: 27-33.

Valero C, Javierre E, García-Aznar JM, Menzel A, Gómez-Benito MJ. Challenges in the Modeling of Wound Healing Mechanisms in Soft Biological Tissues. Ann Biomed Eng 2014; 43: 1654-65.

Delos D, Maak TG, Rodeo SA. Muscle injuries in athletes: enhancing recovery through scientific understanding and novel therapies. Sports Health 2013; 5: 346-52.

Glendor U. Epidemiology of traumatic dental injuries--a 12 year review of the literature. Dent Traumatol 2008; 24: 603-11.

Lam R, Abbott P, Lloyd C, Lloyd C, Kruger E, Tennant M. Dental trauma in an Australian rural centre. Dent Traumatol 2008; 24: 663-70.

Gassner R, Tuli T, Hächl O, Moreira R, Ulmer H. Craniomaxillofacial trauma in children: a review of 3,385 cases with 6,060 injuries in 10 years. J Oral Maxillofac Surg 2004; 62: 399-407.

Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 2003; 31: 51-61.

Flores MT. Traumatic injuries in the primary dentition. Dent Traumatol 2002; 18: 287-98.

Onetto JE, Flores MT, Garbarino ML. Dental trauma in children and adolescents in Valparaiso, Chile. Endod Dent Traumatol 1994; 10: 223-7.

. Okoje VN, Alonge TO, Oluteye OA, Denloye OO. Changing pattern of pediatric maxillofacial injuries at the Accident and Emergency Department of the University Teaching Hospital, Ibadan--a fouryear experience. Prehosp Disaster Med 2010; 25: 68-71.

Kim DB, Sacapano M, Hardesty RA. Facial fractures in children. West J Med 1997; 167: 100.

. Vuletić M, Škaričić J, Batinjan G, Trampuš Z, Čuković Bagić I, Jurić H. A retrospective study on traumatic dental and soft-tissue injuries in preschool children in Zagreb, Croatia. Bosn J Basic Med Sci 2014; 14: 12-5.

Erikson EH, Erikson JM. The life cycle completed. Extended / with new chapters on the ninth stage of development by Joan M. Erikson. ed. New York: W.W. Norton, 1997.

Andersson L, Andreasen JO. Soft tissue injuries. In: Andreasen JO, Andreasen FM, Andersson L, eds. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Oxford: Blackwell Munksgaard; 2007; p. 577-97.

Eyuboglu O, Yilmaz Y, Zehir C, Sahin H. A 6-year investigation into types of dental trauma treated in a paediatric dentistry clinic in Eastern Anatolia region, Turkey. Dent Traumatol 2009; 25: 110-4.

Maréchaux SC. Chin trauma as a cause of primary molar fracture: report of case. ASDC J Dent Child 1985; 52: 452-4.

Yang RT, Li Z, Li ZB. Maxillofacial injuries in infants and preschools: a 2.5-year study. J Craniofac Surg 2014; 25: 964-7.

Andreasen JO. Etiology and pathogenesis of traumatic dental injuries. A clinical study of 1,298 cases. Scand J Dent Res 1970; 78: 329-42.

Thompson EC, Porter JM, Fernandez LG. Penetrating neck trauma: an overview of management. J Oral Maxillofac Surg 2002; 60: 918-23.

Glendor U, Marcenes W, Andreasen JO. Classification, Epidemiology and Etiology. In: Andreasen JO, Andreasen FM, Andersson L, eds. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Oxford: Blackwell Munksgaard; 2007; p. 217-54.

Pinkham JR. The dynamics of change, ed 4. Pediatric dentistry: infancy through adolescence. Philadelphia, PA: Elsevier Saunders, 2005.