Çocuk diş hekimliği kliniğine travmatik diş yaralanmaları nedeniyle başvuran hastaların değerlendirilmesi: retrospektif bir çalışma

Amaç: Bu çalışmanın amacı, Denizli Pamukkale Üniversitesi Diş Hekimliği Fakültesi Çocuk Diş Hekimliği Anabilim Dalı’na üç yıllık bir süre boyunca başvuran çocuk ve ergenler arasında travmatik diş yaralanmalarının (TDY) prevalansını ve ayrıca TDY ile ilişkili farklı faktörleri değerlendirmektir. Gereç ve yöntem: Hastaların diş travma kayıtları; demografik veriler, etkilenen dişler, TDY’lerin tipi ve etiyolojisi, TDY’lerin yeri ve mevsimi, TDY’ler ve ilk tedavi arasında geçen süre ve TDY’lerin tedavisi açısından incelenmiştir. Bulgular: Toplam 258 hasta, 471 travmatize diş (süt dişi:152, daimi diş:319) ile ilgili veriler analiz edildi. Hem süt hem de daimi üst orta kesici dişler, TDY’lerden en sık etkilenen dişlerdi. Süt dişleri, daimi dişler ile karşılaştırıldığında (sırasıyla %49,84 ve %58,62) daha yüksek oranda periodontal doku yaralanması sıklığı (%75,00) ve daha düşük diş sert doku yaralanması sıklığı (%21,05) gösterdi. Düşmeler, hem süt (%73,68) hem de daimi (%58,31) dişlerde TDY’lerin ana etiyolojik faktörüydü. Sadece 27 hasta (%5,49) TDY sonrası bir saat içerisinde kliniğe başvurdu. Sonuç: TDY’lerin erken müdahalesi, travmatize dişlerin prognozunu iyileştirmek ve travma sonrası komplikasyonları önlemek için önemlidir. Düşük erken başvuru oranı hastalar, ebeveynler/yasal temsilciler ve öğretmenler arasında TDY’ler ile ilgili eğitici ve önleyici programlara ihtiyaç duyulduğunu göstermektedir.

Anahtar Kelimeler:

Diş travması, epidemiyoloji, daimi diş, süt dişi

Evaluation of traumatic dental injuries in patients attending the pediatric dentistry clinic: a retrospective study

Purpose: The purpose of this study was to evaluate the prevalence of traumatic dental injuries (TDIs), as well as to evaluate different factors associated with TDIs among children and adolescents referred over three-year period to the Pamukkale University, Faculty of Dentistry, Department of Pediatric Dentistry, Denizli. Materials and methods: Dental trauma records of patients were reviewed regarding demographic data, affected teeth, type and etiology of TDIs, location and season of TDIs, time elapsed following TDIs and initial treatment, and treatment of TDIs. Results: Data associated with 258 patients, 471 traumatized teeth (primary teeth:152, permanent teeth:319) were analyzed. Both the primary and permanent maxillary central incisors were the most common affected teeth by TDIs. Primary teeth showed a higher frequency of periodontal tissue injuries (75.00%) and lower frequency of dental hard tissue injuries (21.05%) compared with permanent teeth (49.84% and 58.62%, respectively). Falls were the main etiological factor of TDIs both in the primary (73.68%) and permanent (58.31%) teeth. Only 27 patients (5.49%) were referred to the clinic within one hour following TDIs. Conclusion: Early management of TDIs is important to improve the prognosis of traumatized teeth and prevent post-traumatic complications. The low rate of early referral indicates the need for educational and preventive programs regarding TDIs among the patients, parents/legal guardians, and teachers.

Keywords:

Dental trauma, epidemiology, permanent tooth, primary tooth,

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