@article{ref1,
title="Epidemiology and outcomes of dental trauma cases from an urban pediatric emergency department",
journal="Dental traumatology",
year="2014",
author="Ritwik, Priyanshi and Massey, Christen and Hagan, Joseph",
volume="31",
number="2",
pages="97-102",
abstract="AIM: The purpose of this retrospective study was to determine the outcomes of traumatized teeth treated in a pediatric emergency department. <br><br>METHODS AND MATERIALS: The records of pediatric patients presenting to the pediatric emergency department of a pediatric hospital over a 56-month period were reviewed and pertinent data were extracted. Treatment outcomes and contributing factors were analyzed for cases with greater than 6 months of follow up. <br><br>RESULTS: A total of 264 patient records (548 traumatized teeth) were investigated. The mean age of the children was 8.2 years and 62% were boys. The most common ages for dental trauma were between 2-4 years and 8-10 years. Permanent dentition comprised 53% of the traumatized teeth. Extrusive and lateral luxations (29.5%) were the most common injuries encountered. Two hundred and thirty seven teeth (43%) presented for follow-up visits, and the mean duration of follow up was 55.6 days. The number of cases with more than 6 months of follow up decreased to 122 (22%). Of these, 31 (6%) teeth were extracted at the time of injury. Outcomes were ascertained for the remaining 91 (17%) teeth. Emergency dental treatment led to uncomplicated retention of teeth beyond 6 months in 58% of these cases. Luxation injuries had a higher success rate than avulsions (P = 0.046). <br><br>CONCLUSIONS: After receiving emergency dental care in the emergency department, 43% of the teeth presented for follow-up dental care and only 22% were followed up for greater than 6 months. Emergency department treatment translated to successful retention of teeth in 58% of the cases with documented follow up. Severe periodontal injuries resulted in treatment complications.<p /> <p>Language: en</p>",
language="en",
issn="1600-4469",
doi="10.1111/edt.12148",
url="http://dx.doi.org/10.1111/edt.12148"
}