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Incidence of traumatic tooth injuries in children and adolescents in the county of Vastmanland, Sweden
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
1996 (English)In: Swedish Dental Journal, ISSN 0347-9994, Vol. 20, no 1-2, 15-28 p.Article in journal (Refereed) Published
Abstract [en]

The study reports the total incidence as well as the incidence of different types of traumatic tooth injuries in a Swedish county in the age interval 0-19 years during 1989/90. The incidence of individuals experiencing tooth injuries was 13 per 1000 per year. Boys were more frequently injured in the age-groups 3-4 years and 7-9 years and girls, in the age-group 5-6 years. A method is presented defining uncomplicated and complicated tooth injuries as a basis for estimating the economic consequences of these injuries in the community. Boys more often suffered uncomplicated injuries to permanent teeth and girls, to primary teeth (p < 0.05). The same distribution was found for uncomplicated multiple tooth injuries. Boys sustained more uncomplicated hard tissue injuries and girls, more uncomplicated luxation injuries (p < 0.01). Using a classification according to the most serious tooth injury in each episode, 33% of the episodes had resulted in complicated injuries in which the pulpal tissue and/or periodontal membrane was severely damaged.

Place, publisher, year, edition, pages
1996. Vol. 20, no 1-2, 15-28 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-13543OAI: oai:DiVA.org:liu-13543DiVA: diva2:20933
Available from: 1999-02-27 Created: 1999-02-27 Last updated: 2009-02-12
In thesis
1. On Dental Trauma in Children and Adolescents: Incidence, Risk, Treatment, Time and Costs
Open this publication in new window or tab >>On Dental Trauma in Children and Adolescents: Incidence, Risk, Treatment, Time and Costs
2000 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Dental trauma occur in childhood and adolescence with consequences in time and costs for both patient and family. The scientific knowledge of these matters is scarce. For some individuals, dental trauma will result in long, time-consuming and costly treatments in childhood which will continue into adulthood.

Aim: The thesis aimed to increase the knowledge of incidence, risk, treatment, time and costs spent on dental traumas to primary and permanent teeth in children and adolescents.

Material and method: The material for the studies emanated from the county of Västmanland, Sweden, and the municipality of Copenhagen, Denmark, and from a Swedish nation-wide material (Folksam). The material was collected from accident reports, dental files, dental trauma forms, questionnaires and telephone interviews. Descriptive, prospective and analytical methods were used. A classification of uncomplicated and complicated dental traumas was presented.

Results: The incidence of dental trauma to boys was higher, compared to girls, in the county of Västmanland in almost all age groups. For both sexes, the first years in life and the first years in school were the most accident prone periods with incidence twice as high as the average incidence for all children and adolescents in the county. Every third trauma was complicated with injuries to the pulp or periodontal ligaments. Every second patient with a dental trauma to permanent teeth suffered from multiple dental trauma episodes (MDTE) during a period of 12 years. In almost every second patient with MDTE, at least one of the affected teeth had sustained repeated trauma episodes. The risk of sustaining MDTE increased when the first trauma episode occurred in the age interval of 6-10, compared to 11-18 year olds. During a 12-year period, treatment times for complicated traumas were 2.0 and 2.7 times higher for primary and permanent teeth, respectively, compared to corresponding values for uncomplicated traumas. On average, direct time (treatment time) represented 11% and 16% of the total time, while the direct costs (health are service, transport, loss of personal property and medicine) represented 60% and 72% of the total costs of traumas to primary and permanent teeth, respectively, during a 2-year period for cases of a nation-wide material.

Conclusion: Dental traumas are frequent and some individuals are injured several times. Besides treatment time, efforts from the family are substantial in time and costs. Parameters such as degree of severity, access to treatment and place of injury are of major importance to both patient and family and should be considered when calculating time and costs of dental trauma in children and adolescents.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2000. 52 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 624
Keyword
adolescence, child, time, incidence, costs, permanent dentition, primary dentition, risk, tooth injuries
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-5016 (URN)91-7219-581-9 (ISBN)
Public defence
2000-04-28, Berzeliussalen, Campus US, Linköpings universitet, Linköping, 13:00 (English)
Supervisors
Available from: 1999-02-27 Created: 1999-02-27 Last updated: 2012-01-24Bibliographically approved

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Glendor, Ulf

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