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Direct and indirect time spent on care of dental trauma: a 2-year prospective study of children and adolescents
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
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2000 (English)In: Endodontics and dental traumatology, ISSN 0109-2502, Vol. 16, no 1, 16-23 p.Article in journal (Refereed) Published
Abstract [en]

The aim was to account for the total time spent by professional care-givers (direct time) and by patients and companions engaged as support and help (indirect time) to treat and otherwise attend to children and adolescents with dental trauma to primary and permanent teeth. The study was based on a random sample of 192 children and adolescents with dental traumas reported to an insurance company and prospectively followed up by telephone interviews over a period of 2 years after the trauma episode. On average, direct time represented 16% of total time for all visits for dental trauma to permanent teeth and 11% for trauma to primary teeth. The most extensive type of indirect time was transport time, which took up 30% of the total time spent on injuries to permanent teeth and 36% for injuries to primary teeth. Multiple regression analysis of the impact of dental and demographic injury variables on the time variables showed that complicated trauma was associated with extended time, direct as well as indirect, for permanent and primary teeth injuries. Our estimate of the average relative increase in total time spent by patients and companions in cases of complicated injury to permanent teeth was 117% (95% confidence interval [CI], 52-211) for patients and 112% (95% CI, 42-217) for companions. For transport time a strong predictor was access to a dental clinic near the place of residence. Lack of access could extend the average transport time by 180% (95% CI, 80-335) for patients and 163% (95% CI, 67-317) for their companions in cases of injuries to primary teeth.

Place, publisher, year, edition, pages
2000. Vol. 16, no 1, 16-23 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-13546OAI: oai:DiVA.org:liu-13546DiVA: diva2:20936
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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