Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Süt Dentisyonda Travma Verilerinin Retrospektif Değerlendirmesi
Retrospective Evaluation of Trauma Data in Primary Dentition
Gülüzar AKSU ÇALIKa , Çiğdem GÜLERb , Nihal BELDÜZ KARAb , Hüseyin ŞİMŞEKb, Didem ODABAŞIb
aSerbest Diş Hekimi, Ordu, Türkiye
bOrdu Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, Ordu, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(3):434-9
doi: 10.5336/dentalsci.2023-96179
Article Language: TR
Full Text
ÖZET
 Amaç: Travmatik diş yaralanmalar (TDY), süt, karma ve daimî dentisyonda sık gözlenen dental sorunlar arasında bulunmaktadır. Bu çalışmada, Ordu Üniversitesi Diş Hekimliği Fakültesi Pedodonti Ana Bilim Dalına süt dentisyonda TDY sebebiyle başvuruda bulunan çocuk hastaların verilerinin retrospektif olarak değerlendirilmesi amaçlanmaktadır. Gereç ve Yöntemler: Fakültemize Ocak 2013-Ocak 2022 tarih aralığında süt dentisyonda TDY nedeniyle başvuran çocuk hastaların dijital ortamda oluşturulan travma kayıtları retrospektif olarak incelenmiştir. Dental travma tipi ve ilişkili faktörler değerlendirilmiştir. Bulgular: Yüz altmış hastanın [64 kız (%40), 96 erkek (%60), ortalama yaş 3,08±1,73 yıl (minimum 1-maksimum 6 yaş)] süt dentisyonda TDY kaydı tespit edilmiştir. TDY'lerin en sık nedeni ''düşme'' (%53,1, 85 hasta) ve en fazla oluşan travma tipi ''intrüziv lüksasyon'' (%23,8, 71 diş) ve ''lateral lüksasyon'' (%23,4, 70 diş) olarak saptanmıştır. Dental travmadan en çok etkilenen dişlerin maksiller orta kesici dişler (51 numara %36,8 ve 61 numara %37,5) olduğu tespit edilmiştir. TDY'lerin en çok yaz mevsiminde (%31,9) gerçekleştiği belirlenmiştir. Hastaların sadece %50,6'sı (81 hasta) travmadan sonraki ilk 24 saat içerisinde kliniğimize başvurmuştur. Sonuç: Okul çağı öncesi çocuklarda süt dentisyonda TDY sıklıkla görülmektedir. Optimum bir tedavi protokolü uygulanabilmesi için ebeveynler ve öğretmenler, TDY meydana geldiğinde ne yapılması gerektiği ve dental travma meydana geldikten sonra en kısa sürede uzman bir diş hekimine başvurmanın gerekliliği konusunda bilgilendirilmelidir.

Anahtar Kelimeler: Çocuk; çocuk diş hekimliği; diş yaralanmaları; süt dişleri
ABSTRACT
 Objective: Traumatic dental injuries (TDI) are among the most common dental problems in primary, mix and permanent dentition. The aim of this study is to retrospectively evaluate the data of pediatric patients who applied to Ordu University Faculty of Dentistry, Department of Pediatric Dentistry due to TDI in primary dentition. Material and Methods: Digital trauma records of pediatric patients who applied to our faculty due to TDI in primary dentition between January 2013 and January 2022 were examined retrospectively. The type of dental trauma and associated factors were evaluated. Results: Primary dentition trauma records of 160 patients [64 girls (40%), 96 boys (60%), mean age 3.08±1.73 years (minimum 1-maximum 6 age)] were determined. The most common cause of TDI was ''falling'' (53.1%, 85 patients) and the most common type of trauma was ''intrusion'' (23.8%, 71 teeth) and ''lateral luxation'' (23.4%, 70 teeth). It was determined that the teeth most affected by dental trauma were the maxillary middle incisors (51 number 36.8% and 61 number 37.5%). It was determined that TDI occur mostly in summer (31.9%). Only 50.6% of the patients (81 patients) applied to our clinic within the first 24 hours after the trauma. Conclusion: TDI are common in pre-school children in primary dentition. For an accurate treatment planning, parents and teachers should be informed about what to do in case of traumatic injury to primary dentition and the importance of seeking a dentist immediately after dental trauma.

Keywords: Child; pediatric dentistry; tooth injuries; primary teeth
REFERENCES:
  1. Hamilton FA, Hill FJ, Holloway PJ. An investigation of dento-alveolar trauma and its treatment in an adolescent population. Part 1: The prevalence and incidence of injuries and the extent and adequacy of treatment received. Br Dent J. 1997;182(3):91-5. [Crossref]  [PubMed] 
  2. Al-Jundi SH. Dental emergencies presenting to a dental teaching hospital due to complications from traumatic dental injuries. Dent Traumatol. 2002;18(4):181-5. [Crossref]  [PubMed] 
  3. Kizilci E, Demir P. Evaluation of epidemiology and etiology of dental injuries observed in children [Çocuklarda görülen diş yaralanmalarının etiyoloji ve epidemiyolojilerinin değerlendirilmesi]. Med Sci. 2015;4(3):2650-63. [Crossref] 
  4. Day PF, Flores MT, O'Connell AC, Abbott PV, Tsilingaridis G, Fouad AF, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol. 2020;36(4):343-59. [Crossref]  [PubMed] 
  5. Andreasen FM, Kahler B. Diagnosis of acute dental trauma: the importance of standardized documentation: a review. Dent Traumatol. 2015;31(5):340-9. [Crossref]  [PubMed] 
  6. Akyıldız MB, Doğusal G, Sönmez I. Aydın ve İzmir illerindeki pediatristlerin ağız-diş sağlığı hakkındaki bilgilerinin araştırılması [Knowledge of pediatricians in Aydın and İzmir regarding oral and dental health]. J Pediatr Res. 2015;2(1):21-5. [Crossref] 
  7. Avşar A. Süt dişlenme döneminde görülen travmatık yaralanmaların daimî dişler üzerine etkisi [The effect of traumatic injuries to the primary dentition on permanent teeth]. Ondokuz Mayıs Üniv Diş Hekim Fak Derg. 2005;6(1):55-8. [Link] 
  8. Zaror C, Martínez-Zapata MJ, Abarca J, Díaz J, Pardo Y, Pont À, et al. Impact of traumatic dental injuries on quality of life in preschoolers and schoolchildren: A systematic review and meta-analysis. Community Dent Oral Epidemiol. 2018;46(1):88-101. [Crossref]  [PubMed] 
  9. Karabulut B, Doğan S, Özen B. Travmatik dental yaralanmaların oluş nedeni ve yeri açısından retrospektif analiz [Retrospective analyse of traumatic dental injuries by terms of occurrence and location]. Turkiye Klin J Dent Sci. 2021;27(2):233-41. [Crossref] 
  10. Al-Jundi SH. Type of treatment, prognosis, and estimation of time spent to manage dental trauma in late presentation cases at a dental teaching hospital: a longitudinal and retrospective study. Dent Traumatol. 2004;20(1):1-5. [Crossref]  [PubMed] 
  11. Ozer S, Yilmaz EI, Bayrak S, Tunc ES. Parental knowledge and attitudes regarding the emergency treatment of avulsed permanent teeth. Eur J Dent. 2012;6(4):370-5. [Crossref]  [PubMed]  [PMC] 
  12. Andreasen FM, Andreasen JO, Tsukiboshi M, Cohenca N. Examaination and diagnosis of dental injuries. In: Andreasen, JO, Andreasen FM, Andersson L, eds. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 5th ed. Oxford: Wiley Blackwell; 2019. p.295-326. [Crossref] 
  13. Fakhruddin KS, Lawrence HP, Kenny DJ, Locker D. Etiology and environment of dental injuries in 12- to 14-year-old Ontario schoolchildren. Dent Traumatol. 2008;24(3):305-8. [Crossref]  [PubMed] 
  14. de Paula Barros JN, de Araújo TAA, Soares TRC, Lenzi MM, de Andrade Risso P, Fidalgo TKDS, et al. Profiles of trauma in primary and permanent teeth of children and adolescents. J Clin Pediatr Dent. 2019;43(1):5-10. [Crossref]  [PubMed] 
  15. Atabek D, Alaçam A, Aydintuğ I, Konakoğlu G. A retrospective study of traumatic dental injuries. Dent Traumatol. 2014;30(2):154-61. [Crossref]  [PubMed] 
  16. Kırzıoglu Z, Oz E. Changes in the aetiological factors of dental trauma in children over time: An 18-year retrospective study. Dent Traumatol. 2019;35(4-5):259-67. [Crossref]  [PubMed] 
  17. 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(1):51-61. [Crossref]  [PubMed] 
  18. Altay N, Güngör HC. A retrospective study of dento-alveolar injuries of children in Ankara, Turkey. Dent Traumatol. 2001;17(5):201-4. [Crossref]  [PubMed] 
  19. Saroğlu I, Sönmez H. The prevalence of traumatic injuries treated in the pedodontic clinic of Ankara University, Turkey, during 18 months. Dent Traumatol. 2002;18(6):299-303. [Crossref]  [PubMed] 
  20. Karayilmaz H, Kirzioglu Z, Erken Gungor O. Aetiology, treatment patterns and long-term outcomes of tooth avulsion in children and adolescents. Pak J Med Sci. 2013;29(2):464-8. [Crossref]  [PubMed]  [PMC] 
  21. ElKarmi RF, Hamdan MA, Rajab LD, Abu-Ghazaleh SB, Sonbol HN. Prevalence of traumatic dental injuries and associated factors among preschool children in Amman, Jordan. Dent Traumatol. 2015;31(6):487-92. [Crossref]  [PubMed] 
  22. Elbay M, Elbay ÜŞ, Uğurluel C, Kaya C. Bir üniversite hastanesindeki pedodonti kliniğine başvuran 156 dental travma olgusunun değerlendirilmesi: retrospektif araştırma [Evaluation of the 156 dental traumatic injury cases who applied to pediatric dentistry clinic in a university hospital: Retrospective study]. Selcuk Dent J. 2016;3(2):48-55. [Crossref] 
  23. 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(1):110-4. [Crossref]  [PubMed] 
  24. Güler Ç, Demir P, Kizilci E, Görgen VA, Güneş D, Keskin G. Malatya'da travmatik dental yaralanmalar: bir retrospektif çalışma [Traumatic dental injuries in Malatya: a retrospective study]. Turkiye Klinikleri Dishekimligi Bilimleri Dergisi. 2015;21(3):189-95. [Crossref] 
  25. Gümüş H, Öztürk G, Kürem B. Profiles of traumatic dental injuries among children aged 0-15 years in Cappadocia, Turkey: A retrospective cohort study. Dent Traumatol. 2021;37(3):419-29. [Crossref]  [PubMed] 
  26. Toprak ME, Tuna EB, Seymen F, Gençay K. Traumatic dental injuries in Turkish children, Istanbul. Dent Traumatol. 2014;30(4):280-4. [Crossref]  [PubMed] 
  27. Mahmoodi B, Rahimi-Nedjat R, Weusmann J, Azaripour A, Walter C, Willershausen B. Traumatic dental injuries in a university hospital: a four-year retrospective study. BMC Oral Health. 2015;15(1):139. [Crossref]  [PubMed]  [PMC] 
  28. Bücher K, Neumann C, Hickel R, Kühnisch J. Traumatic dental injuries at a German university clinic 2004-2008. Dent Traumatol. 2013;29(2):127-33. [Crossref]  [PubMed] 

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