Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Travmatik Dental Yaralanmaların Oluş Nedeni ve Yeri Açısından Retrospektif Analizi
Retrospective Analyse of Traumatic Dental Injuries by Terms of Occurrence and Location
Barış KARABULUTa, Salih DOĞANb, Buğra ÖZENc
aSağlık Bilimleri Üniversitesi Hamidiye Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, İstanbul, TÜRKİYE
bErciyes Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, Kayseri, TÜRKİYE
cİstanbul Altınbaş Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, İstanbul, TÜRKİYE
Turkiye Klinikleri J Dental Sci.2021;27(2):233-41
doi: 10.5336/dentalsci.2020-74860
Article Language: TR
Full Text
ÖZET
 Amaç: Travmatik dental yaralanmalar, yüksek prevalansları ve çocukların günlük hayatındaki etkileri nedeniyle toplumsal olarak önemli sağlık problemlerinden biridir. Dento alveolar travmalar sıklıkla düşme, çarpma, kavga, spor yaralanmaları ya da trafik kazaları sonucunda ev, okul veya sokak gibi farklı ortamlarda gerçekleşmektedir. Hastanın, tedavisinin başarılı şekilde gerçekleştirilebilmesi için travma hikayesinin bilinmesi, travma tipinin belirlenmesi önem arz etmektedir. Bu çalışmada amacımız, 0-15 yaş arası çocuklarda meydana gelen travmatik yaralanmalarda hangi tip kazaların daha sıklıkla ne tür diş yaralanmalarına neden olduğunun tespit ve gerekli önlemlerinin belirlenmesidir. Gereç ve Yöntemler: Travmatik yaralanma bulgusu ile başvuran 0-15 yaş arası (ortalama yaş: 8,41) 534 hastada travmaya uğramış 727 diş ile gerçekleştirilmiştir. Kayıtlardan hastanın cinsiyeti, yaşı, travma nedeni, yaralanmanın hangi dentisyon ve dişlerde olduğu, travmanın meydana geldiği ortam, travmanın tipi kaydedilmiştir. Travma tipleri Andreasen & Andreasen sınıflanmasına göre gruplanmıştır. Bulgular: Travmatik 727 diş yaralanması, 223 kız ve 311 erkek hastada kaydedilmiş olup, hastaların yaş aralığı 1-15 (ortalama: 8,4) arasındadır. Dentisyon tipine göre incelendiğinde ise yaralanmaların %24,1'lik kısmı süt dentisyonda gözlenirken, %75,9'u sürekli dentisyonda gözlenmiştir. Dental yaralanmaların sıklıkla düşme neticesinde (%40,3) oluştuğu tespit edilmiştir. Travmaların %56,2 ile en çok okulda meydana geldiği belirlenmiştir. Sonuç: Travmatik dental yaralanmalarda oluş yeri ve sebebi belirlenerek, uygun önlemlerin alınması ile yaralanmaların önüne geçmek ve yaralanma şiddetini azaltmak mümkündür.

Anahtar Kelimeler: Çocuk; diş; travma; yaralanmalar
ABSTRACT
 Objective: Traumatic dental injuries are one of the important public health problems because of the impact on children's daily life and its relatively high prevalence. Dentoalveolar traumas often develop depending on various traumas such as fights, fallings, traffic accidents, sports injuries and game accidents in different places such as home, school or street. It is important to know the history and the type of trauma, circumstances of the injury for successful management of patients. In this study, our aim was to understand which kind of traumatic injuries cause any of which dental injuries and determine necessary precautions. Material and Methods: 534 patients between 0-15 years old (mean: 8.41) with 727 traumatic dental injuries recorded. Gender, age, the reason of trauma, traumatised teeth and dentition, the place trauma occurred and the type of trauma were recorded. Trauma types were grouped according to Andreasen & Andreasen classification. Results: 223 girls and 311 boys between 1-15 years old (mean: 8.4) 727 traumatic dental injuries recorded. 24.1% were recorded in primary dentition and 75.9% were seen in permanent dentition. The mostly seen reason was fall (40.3%). Traumatic dental injuries were mostly occurred in school (56.2%). Conclusion: It is possible to prevent the incidence of traumatic dental treatments and reduce the complications by taking appropriate precautions.

Keywords: Child; tooth; trauma; injuries
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