Etiologia e Freqüência das Injúrias Dentárias Traumáticas em Pacientes do Centro de Traumatismos Dentários da Faculdade de Odontologia de São José dos Campos - UNESP
Etiology and frequency of the dental trauma injuries in patients from Dental Trauma Center in the São José dos Campos School of Dentistry, São Paulo State University
Prata, T.H.C.; Duarte, M.S.R.; Miquilito, J.L.; Valera, M.C.; Araújo, M.A.M.
Rev. odontol. UNESP, vol.29, n1-2, p.43-53, 2000
Resumo
Este estudo avaliou os dados epidemiológicos e as causas das injúrias dentárias traumáticas dos pacientes que procuraram atendimento no Centro de Traumatismos Dentários (Cetrade) da Faculdade de Odontologia de São José dos Campos – UNESP. Foram avaliados 151 casos de pacientes com registro completo, atendidos no Cetrade de setembro de 1995 a outubro de 1998, observando o trauma mais freqüente, as causas, sexo e idade dos pacientes e dentes mais envolvidos. Os dados foram catalogados e comparados entre si. Verificou-se que 62,91% dos pacientes eram do gênero masculino, e a maior incidência dos traumatismos ocorreu aos 9 anos de idade. A causa mais comum foi queda (48,34%), seguida por queda de bicicleta (22,52%) e golpe (15,89%). O dente mais afetado foi o incisivo central superior (92,8%). Os traumas mais freqüentes foram as fraturas coronárias (42,81%), seguidas de avulsão (25,76%), fratura radicular (7,57%), luxação lateral (7,2%), luxação extrusiva (6,44%), concussão (1,89%), fratura corono-radicular (1,14%) e subluxação (0,76%).
Palavras-chave
traumatismo dentário, epidemiologia, prevenção
Abstract
This study evaluated the epidemiological data of the dental trauma injuries and its main causes. One hundred and fifty one patients with complete files treated at Dental Trauma Center in the São José dos Campos School of Dentistry were examined. The proposition of this investigation was to analyze the most frequent traumas, their causes, the age and gender differences, and the most affected teeth. The results showed that 62.91% of these patients were boys. Fall was the most common cause (48.34%), followed by bicycle fall (22.52%), and blow (15.89%). The upper central incisor was the main affected tooth (92.8%). The most prevalent injuries were crown fracture (42.81%), avulsion (25.76%), root fracture (7.57%), lateral luxation (7.2%), extrusive luxation (6.44%), concussion (1.89%), root/crown fracture (1.14%), and subluxation (0.76%). Tooth trauma at school age, specially in boys, is a common finding.
Keywords
Dental trauma, oral epidemiology, prevention
Referências
1. ACTON, C. H., NIXON, J. W., CLARK, R. C. Bicycle riding and oral/maxillofacial trauma in young children. Med. J. Aust., v.165, p.249-51, 1996.
2. ANDREASEN, J. Traumatic injuries of the teeth. Copenhagen: Munksgaard, 1981.
3. BARRETT, E. J., KENNY, D. J. Avulsed permanent teeth: a review of the literature and treatment guidelines. Endod. Dent. Traumatol., v.13, p.153-63, 1997.
4. BORSSÉN, E., HOLM, A . K. Traumatic dental injuries in a cohort of 16 years olds in Northern Sweden. Endod. Dent. Traumatol., v.13, p.276-80, 1997.
5. BORUM, M. K., ANDREASEN, J. O. Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition. Endod. Dent. Traumatol., v.14, p.31-44, 1998.
6. ÇALISKAN, M. K., TÜRKÜN, M. Clinical investigation of traumatic injuries of permanent incisors in Izmir, Türkiye. Endod. Dent. Traumatol., v.11, p.210-3,1995.
7. DELATTRE, J. P. et al. A dental injuries among schoolchildren aged from 6 to 15, in Rennes. Endod. Dent. Traumatol., v.11, p.186-8,1994.
8. GUTMANN, J. L., GUTMANN, M. S. E. Cause, incidence, and prevention of trauma to teeth. Dent. Clin. North Am., v.39, p.1-13, 1995.
9. HAMILTON, F. A., HILL, F. J., HOLLOWAY, P. J. 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., v.182, p.91-5, 1997.
10. ________.An investigation of dento-alveolar trauma and its treatment in an adolescent population. Part 2: Dentists’ knowledge of management methods and their perceptions of barriers to providing care. Br. Dent. J., v.182, p.129-33, 1997.
11. HAMILTON, F. A., HILL, F. J., MACKIE, I. C. Investigation of lay knowledge of the management of avulsed permanent incisors. Endod. Dent. Traumatol., v.13, p.19-23, 1997.
12. HEDEGARD, B., STALHANE, I. A study of traumatized permanent teeth in children aged 7-15 years. Part I. Swed. Dent. J., v.6, p.431-50, 1973.
13. HOLLAND, T. J., O’MULLANE, D. M., WHELTON, H. P. Accidental damage to incisors amongst Irish adults. Endod. Dent. Traumatol., v.10, p.191-4, 1994.
14. KANIA, M. J. et al. Risk factors associated with incisor injury in elementary school children. Angle Orthodontist., v.66, p.423-32, 1996.
15. LUZ, J. G. C., DIMASE, F. Incidence of dentoalveolar injuries in hospital emergency room pacients. Endod. Dent. Traumatol., v.10, p.188-90, 1994.
16. NOWJACK-RAYMER, R. E., GIFT, H. C. Use of mouthguards and headgear in organized sports by school-aged children. Public Health Rep., v.3, p.82-6, 1996.
17. ONETTO, J. E., FLORES, M. T., GARBARINO, M. L. Dental trauma in children and adolescents in Valparaiso, Chile. Endod. Dent. Traumatol., v.10, p.223-7, 1994.
18. OTUYEMI, O. D. Traumatic anterior dental injuries related to incisor overjet and lip competence in 12-year-old nigerian children. Int. J. Paediatric Dent., v.4, p.81-5, 1994.
19. OULIS, C. J., BERDOUSES, E. D. Dental injuries of permanent teeth treated in private practice in Athens. Endod. Dent. Traumatol., v.12, p.60-5, 1996.
20. PETTI, S., CAIRELLA, G., TARSITANI, G. Childhood obesity: a risk factor for traumatic injuries to anterior teeth. Endod. Dent. Traumatol., v.13, p.185-8, 1997.
21. PETTI, S., TARSITANI, G. Traumatic injuries to anterior teeth in Italian schoolchildren: prevalence and risk factors. Endod. Dent. Traumatol., v.12, p.294-7, 1996.
22. RODD, H. D., CHESHAM, D. J. Sports-related oral injury and mouthguard use among Sheffield school children. Community Dental Health., v.14, p.25-30, 1997.
23. SAE-LIM, V., TAN, H. H., YUEN, K. W. Traumatic dental injuries at the Accident and Emergency Department of Singapore General Hospital. Endod. Dent. Traumatol., v.11, p.32-6, 1995.
24. SAE-LIM, V., YUEN, K. W. An evaluation of after-office-hour dental trauma in Singapore. Endod. Dent. Traumatol., v.13, p.164-70, 1997.
25. SCHATZ, J. P., JOHO, J. P. A retrospective study of dento-alveolar injuries. Endod. Dent. Traumatol., v.10, p.11-4, 1994.
26. YAMADA, T. et al. Oral injury and mouthguard usage by athletes in Japan. Endod. Dent. Traumatol., v.14, p.84-7, 1998.
27. ZENG, Y., SHELLER, B., MILGROM, P. Epidemiology of dental emergency visits to an urban children’s hospital. Pediatr. Dent., v.16, p.419-23, 1994.