A RETROSPECTIVE STUDY OF THE TRAUMATIC INJURIES IN THE PRIMARY AND PERMANENT TEETH

Heo, Su-Kyung; Choi, Nam-Ki; Kim, Seon-Mi; Yang, Kyu-Ho; Park, Ji-il

Journal of the Korean Academy of Pediatric Dentistry 2008;35(4):642-651.
Published online November 30, 2008.

A RETROSPECTIVE STUDY OF THE TRAUMATIC INJURIES IN THE PRIMARY AND PERMANENT TEETH

Su-Kyung Heo¹, Nam-Ki Choi¹, Seon-Mi Kim¹, Kyu-Ho Yang¹, Ji-il Park²

¹Department of Pediatric Dentistry, School of Dentistry, Chonnam National University and Dental Research Institute and second stage of BK 21
²Department of Dental Hygiene, GwangJu Health college

Correspondence: Nam-Ki Choi, Tel: 062-220-5476, Email: hellopedo@hanmail.net

Received: 26 May 2008 • Accepted: 28 August 2008

Abstract

This study was carried out to give basic information of traumatic injuries of primary and permanent teeth which can be used for diagnosis and management of injured teeth. From January 2003 to July 2007, 570 children with 1394 teeth who came to pediatric dentistry and emergency center of Chonnam National University Hospital due to the traumatized teeth participated in this study. The following data were investigated. : age, sex, causes and places of trauma, position of injured teeth, types of injury, and treatment at the first visit. 1. Trauma prevailed at the age of 1, 6~8, 17~18 and the rate of males was more likely to be higher than the rate of females(1.9 : 1). 2. The main cause of injury is a fall-down injury for primary and mixed dentition, but is a traffic accident and fighting for permanent dentition, respectably. The place of injury for primary dentition is mainly home(45.3%), while street for mixed and permanent dentition. 3. The position of injured teeth according to the area in the mouth is mainly maxillary anterior teeth in both case of primary and permanent teeth and especially, the ratio of central incisors is high. 4. The periodontal tissue injury occurred the most frequently in the primary and the permanent teeth, but the ratio of hard tissue injury in the permanent teeth increased, compared with the primary teeth. 5. Among treatments at the first visit, observation without actual treatment comprised 75.6% in the primary teeth and 55.4% in the permanent teeth, respectably. The pulp necrosis occurred in 20.3% of the primary teeth and 26.6% of the permanent teeth in the case of the periodontal tissue injuries, respectably.

Key Words: Dental trauma, Primary dentition, Mixed dentition, Permanent dentition, Primary teeth, Permanent teeth.