Premium
Dental trauma in patients with maxillofacial fractures
Author(s) -
Zhou HaiHua,
Ongodia David,
Liu Qi,
Yang RongTao,
Li ZuBing
Publication year - 2013
Publication title -
dental traumatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.82
H-Index - 81
eISSN - 1600-9657
pISSN - 1600-4469
DOI - 10.1111/j.1600-9657.2012.01169.x
Subject(s) - medicine , dental trauma , maxilla , mandible (arthropod mouthpart) , dentistry , symphysis , avulsion , incisor , subluxation , anterior teeth , orthodontics , crown (dentistry) , facial trauma , facial bone , maxillary central incisor , surgery , botany , alternative medicine , pathology , biology , genus
Purpose The purpose of this study was to analyze and evaluate the correlation between dental injuries and the pattern of maxillofacial fractures. The correlation with age, gender, trauma mechanism and type of maxillofacial fracture was also investigated. Materials and methods From J anuary 2000 to D ecember 2009, 1131 patients with facial fractures were registered. Of these, 473 presented with associated dental trauma. The information and data collected and analyzed included: age, gender, mechanism of injury, type of facial fracture, type of dental injury, and the relationship between dental injury and facial fracture. Results Dental injury was sustained by 473 patients (41.8%), with a total of 2215 injured teeth. Of the 2215 injured teeth, 1191 (53.8%) were in the maxilla and 1024 (46.2%) in the mandible. Fall from a height had the highest risk of dental injuries (OR = 4.145, P = 0.002). The central incisor was the most injured tooth for both the maxilla (388, 36.2%) and mandible (284, 27.7%). The most common type of dental injury was avulsion (1070, 47.4%). More anterior teeth in the maxilla were of crown fracture, avulsion, and intrusion than that in the mandible, whereas more anterior teeth in the mandible were of subluxation and concussion than that in the maxilla. Dental injuries were more prone to occur in patients who sustained only symphysis fractures (OR = 2.817, P < 0.001), only 0.236‐fold risk in patients who sustained only mandible angle fracture ( P < 0.001). Conclusions The occurrence of dental trauma is significantly related to the pattern and position of the maxillofacial fractures.