Occurrence and types of dental injuries among patients with maxillofacial fractures |
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| Authors: | H. Thorén L. Numminen J. Snäll E. Kormi C. Lindqvist T. Iizuka J. Törnwall |
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| Affiliation: | 1. Department of Oral and Maxillofacial Surgery, Helsinki University Central Hospital, Helsinki, Finland;2. Department of Oral and Maxillofacial Surgery, Institute of Dentistry, Helsinki University, Helsinki, Finland;3. Department of Cranio-Maxillofacial Surgery, Bern University Hospital and University of Bern, Switzerland;1. Department of Maxillofacial and Plastic Surgery, North University Hospital, Chemin des Bourrely, 13915 Marseille cedex 20, France;2. Department of Maxillofacial and Facial Plastic Surgery, Military Hospital, Marseille, France;3. Department of Oral and Maxillofacial Surgery, Timone University Hospital, Marseille, France;1. Department of Orthopaedic Surgery, Center for Orthopaedic Research, Columbia University Medical Center, 650 West 168th Street, New York, NY 10032, United States;2. Department and Research Institute of Dental Biomaterials and Bioengineering, Yonsei University College of Dentistry, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea;3. Department of Chemical Engineering, Kyungil University, Gyeongsan 712-701 Gyeongsangbuk-Do, Republic of Korea;4. Department of Mechanical Engineering, Kyung Hee University, 1 Seocheon-dong, Giheung-gu, Yongin-si, Gyeonggi-do, 446-701, Republic of Korea;5. YesBioGold Co., Ltd., 227, Moraenae-ro, Seodaemun-gu, Seoul 120-806, Republic of Korea;1. Immunology Lab, Faculty of Medicine, University of Porto, Porto, Portugal;2. Immunoallergology Department, Hospital of São João EPE, Porto, Portugal;1. Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Center and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands;2. Department of Maxillofacial Surgery, University of Turin, Turin, Italy;3. Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia;4. Maxilofacial department, UKC Ljubljana, Slovenia;5. Clinic of Maxillofacial Surgery, School of Dentistry, University of Belgrade, Serbia;6. Department of Oral and Maxillofacial Surgery, Royal London Hospital, Barts Health NHS, London, UK;7. Department of maxillo-facial surgery, Medical University, Plovdiv, Bulgaria;8. Department for Oral and Maxillo-facial Surgery, Bogomolets National Medical University, Kiev, Ukraine;9. Department of Maxillofacial Surgery, Oslo University Hospital, Oslo, Norway;10. Service de Stomatologie et Chirurgie Maxillo-faciale, Chu de Nantes, France;11. Department of Maxillofacial Surgery, University of Bergen, Bergen, Norway;12. Department of Oral and Maxillofacial Surgery, NHS Tayside, University of Dundee, Dundee, UK;13. Department of Maxillofacial surgery, Stomatology Clinic, Tartu University, Tartu, Estonia |
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| Abstract: | The aim of this retrospective study was to clarify the occurrence and types of dental injuries in 389 patients who had been diagnosed with facial fractures, and to analyze whether the occurrence of dental injury correlates to gender, age, trauma mechanism and type of facial fracture. Dental injuries were observed in 62 patients (16%). The most common type of injury was a crown fracture (48%). Dental injuries were multiple in most patients (63%). Almost half (48%) of all injured teeth were severely injured. Most injured teeth (61%) were in the maxilla. The incisor region was the most prevalent site in both the mandible (45%) and the maxilla (56%). The occurrence of dental injury correlated significantly with trauma mechanism and fracture type: motor vehicle accidents and mandibular fracture were significant predictors for dental trauma. The notable rate of dental injury observed in the present study emphasizes the importance of a thorough examination of the oral cavity in all patients who have sustained facial fracture. Referral to a dental practice for further treatment and follow up as soon as possible after discharge from hospital is fundamental. |
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