Is a traumatic dental injury (TDI) a public dental health
problem today? The answer is an overwhelming ‘yes’ and
the reasons are fourfold. First, trauma to the oral region
occurs frequently and makes up 5% of all injuries for
which people seek treatment in all dental clinics and
hospitals in a county(1). Second, TDIs tend to occur at a
young age during which growth and development take
place (2). In preschool children, for example, the figure is
as high as 18% of all injuries (1). Third, treating a TDI
can often be complicated and expensive (3), frequently
involving participation of specialists in several disciplines.
Fourth, in contrast to many other traumatic
injuries treated on an outpatient basis, a TDI is mostly
irreversible and thus treatment will likely continue for
the rest of the patient’s life (2, 3).
Other questions about TDIs are of interest. Will TDIs
in the future look the same as they do today? Will it still
be 10 to 12-year-old boys that are the most likely victims
of dental trauma (4)? Or, will it be an increase among
girls because of their increasing interest in sports? Or, are
we going to see elderly people who still have their own
teeth, with an increased risk of a TDI because of falling
(5)? Another new category could be individuals who have
lost an anterior tooth because of a TDI and, as an
elegant solution, have received an implant. What happens
to the implant and the bone when they encounter
another TDI? Recent case reports have focused on this
type of problem (6–8).
Evidence suggests that there is also an impact of
treatment of dental trauma on the quality of life (QoL)
of the individual. Recent studies of adolescents have
indicated that treatment of permanent incisors with
enamel-dentin fractures does not eliminate the impact
of trauma on daily life (9, 10). On average, children
with an untreated TDI were 20 times more likely to
report an impact on QoL because of the injury when
compared with children without any TDI (9). More
adolescents with a history of treatment of an enameldentin
fracture suffered from reduced QoL than adolescents
with no history of dental trauma. Until now,
only a few studies have presented findings on this
subject matter (10).
The aim of this 12-year review is to present a broad
international review of the prevalence and incidence of
TDIs including back ground variables. A quick, easy
method of registering TDIs to receive a primary understanding
of the extent and seriousness of dental trauma
in every dental clinic will also be presented.
Is a traumatic dental injury (TDI) a public dental healthproblem today? The answer is an overwhelming ‘yes’ andthe reasons are fourfold. First, trauma to the oral regionoccurs frequently and makes up 5% of all injuries forwhich people seek treatment in all dental clinics andhospitals in a county(1). Second, TDIs tend to occur at ayoung age during which growth and development takeplace (2). In preschool children, for example, the figure isas high as 18% of all injuries (1). Third, treating a TDIcan often be complicated and expensive (3), frequentlyinvolving participation of specialists in several disciplines.Fourth, in contrast to many other traumaticinjuries treated on an outpatient basis, a TDI is mostlyirreversible and thus treatment will likely continue forthe rest of the patient’s life (2, 3).Other questions about TDIs are of interest. Will TDIsin the future look the same as they do today? Will it stillbe 10 to 12-year-old boys that are the most likely victimsof dental trauma (4)? Or, will it be an increase amonggirls because of their increasing interest in sports? Or, arewe going to see elderly people who still have their ownteeth, with an increased risk of a TDI because of falling(5)? Another new category could be individuals who havelost an anterior tooth because of a TDI and, as anelegant solution, have received an implant. What happensto the implant and the bone when they encounteranother TDI? Recent case reports have focused on this
type of problem (6–8).
Evidence suggests that there is also an impact of
treatment of dental trauma on the quality of life (QoL)
of the individual. Recent studies of adolescents have
indicated that treatment of permanent incisors with
enamel-dentin fractures does not eliminate the impact
of trauma on daily life (9, 10). On average, children
with an untreated TDI were 20 times more likely to
report an impact on QoL because of the injury when
compared with children without any TDI (9). More
adolescents with a history of treatment of an enameldentin
fracture suffered from reduced QoL than adolescents
with no history of dental trauma. Until now,
only a few studies have presented findings on this
subject matter (10).
The aim of this 12-year review is to present a broad
international review of the prevalence and incidence of
TDIs including back ground variables. A quick, easy
method of registering TDIs to receive a primary understanding
of the extent and seriousness of dental trauma
in every dental clinic will also be presented.
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