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A retrospective study of traumatic injuries to teeth at a Nigerian tertiary hospital
DM Ajayi, IM Abiodun Solanke, AO Sulaiman, EF Ekhalufoh
Nigerian Journal of Clinical Practice , 2012,
Abstract: Background: Various aspects of dental trauma have been studied worldwide. Most of these were among children and adolescents. However, studies involving the adult population with traumatized anterior teeth are few. Objectives: The objectives of this study were to report the pattern of trauma to anterior and posterior teeth among the late adolescent and adult patients seen at the Dental Centre, University College Hospital, Ibadan, Nigeria, the time lapse between trauma and patient presentation, reasons for dental consultation, and the type of treatment received. Materials and Methods: Data were extracted from the dental records of 146 patients with dental trauma that presented between May 2001 and June 2006. Results: One hundred and forty six patients were studied (87 males, 59 females) Males sustained injury more than females. The highest occurrence of trauma was in the age group of 25 34 years and least in the >65 years. Falls accounted for 34.3% of causes followed by RTA (19.2%). Enamel dentine fracture was the most common type of injury, seen in 73 (38.6%) of the traumatized teeth, 5 were avulsed and 20 posterior teeth had cuspal fracture. All the cases of avulsion and most (83.3%) of root fracture presented within 1 week of injury while teeth that presented late had pulpal necrosis. 22% of the patients presented within 1 week of injury while 13.7% came after 10 years. Conclusion: There was late patients’ presentation with average duration of trauma before presentation being 4.6 years; however the more severe the outcome of trauma, the earlier the presentation. Poor esthetics followed by pain were the main complaints at presentation.
Pulp vitality preservation after traumatic dental injuries to permanent teeth
Blagojevi? Du?ka,Petrovi? Bojan,Markovi? Dejan,Vujkov Sanja
Medicinski Pregled , 2013, DOI: 10.2298/mpns1304149b
Abstract: Introduction. The pulp vitality preservation after a trauma to permanent teeth is of great importance since dental injuries are common. The aim of our study was to investigate the pulp vitality preservation after tooth injuries. Material and Methods. A retrospective analysis of records of patients with a trauma was performed. The sample consisted of all patients who had been referred to the Department of Dentistry of Vojvodina for a trauma to permanent teeth during the period 2005-2010. We recorded the type of injury, treatment, state of vitality during the first visit and subsequent check-ups. Results. The study included 162 children and adolescents aged 6-18 years having a trauma to 314 permanent teeth. The most frequent type of injuries in permanent teeth was fractures (54.5%), whereas luxation was a less common trauma (45.5%). Though different kinds of traumas have different optimal time for treatment, a period of 24 hours was taken as optimal; hence, 189 teeth were treated in optimal time and 55 complications occurred in them; while 105 complications occurred in 114 teeth which were treated 24 hours after the trauma. A year after the trauma the pulp vitality was preserved in 88 teeth (32%), pulp necrosis and other complications developed in 160 teeth (68%). Conclusion. The therapy of pulp vitality preservation in injured teeth was found successful in 32% and unsuccessful in 68% of cases at check-ups over one year.
Knowledge, attitude and practice in emergency management of dental injury among physical education teachers: A survey in Bangalore urban schools  [cached]
Mohandas U,Chandan G
Journal of the Indian Society of Pedodontics and Preventive Dentistry , 2009,
Abstract: The purpose of this study was to assess, by means of a self administered structured questionnaire, the level of Knowledge, Attitude and Practice of physical education teachers in Bangalore city with regards to emergency management of dental injuries. The questionnaire surveyed the physical education teacher′s background, knowledge of management of tooth fracture, avulsion, luxation injuries, it also investigated physical education teacher′s attitude and the way they handle the injuries. The sample consisted 580 teachers from 700 selected schools in Bangalore city. Chi-square test was applied to test the significance between trained and untrained teachers. Among the population 70% were males physical education teachers 30% were females. 95% of the teachers had physical education training and 5% did not have the training. 95% of the population had first aid component and 5% did not have. Only 25% of trained physical education teachers had correct knowledge about tooth identification and 17% among untrained teachers. 81% of trained teachers answered correctly regarding management of fractured anterior teeth against 27.5% of untrained teachers (P< 0.0002). The present report indicates that there is lack of knowledge and practice among physical education teachers in Bangalore city regarding emergency management of dental trauma. Educational programs to improve the knowledge and awareness among the teachers have to be implemented.
Occupational Injuries Admitted to the Emergency Department  [cached]
Bekir Da?l?,Mustafa Serinken
Journal of Academic Emergency Medicine , 2012,
Abstract: Objective: In trauma patients who were admitted to the emergency services, occupational accidents have a significant place because of the social problems and high costs effects.Materials and Methods: This 18-month period study on patients who were admitted to the Emergency Services in Pamukkale University Hospital were evaluated prospectively.Results: During the study 538 occupational accident cases appliedand these cases composed 1.6% of applications to emergency services. The frequency of accidents in the age group 25-34 in male workers was determined and the maximum occurs between 08:00-10:00 hours, Monday (21.0%) and Saturday (17.8) was determined to increase the frequency. The most commonly physically affectedarea was the upper extremity (hand and fingers 65.3%) injuries, and cutting, penetrating and abrasion types injuries were most commonly determined Both workers and the workplace source were noted as reasons for the occupational accidents (62.5%), workers are sourced due to negligence, while the workplace was the source due to not providing protective measures in the first place. Conclusion: Most of the injuries associated with occupational accidents result in presentation to Emergency Departments. The data in Emergency Departments may help reveal details of occupational injuries and prevent workplace-related accidents.
Emergency Management of Thoracic Injuries  [cached]
Murat Oncel,Guven Sadi Sunam,Aysegul Bayir
Arsiv Kaynak Tarama Dergisi , 2013,
Abstract: Thoracic trauma is responsible for 20 to 25% of trauma related deaths. Motor vehicle accident is the most common cause of thoracic injuries. Chest or thoracic injuries are the second most common injuries (just after head injuries) causing death after traffic accidents,. Thoracic injuries may present itself from simple rib fractures through to intrathoracic organ injuries. As with any trauma in thoracic trauma, effective transport of patient as soon as possible and performing very simple intervention in the accident location are quite important for saving lives of the patients. In 70% of cases thoracic trauma affects chest wall, followed in order by the lungs, heart, diaphragm and the aorta. Since hypoxia causes serious damages to the lungs, early precautions will ensure delivery of adequate amount of oxygen to the tissues. Early diagnosis and and management of thoracic trauma would help us to apply appropriate treatment strategies and prevent complications [Archives Medical Review Journal 2013; 22(1.000): 110-129]
Pedestrian Injuries: Emergency Care Considerations  [cached]
Chakravarthy, Bharath,Lotfipour, Shahram,Vaca, Federico E
Western Journal of Emergency Medicine : Integrating Emergency Care with Population Health , 2007,
Abstract: Traffic-related pedestrian injuries are a growing public health threat worldwide. The global economic burden of motor vehicle collisions and pedestrian injuries totals $500 billion. In 2004, there were 4,641 pedestrian deaths and over 70,000 injuries in the United States. Injury patterns vary depending on the age, gender and socioeconomic status of the individual. Children, older adults, and those of lower socioeconomic status are most affected. The burden of injury upon the individual, families and society is frequently overwhelming. Although pedestrian injuries and deaths are relatively on the decline in the United States, this is not universally true throughout the world. It requires particular attention by emergency medicine physicians, public health experts and policy makers.
Frequency upper limbs injuries in the emergency health service in Paranaiba, MS, Brazil
Eliane Cristina Coelho de Oliveira Correia,Susilene Maria Tonelli Nardi,Iracema Serrat Vergotti Ferrigno,Vania Del′Arco Paschoal
Cadernos de Terapia Ocupacional , 2012,
Abstract: To assess the frequency of upper limb injuries in the only emergency medical service inParanaiba, State of Mato Grosso do Sul. Methods: Retrospective study with data collection from medical recordsof patients assisted with upper limb injuries in “Santa Casa de Misericordia” Hospital, the only hospital in the cityto provide emergency care, in 2008. Variables of interest such as gender and type of injury were collected basedon the International Code of Diseases (ICD 10). Results: There were 314 cases of upper limb injury in 2008and men were the most affected with 211 cases (67.2%). The wrist was the most affected segment with 64 cases(20.4%), followed by the shoulder with 55 cases (17.5%) and the hand with 50 cases (15.9%). Interventions andsurgeries involving bone portion were the most frequent - 225 (71.7%), followed by tendon - 19 (6.1%) and neural - 16 (5.1%); 35 patients (11.1%) underwent multiple operations. Osteosyntheses - 94 (29.9%), fractures- 48 (15.3%), and reduction - 46 (14.6%) were the most frequent interventions, followed by 26 dislocations(8.3%) and 14 tenorrhaphies (4.5%). Conclusion: The involvement of the upper limbs, especially bone lesions,is frequent. The segments most affected by injuries are men’s wrists and shoulders.
Luxa o intrusiva em dentes decíduos: relato de casos  [cached]
Carolina Silva Trombini,Eliane Gerson Feldens,Carlos Alberto Feldens
Stomatos , 2008,
Abstract: This study aims at presenting two case reports of patients having intrusive luxation injuries of the primary incisors. Patients were followed since emergency care, dental management and follow-up appointments until eruption of the permanent successors. In both cases, due to the severity of the intrusion, there were sequelae affecting the successor teeth, such as developmental defects of the crown. Considering several sequel possibility that occur in intruded primary teeth and the potential risk to extent the damage to the permanent successor, it is important that the dentist have been informed about guidelines for management of traumatic injuries. Besides of this the dentist must teach about prevent measures of accidents in preschool children aiming to reduce the frequency of dental trauma.
Epidemiology of Cranio-Cerebral Injuries in Emergency Medical Services Practice
ukasz Szarpak, Marcin Madzia a
Polish Journal of Surgery , 2011, DOI: 10.2478/v10035-011-0103-8
Abstract: Head injuries have always accompanied the man. Cranio-cerebral injuries are the most common and often can lead to an imminent threat to life. The aim of the study was the analysis of interventions of Emergency Medical Service teams in respect of patients manifesting symptoms indicative of suffered cranio-cerebral injuries. Material and methods. We analyzed the emergency intervent card (protection medically Piaseczno and Otwock in 2009) - the cranio-cerebral injuries (CCI). Results. We analyzed 1049 cases of CCI. Twice as likely to cranial injuries - brain affected men population. Most accidents happened in the afternoon (13-18) and in the summer months (June - August). Falls from height were the most common cause of cranio-cerebral injuries, but most cases related to the superficial bruising of the head. Conclusions. Cranio-cerebral injuries are the predominant group among all the injuries. Men twice as likely to suffer injury - cranial cerebral compared to women. Most CCI suffer economically active people of 30-39 years age bracket. The most common cause of injury - cranial brain are falls from height, also traffic accidents and falls at the same level. Contusion skins, open wound of the head and concussion injuries are the most common forms of cranio-cerebral injuries.
Etiologic factors related to the alveolus-dental trauma of patients referred to the dental emergency service of Cajuru University Hospital  [PDF]
Fabiano Geronasso SIM?ES,Denise Piotto LEONARDI,Flares BARATTO FILHO,Erica Lopes FERREIRA
RSBO , 2004,
Abstract: The traumatics injuries in deciduous and permanent teeth and itsrepercussions the level to pulpar and periodontal are problematic,mainly in children and adolescents, deserving on the part of thesurgeon dentist a special and immediate attendance. In view of thisimportance, the objective of this work was to evaluate and to quantifythe different etiologic and predisponent aspects of the taken care oftraumatic injuries in the PSO Cajuru, in the period of May of 2000at May of 2002. Thus, they had been examined a total of 1310patients, with 2234 traumatized teeth. Of this sample a biggeroccurrence in the patients of the masculine sex (65,49%) againstthe feminine sex was observed (34,51%). The age group band morewas between 1 and 7 years (51,90%), detach the 3 years (9,47%)and after that 1 year (9,19%), having as the biggest cause the levelfall (32,68%). The teeth that presents greater predisposition to thetrauma had been the incisors superior central offices (57,87%),being detach it frequency of the following injuries in these teeth:subluxation (21,46%), accession (17,18%) and luxation injuries(16,66%). The authors conclude that this survey more makespossible a deepened knowledge of the causes of the trauma as wellas the affected regions more, what it determines a bigger possibilityof accomplishment of prevention of the alveolus-dental trauma.
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