A Study on the Traumatic Teeth Damage of Children

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(1)Journal of Dental Hygiene Science Vol. 4, No. 1, pp. 21~ 25 (2004). ÚÖ~ çW ~j¶çö \. .>" Á;^ö.

(2). †. ÿÖ& ~* ;¯&L ~&. 1. A Study on the Traumatic Teeth Damage of Children †. Su-Min Yoo and Ho-won Park1 Department of Dental Hygiene, Dong-u College Department of Pediatric Dentistry, College of Dentistry, Kangnung National University. 1. " "#! #!#. In modern times, children's trauma is increasing every year because of car accidents and life environment changes. There is a limit to prevent traumatic damage for oral cavity organization. The fundamental data of trauma treatment and prevention will be presented through the survey and analysis of traumatic teeth damage. I examined 113 patients from Oct. 4th, 2000 to Feb. 27th, 2004 at Dept. of Children's Dental Clinic, Kangnung National University. The results are as follows. (1) The trauma frequency of male subjects is higher than that of female at a rate of 2.05:1. The average age is 5.27 for men and 5.27 for women. The highest percentage of trauma patients is among 2 year old children. It is 21.2%. (2) A patient survey was taken at a trauma treatment hospital. On the first day 34.4% of the patients had come to receive treatment of their first set of teeth. However, after a week, 38.8% of the patients had received treatment on their permanent teeth. (3) As a result of falling, 59% of patients needing treatment on their first set of teeth. 55.1% of patients is permanent teeth. As a result of bump against physical solid, 26.6% of patients is the first set of teeth and 26.5% of patients is permanent teeth. (4) Teeth damage happened at home. 42.1% were male. 35.1% were female. According to trauma, 59.4% of teeth damage happened at home. 28.6% of permanent teeth damage happened at school or kindergarten. (5) According to trauma, the number of teeth damaged was in the first set of teeth are as follows: 56.3%, one-31.3%, three or four-6.3% each. For permanent teeth: two-46.9%, one-28.6%, four over-16.3% and three-8.2%. Over four teeth is larger number for permanent teeth. (6) 56% of first set of teeth patients and 43.4% of permanent teeth patients were male. 56.8% of first set of teeth patients and 43.2% of permanent teeth were female. Trauma happened to both male and female frequently in the first set of teeth. (7) Most of the tooth damage which was in the first set of teeth and permanent teeth was done to the upper jaw. 75% of patients are the first set of teeth. 63.8% of patients are permanent teeth. Trauma is very high in the two mid teeth of the upper jaw. (8) According to trauma survey, 30.2% is from impulse. 28.0% is from crown fracture, 14.7% is from depression. 8.9% is from concussion. 7.1% is from full dislocation of a joint. 2.2% of patients are extrusion. 1.8% is from displacement. According to teeth damage trauma, 35.8% is pulse in the first set of teeth. The breaking of the crown of a tooth happened a lot in permanent teeth. (9) According to data, 43.2% of teeth damage in the first set of teeth goes without treatment. In permanent teeth, it is 38.9%. After treatment, 22.0% of first set of teeth treatment requires a dental pulp treatment. In permanent teeth, which is used for temporary acid etching resin restoration. ,FZ XP XPSE SETT Traumatic teeth damage. B. ¶ç z® ¢ÚÆ > ® . ÚÖ& vö Ú& º ê7ö Ò& ô ¾æ¾ º rº " ~&2. ô ¾æ¾, ¶*¢ æB çB¾ Wö BW~ ~&2.j ãþ~Vê ~ 10 &öº " ÚÿãV7 ~jö & ¶çj ô ãþ~² B . çW ~j¶ç~ öbº >Úê ãÖ¢ &Ë ô. > ®b bÚö f ãÖ , Úÿ , vÛÒ , K B : ® . çW ¶ç~ nêº ¾, Wê, ç¦*, çö, ç. V. 1). ÚÖöB çW ¶çf z® ¢Ú¾º ^B Â ê Fj& VÚ îV ·~B¦V ¾æ¾V · . ê 12^ã rî¢ ·~B nê>& Ã&~º " BV ¯ö V ^¶ ¦"~& "ö >, kn~ çW. 2). †. 3). Corresponding author Tel: 033-639-0671 Fax: 033-639-0679 E-mail: [email protected].

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(5) . Journal of Dental Hygiene Science Vol. 4, No. 1, pp. 21~25 (2004). º ¢ 34.4%, 1¢ ê 31.3%, 3¢ ê 29.7%, 2¢ ê 4.7% ¾æÒb, '~~ ãÖ 1¢ ê 38.8%, 3¢ ê 32.7%, ¢ 26.5%, 2¢ ê 2.0% Bb ç ê F~º ¢ö Úö ãÖ& ô, '~º 1¢ êö Úö ãÖ& ôf ©b ¾æÒ . Ö"º fKã ~ ç ê ÚöV* Ö" F~f '~ Îv ¶çAf ¢ö Úö ãÖf jv~ '~ º Ö"ªj " > ®î . çö ~ ~j¶çf w/çªöê ®~ ç" & Òö & æ ¦b çê Úö~Vræ * ã" ê Úö~² B . ß® '~~ j*î¢ ãÖ îB ~ j~ '. &" ¯ Úöb ~j¢ > ®rö ê ®~ * ã"~¾ ¾áB &b ~j¢ ç. ~² B . F~& çj Af ãÖ F~~ ~"" '~ V Ò~ Ò& &V r^ö '~~ ¶ç &ËWj J¢ ~, ç ¶çò ®¾ ç öº ~j¶ç ¾æ¾æ pz¢ê >Bú¾ >j ê ^B& ¾æÆ > ® bæ ê³' &Ò& jº~ . æ ~j¶çö & '. vG jº~Ò¢ 'B . R ç¦*ê Úö8* 21). 2). \ª F~ '\~. 3.. ¢. 1. ¢ê. ¢ê. 3. ¢ê. ê. 22 (34.4). 20 (31.3). 3 (4.7). 19 (29.7). 64 (100.0). 13 (26.5). 19 (38.8). 1 (2.0). 16 (32.7). 49 (100.0). 2. ç ¦*ê çö. 21). 22). \ª Ò >Úö ¦2 ¿ç ¦8\ 8æ ê 38 17 3 1 5 64 F~ − (59.4) (26.6) (4.7) (1.6) (7.8) (100.0) 3 27 13 2 4 49 '\~ (6.1) − (55.1) (26.5) (4.1) (8.2) (100.0). çË² Wêö V çË² Wêö V ç B Ë²¢ ªC Ö" 4-1" ?. . Î¶º &;(42.1%), Væ(19.7%), F~ö 5 v(15.8%), ê(13.2%), ¦V(9.2%) ¾æÒb, ¶º &;(35.1%), F~ö 5 v(24.3%), Væ(18.9%), ¦Vf ê(10.8%) Bb Îf Îv &;öB ç &Ë ô B~& . 4.. 1). 2) ç¦*ê çË² ç¦*ö V ç B Ë²¢ ªC Ö" 4-2f ? . F~º &;(59.4%), Væ(18.8%), F~ö 5 v (15.6%), ¦Vf ê(3.1%) Bb ¾æÒb, '~º F~ö 5 v(28.6%), Væ(22.4%), ¦V(18.4%), ê (16.3%), &;(14.3%) Bb F~º &;öB ç &Ë ô B~&, '~º F~ö 5 vöB ç &Ë ô B~& . '~ ãÖ F~ö 5 vöB ç ô B Fº vö Ú& º ê7~ Ò& ô ¾æ¾ Úÿ ãV 7 ~jö & ¶çj ô ãþ~² >V r^ . R ç¦*ê çË² 2). \ª &; F~ö 5 L ¦8 ê 8æ ê 38 10 2 2 12 64 F~ (59.4) (15.6) (3.1) (3.1) (18.8) (100.0) 7 14 9 8 11 49 '\~ (14.3) (28.6) (18.4) (16.3) (22.4) (100.0). ç¦*ö 8 çj Af ~j~ > ç¦*ö V çj Af ~j~ >ö & ªC Ö " 5f ? . F~º 2B(56.3%), 1B(31.3%), 3Bf 4B ç '' 6.3% (12.6%) ¾æÒb, '~º 2B(46.9%), 1B(28.6%), 4B ç(16.3%), 3B(8.2%) Bb 4B ç ãÖê jv' ¸² ¾æÒ . 5.. ç¦*ê ç~ öj ªC Ö" 3" ? . F~ º >Úê ãÖ 59.4%, ¦P ãÖ 26.6%, Væ 7.8%, ¿ ç 4.7%, ¦V 1.6% Bb ¾æÒb, '~~ ãÖº >Úê ãÖ 55.1%, ¦P ãÖ 26.5%, Væ 8.2%, Ò 6.1%, ¿ç 4.1% Bb &¦ª >Úæ¾ ¦PöB ç B ©b ¾æÒ . ªCÖ"º ç~ ö > Úê ãÖ ¾æÂ ~ 75.5%, fKã ~ 46.4%, · ~ F~ 59.6%, '~ 46.7% ãÖf FÒ~² ¾ æÒ . R ç¦*ê çö 7). R 9êö 8 çË² \ª &; F~ö 5 L ¦8 ê 8æ ê 32 12 7 10 15 76 Î (42.1) (15.8) (9.2) (13.2) (19.7) (100.0) 13 9 4 4 7 37 (35.1) (24.3) (10.8) (10.8) (18.9) (100.0). R ç¦*ö 8 çj )B ~j~ >. \ª 1B 20 F~ (31.3) 14 '\~ (28.6). B. 2. B 4B ç ï. ê. 3. 36 (56.3). 4 (6.3). 4 (6.3). 1.06. 64 (100.0). 22 (46.9). 4 (8.2). 9 (16.3). 0.92. 49 (100.0). ç¦* ç¦* &ç¶~ Wêö V ç¦*¢ ªC Ö" 6-1 " ? . Î¶ F~(56.6%), '~(43.4%) ¾æÒb, ¶ê F~(56.8%), '~(43.2%)Bb Îf Îv F~öB ç &Ë ô B~& . 6.. 1). R ç¦*. \ª Î . F~. '\~. ê. 43 (56.6) 21 (56.8). 33 (43.4) 16 (43.2). 76 (100.0) 37 (100.0).

(6) . A Study on the Traumatic Teeth Damage of Children. ç¦*ö V ª çk" ~k F~f '~~ ç¦*~ ªCÖ" 6-2 f ?b, F~f '~~ ç¦* çk *~¦& ~ &¦ªj Næ~, F~(75%)f '~(63.8%) Îv çk 7 .~öB çN ¸² ¾æÒ . ªCÖ"º çk7 .~öB 71.1% çN ¾æ¾ jN çk G.~ ö j 3V¾ z ¸f çN¢ Ò Galea ~ Ö" z ¸² ¾æÒ " > ® . çk 7.~¦*ö ô f nê ç B~º Fº òÂ>Ú ®rb çö z Â>V r^ . R ç¦*ö 8 \ª 2). 15). çk çk ~k ~k \ª 7.~ G.~ 7.~ G.~ 90 16 9 5 F~ (75.0) (13.3) (7.5) (4.2) 67 14 17 7 '\~ (63.8) (13.3) (16.2) (6.7). 7.. ê. 120 (100.0) 105 (100.0). ç«~. *Ú' çW ~j¶çö V ç«~~ ÒÖ" 7" ? ÿº& ¢ÚÂ ãÖ& &Ë ô~(30.2%), ~&2. (28.0%), «(14.7%), êû(8.9%), j*î(7.1%), ;Â(2.2%), æ*(1.8%) Bb ¾æÒ . F~f '~ê çW ~j ¶ç~ «~¢ ª~~&j r F~º ÿº(35.8%)& &Ë ô ¾æÒ, '~º ~&2.(44.8%) &Ë ô ¾æÒ . '~ ãÖ F~ö j ~&2. ô B Fº '~~ ^ vâÚ ~"^ r^ö æ*ö & & z B 2. " ¢Ú¾V r^ . 27). 8.. ç¦*ö 8 ¶ç¾~. F~f '~ ¦*~ ~j¶çö & ¾~ÚÏj Ò Ö" 8" ?b, çAf ~jö &~ ¾~ì ã" &Vj ãÖº F~ 43.2%, '~ 38.9% . ~ò ãÖ F~º ~>.BF 22.0%, B~ 14.4%, ; 12.1%, R ç~ «~ \ª. ÿº. ª' Ö¦.ê> 8.3% Bb ¾æÒb, '~~ ã Ö 'b Ö>~ ;ê¾ æ /ê ö jî¢ FæK Ëç>Ú *~¦ çj ~ 7º*~² Ï>º ª ' Ö¦.ê>(19.5%) &Ë ô~, ~>.BF 15.9%, v; 11.5%, *7~>F 7.1%, B~ 2.7%, ÒF 1.8%, ~>. 1.7%, ç7~>F 0.9% Bb F~öBº ' ~ö j ¶ç¦*ö B~ ãÖ& ô~ . F~º çj Af ê¢ê ã" &V~ « f Ò Â~¾ K j Fæ > ®b¾ ~j~ .êö ~ . ãÖöº B~ & F~ ~ò¢ ~& . 26). º. £. *&Ò²öBº ~ã~ æzf vÛÒ~ Ã&ö ~ î ²j~ ç Ã&~ ®º ;çö & çW ¶çj j*® N~º öº ê& ®Ú çW ~ j¶çö & ¢ Ò ªCb ç¾~f .Oö jº V.¶ò¢ B~¶ ;¯&v ~"÷ö ²j~"ö 2000j 10ú 4¢¦V 2004j 2ú 27¢ræ çj "² Úö 113«~ ~¶¢ &çb Ò ªC Ö" r" ? f Öj áî . 1. &ç¶~ WêöBº 2.05:1~ jN Î¶~ ãÖ& çnê& z ¸² ¾æÒ . ï _f Î¶ 5.27^, ¶ 5.27^ N& ìî, *Ú _7 2^öB ç~¶& B¢ ô~ (21.2%). 2. ç¦*ê ÚöV*j Ò Ö" F~º ¢(34.4%) ö Úö ãÖ& &Ë ô~, '~º 1¢ ê(38.8%) ö Úö ãÖ& &Ë ô~ . 3. ç¦*ê ~j¶ç~ öj ªC Ö" >Úê ãÖ & F~ 59.4%, '~ 55.1%, bÚö ¦P ãÖ F ~ 26.6 %, '~ 26.5% ¾æ¾ &¦ª >Úæ¾ ¦PöB ç B ©b ¾æÒ . 4. Wêö V ~j¶ç B Ë²º &; ãÖ& Î¶ 42.1%, ¶ 35.1% ÎfÎv &;öB ç &Ë ô B~& . ç¦*ö V ~j¶ç B >M) N (. 2. êû ~2. ~2. ~~2.. 20). «. ®j* î\ ;Â æ* j*î\. ê. 43 8 16 12 4 24 2 4 7 120 F~ (35.8) (6.7) (13.3) (10.0) (3.3) (20.0) (1.7) (3.4) (5.8) (100.0) 25 12 47 9 3 9 105 '\~ (23.8) (11.4) (44.8) (8.6) (2.8) (8.6) (100.0) 68 20 63 12 4 33 5 4 16 ê (30.2) (8.9) (28.0) (5.3) (1.8) (14.7) (2.2) (1.8) (7.1) >M) N ( R ç¦*ö 8 ¶ç¾~ \ª ã8 B~ ~>.BF ÒF ; *7~> ç7~> ~>. ª'Ö¦.ê ê 57 19 29 16 11 132 F~ (43.2) (14.4) (22.0) (12.1) (8.3) (100.0) 44 3 18 2 13 8 1 2 22 113 '\~ (38.9) (2.7) (15.9) (1.8) (11.5) (7.1) (0.9) (1.7) (19.5) (100.0).

(7) . Journal of Dental Hygiene Science Vol. 4, No. 1, pp. 21~25 (2004). Ë²º F~º &;(59.4%)öB &Ë ô B~ &, '~º F~ö 5 v(28.6%)öB &Ë ô B~& . 5. ç¦*ö V¢ ~j¶çj Af ~j~ >¢ ªC Ö" F~º 2B(56.3%), 1B(31.3 %), 3Bf 4B ç ''(6.3%), Bb ¾æÒb, '~º 2B(46.9%), 1 B(28.6%) 4B ç(16.3%), 3B(8.2%) Bb '~ ãÖ 4B ç ãÖê jv' ¸² ¾æÒ . 6. Wêö V ~j¶ç B ¦*º Î¶ F~ 56.6%, '~ 43.4%, ¶ F~ 56.8%, '~ 43.2% Îf Îv F~öB ç &Ë ô B~& . 7. F~f '~~ ~j¶ç¦*º çk *~¦& ~ & ¦ªj Næ~, F~(75%)f '~(63.8%) Îv çk 7.~öB çN ¸² ¾æÒ . 8. *Ú' çW ~j¶çö V ç«~~ ÒÖ"º ÿº 30.2%, ~&2. 28.0%, « 14.7%, êû 8.9%, j* î 7.1%, ;Â 2.2%, æ* 1.8% Bb ¾æÒ. . F~f '~ê çW ~j¶ç~ «~¢ ª~~ &j r F~º ÿº(35.8%)& &Ë ô ¾æÒ, 2 .öB ~&2.f '~(44.8%)öB ô B~& . 9. ç¦*ö V çW ~j¶ç¾~º ¾~ì ã"& Vj ãÖ& F~º 43.2%, '~ 38.9% ¾æÒ b, ~ò ãÖ F~º ~>.BF(22.0%), '~º ª'Ö¦.ê>(19.5%)j &Ë ô ÒÏ~& . ^^ò. 9.. 10. 11. 12. 13. 14.. 15. 16. 17.. 18.. 19.. 24.. f«Æ ¶ÿ> BÞæ 7 ~ *~çö \ ² j~²æ. 6: 20-24, 1979.. 26.. 5. Nazif MM: Intrabony tooth injuries: reports of two cases. J Dent Child 56: 65-68, 1989. 6. Snyder CC: Facial injuries from car accidents, Plastic and Recon, Surg 40: 414-425, 1967. 7. , : . 11: 1119-1132, 1985. 8. Kramer LR: Accidents occurring in high school athletics with.

(8) *\ ~ë ^&L ~÷öö Úö ¢* w/~¶~ ªç' \ & \; kn²æ. fs^. \¢Ú Â$Ò. & ²j~ ^Ò fKã ²j~ ~çö \ ^&L &ö CÒ *¢^ 22. · ²j~ ~jf ææç çö ªC *§&L & ö CÒ*¢^ 23. 3^ f%Æ çö jÿ~ ~j¶çö \ ã ~ 20. 21.. &²j~² ²jÓ²j ~ 8Jz6 &²j~² ²j~ «^Â$Ò. 1. : , , 1999. 2. : , , 1990. 3. Oluwole OT, Leverett DH: Clinical and epi-demiological survey of adolescents with crown fractures of permanent anterior teeth, Pediat Dent 8: 221-225, 1986. . 4. , : ,. Special reference to dental Injuries. J Amer Dent Assoc 28: 1351-1352, 1941. Macko DJ, Grasso JE, Powell (25. Macko, D.J., Grasso, J.E., et al.): A study of fractured anterior teeth in a school population. J Dent Child 46: 130-133, 1979. McEvoy SA, Mink JR: Acid-etched resin splint for temporarily stabilizing anterior teeth. J Dent Child 41: 439-441, 1974. Mareus M: Delinquency and coronal fractures of anterior teeth. J Dent Res 30: 513-514, A51. Parkin SF, F:D. S. R. C. S.: A recent analysis of traumentic injuries to children's teeth. J Dent Child 32: 323-325, 1967. : Lotusi-2-3. Release 2, , 1987. Bhat M, L:SH.: Consumer product-related tooth injuries treated in hospital emergency rooms: Vnited states, 1979-87. Community Dent Oral Epidemiol 18: 133-38, 1990. Galea H: An investigaion of general hospital. J Am Dent Child 55: 334-338, 1988. Harrington MS, Eberhart AB, Knapp JE: Dentofacial trauma in children. ASDC J Dent Child 55: 334-338, 1988. Llarena del Rosario ME, Acosta Alfaro VM, Garcia-Godoy F: Traumatic injuries to the primary teeth in Mexico city children. Endod Dent Traumatol 8: 213-214, 1992. Luz JG, D: Mase F: Incidence of dentoalveolar injuries in hospital emergency room patients. Endod Dent Traumatol 10: 188-190, 1994. Schwartz S: A one-year statistical analysis of dental emergancies in a Pediatric hospital. J Can Dent Assoc 60: 959-962, 1994. Susumu Uehara : , , 1998. : , , 1990. : , , 2001. , : , , 5: 142-147, 1989. Andreasen JO and Andreasen FM: Textbook and color altas traumatic injuries to the teeth. 3rd ed. Copenhagen: Munksgaard: 151-170, 1994. , : , , 28(2): 247-254, 2001. Bennett DT: Traumatized anterior teeth. Brit Dent J pp52-55, 1964. Hawes RR: Traumatized primary teeth, Dent Clin N Am pp391405, 1996. Hamilton FA, Hill FJ, Holloway PJ: An investigation of dentoalveolar trauma and its treatment in an adolescent population Part 2: dentists Knowledge of management methods and their perceptions of barriers to providing care. Br Dent J 182: 91-95, 1997. (Received June 3, 2004; Accepted June 12, 2004). 25.. 27. 28.. fÿö %> ;¯&L ~÷ö ²j~ö Úö ç~¶ ö & ªC &²j~²æ.

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