Abstract：
OBJECTIVE: To investigate traumatic dental injuries (TDIs) among children who for 1 year attended a Norwegian public after-hours emergency public dental (EPD) clinic.
METHODS: The study included 7-18-year-olds (n = 312) who presented at the EPD clinic, underwent a clinical dental examination, and consented to the disclosure of clinical information. Recording of TDIs was restricted to anterior permanent teeth. Potential TDI predictors were also analysed.
RESULTS: Almost half (n = 148) of the children were assessed with TDIs in permanent teeth, showing a mean age of 11.0 (standard deviation [SD]: 3.5) years. Males constituted 54.7%. The children experienced TDIs often outside school hours (43.9%), and the majority (58.1%) were caused by falls/accidents. Sixty of them experienced only one TDI. The most common location was the maxillary central incisors. Assessment of TDIs according to severity, could only be done in 131 individuals, involving 253 TDIs. Of these, 81.8% were mild. The odds of visiting the emergency clinic for a TDI were higher (odds ratio [OR] = 2.64, confidence interval [CI]: 1.61-4.31) among children with previous TDIs and lower (OR = 0.28, CI: 0.12-0.68) among those with poor dental attendance.
CONCLUSIONS: Traumatic dental injuries were a common reason for seeking emergency care. Milder injuries dominated and involved mostly one maxillary central incisor. Previous episodes of TDIs and attendance patterns seemed to be associated with seeking care for TDIs.
METHODS: The study included 7-18-year-olds (n = 312) who presented at the EPD clinic, underwent a clinical dental examination, and consented to the disclosure of clinical information. Recording of TDIs was restricted to anterior permanent teeth. Potential TDI predictors were also analysed.
RESULTS: Almost half (n = 148) of the children were assessed with TDIs in permanent teeth, showing a mean age of 11.0 (standard deviation [SD]: 3.5) years. Males constituted 54.7%. The children experienced TDIs often outside school hours (43.9%), and the majority (58.1%) were caused by falls/accidents. Sixty of them experienced only one TDI. The most common location was the maxillary central incisors. Assessment of TDIs according to severity, could only be done in 131 individuals, involving 253 TDIs. Of these, 81.8% were mild. The odds of visiting the emergency clinic for a TDI were higher (odds ratio [OR] = 2.64, confidence interval [CI]: 1.61-4.31) among children with previous TDIs and lower (OR = 0.28, CI: 0.12-0.68) among those with poor dental attendance.
CONCLUSIONS: Traumatic dental injuries were a common reason for seeking emergency care. Milder injuries dominated and involved mostly one maxillary central incisor. Previous episodes of TDIs and attendance patterns seemed to be associated with seeking care for TDIs.
摘要：
目的：调查在挪威公共下班后紧急公共牙科（EPD）诊所就诊1年的儿童的外伤性牙齿损伤（TDI）。
方法：该研究包括在EPD诊所就诊的7-18岁（n=312），接受了牙科临床检查,并同意披露临床信息。TDI的记录仅限于恒牙前牙。还分析了潜在的TDI预测因子。
结果：几乎一半（n=148）的儿童接受了恒牙TDI评估，显示平均年龄为11.0(标准偏差[SD]：3.5)岁。男性占54.7%。孩子们经常在课余时间经历TDI（43.9％），大部分(58.1%)是由跌倒/意外造成的。其中60只经历了一次TDI。最常见的位置是上颌中切牙。根据严重程度评估TDI，只能在131个人中完成，涉及253个TDI。其中,81.8%为轻度。在先前患有TDI的儿童中，前往急诊诊所接受TDI的几率较高（比值比[OR]=2.64，置信区间[CI]：1.61-4.31），而较低（OR=0.28，CI：0.12-0.68）。
结论：外伤性牙齿损伤是寻求紧急治疗的常见原因。轻伤占主导地位，主要涉及一个上颌中切牙。以前的TDI事件和出勤模式似乎与寻求TDI的护理有关。
方法：该研究包括在EPD诊所就诊的7-18岁（n=312），接受了牙科临床检查,并同意披露临床信息。TDI的记录仅限于恒牙前牙。还分析了潜在的TDI预测因子。
结果：几乎一半（n=148）的儿童接受了恒牙TDI评估，显示平均年龄为11.0(标准偏差[SD]：3.5)岁。男性占54.7%。孩子们经常在课余时间经历TDI（43.9％），大部分(58.1%)是由跌倒/意外造成的。其中60只经历了一次TDI。最常见的位置是上颌中切牙。根据严重程度评估TDI，只能在131个人中完成，涉及253个TDI。其中,81.8%为轻度。在先前患有TDI的儿童中，前往急诊诊所接受TDI的几率较高（比值比[OR]=2.64，置信区间[CI]：1.61-4.31），而较低（OR=0.28，CI：0.12-0.68）。
结论：外伤性牙齿损伤是寻求紧急治疗的常见原因。轻伤占主导地位，主要涉及一个上颌中切牙。以前的TDI事件和出勤模式似乎与寻求TDI的护理有关。
