JCDA - Canadian Dental Association

More documents

Recommendations

Info

Clinical Abstracts 3 Is 4 Can childhood obesity a risk factor for traumatic dental injuries? Petti S, Cairella G, Tarsitani G. Childhood obesity: a risk factor for traumatic injuries to anterior teeth. Endod Dent Traumatol 1996; 13(6):285–8. Background Because the prevalence of traumatic dental injuries in children is high, risk factors need to be identified to provide the basis for the development of preventive programs. One possible risk factor is obesity. Childhood obesity is widespread, affecting between 10% and 15% of children in developed countries. This study examined the relationship between obesity and traumatic dental injuries among 6- to 11-year-old schoolchildren in Rome, Italy. Methods Four calibrated dentists examined 938 schoolchildren 6 to 11 years old. Overjet, upper lip uncoverage, upper incisor protrusion, subjects’ weight to the nearest 0.1 kg and height to the nearest 5 mm were recorded. Body mass index (BMI) was calculated using the formula weight/height 2 . When the value of the BMI was equal to or higher than the value of the 97th percentile of the age- and sex-specific reference table, the child was defined as obese. traumatic injuries have an impact on oral health-related quality of life in children? Cortes MI, Marcenes W, Sheiham A. Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12–14-year-old-children. Community Dent Oral Epidemiol 2002; 30(3):193–8. Background Children are subject to a number of oral conditions that can impact on quality of life. Many children with traumatic injuries to the anterior dentition are not treated or receive inadequate treatment. This study assessed the social impact and dental consequences of untreated fractured anterior teeth in Brazilian schoolchildren. Methods A population-based matched case–control study was carried out (2:1 control-to-case ratio). Sixty-eight cases of 12- to 14-year-old children with untreated and fractured teeth were included. The controls were 136 children without traumatic dental injury. The children were matched by age, sex and socio-economic status. The Oral Impact on Daily Performances (OIDP) index, which assesses 8 physical, psychological and social functions, was used to compare the oral health-related quality of life of the cases and controls. 674 November 2003, Vol. 69, No. 10 Results The sample included 11.4% obese children (n = 107). Overall prevalence of dental injury was 21.3%, and prevalence among obese and non-obese children was 31.8% and 20%, respectively. Variables significantly affecting the probability of injury were upper lip uncoverage (OR = 1.23, 95% CI 1.03–1.49), overjet larger than 3 mm (OR = 1.68, 95% CI 1.21–2.33) and obesity (OR = 1.45, 95% CI 1.08–1.94). Clinical Significance The study showed that obesity significantly increased the risk of traumatic dental injury. The obese children included in the study were less active than the other children, suggesting that an active lifestyle may protect a child from dental trauma. Childhood obesity is a concern because of its links to systemic conditions such as heart disease and diabetes. The study provides one more reason for children to adopt active lifestyles. C Results In all, 66% of children with trauma reported some impact on daily living as a result of their oral condition, compared to 14.7% of children without injury (p < 0.001). The former group was more likely to report feeling embarrassed when laughing or smiling (55.9% vs. 13.2%), being irritable (33.8% vs. 5.1%), having problems with eating and enjoying food (19.1% vs. 1.5%) and reduced enjoyment from contact with other people (14.7% vs. 1.5%). These differences remained after controlling for each child’s orthodontic condition and caries experience. Clinical Significance Children with untreated dental fractures have poorer oral health-related quality of life than those without fractured teeth. The fact that some studies indicate that many children do not receive treatment for their injuries should therefore be of concern to dental professionals and public health officials. C Journal of the Canadian Dental Association
5 Background Although there have been several studies of the prevalence and incidence of traumatic dental injuries, the economic implications of traumatic dental injuries are almost unknown. The purpose of this study was to analyze the type and extent of traumatic dental injuries treated at a major trauma centre in Copenhagen, Denmark. The study also analyzed acute and subsequent treatment demands and treatment costs. 6 What Background Dental health professionals play a critical role in the prevention and management of traumatic dental injuries. Although many of these injuries require medical attention, it is estimated that less than half are treated first in a hospital. There is a lack of information on craniofacial and oral injuries, especially from primary care practices. This study was undertaken to provide national estimates of the number of episodes of orofacial injuries treated in U.S. private dental practices. Methods The data for this study were collected using a survey of a stratified random sample of 6,391 dentists in private dental practice in the U.S. conducted by the American Dental Association. Results At the national level, dentists in private practice treated an average of 46.4 episodes of care for orofacial injury per Journal of the Canadian Dental Association Clinical Abstracts What are the economic implications of traumatic dental injuries? Borum MK, Andreasen JO. Therapeutic and economic implications of traumatic dental injuries in Denmark: an estimate based on 7549 patients treated at a major trauma centre. Int J Paediatr Dent 2001; 11(4):249–58. Methods A therapeutic and economic analysis was performed for 7,549 patients who visited the trauma centre during an 11-year study period (total of 16,116 injured teeth). All patients answered a questionnaire containing 65 questions about the trauma event and its implications. Cases were classified according to the WHO trauma classification as uncomplicated (enamel and dentin fractures, subluxations and concussions) or complicated (crown fractures with exposed pulps, root fractures, luxation injuries with tooth displacement and bone fractures). The cost of acute trauma services was estimated based on time and materials needed to treat traumatic dental injuries by staff, oral surgeons and other personnel at the centre. The cost of individual restorative procedures was based on information from the Danish Dental Association. Results An average of 686 patients per year or 1.9 patients per day presented for treatment of dental injuries; 59.9% had injury to the permanent dentition, while 38.1% had injury to the primary dentition. The average cost of treating a permanent tooth after an uncomplicated injury was $420 US, and $1,490 US after a complicated injury. The average cost of treating a primary tooth injury after uncomplicated injury was $60 US, and $200 US after complicated injury. The cost of treatment was estimated to be $0.6 to $1 million US a year for patients treated in this trauma centre. When this figure was transferred to an estimated trauma population in Denmark, the estimated yearly cost of traumatic dental injuries ranged from $2 to $5 million US per one million inhabitants per year. Clinical Significance Because traumatic dental injuries are common and potentially serious, they can result in high costs for patients, insurance companies and public health services. C is the dentist’s role in treating orofacial trauma in private practice? Gift HC, Bhat M. Dental visits for orofacial injury: defining the dentist’s role. J Am Dent Assoc 1993; 124(11):92–6, 98. year. There were significant differences in the number of episodes per year when examined by specialty. Oral and maxillofacial surgeons reported the highest number of episodes (159.5), followed by pediatric dentists (134.9) and general practitioners (41.9). On the basis of these data, an estimated 5.9 million cases of orofacial trauma were treated by dentists in private practice in 1991. Clinical Significance This study showed that dental health care professionals encounter traumatic dental injuries on a regular basis. Thus, there is potential for the early identification of highrisk behaviours and predisposing risk factors, and for prompt treatment or referral. Prevention through counselling (use of mouth or face guards during sporting activities), public education and legislative enforcements (use of helmets and restraints in vehicles) can help reduce the prevalence of secondary disabilities and hospitalizations due to orofacial and dental injury. C November 2003, Vol. 69, No. 10 675
Page 1 and 2:
JCDA Journal of the Canadian Dental
Page 3 and 4: JCDA Journal of the Canadian Dental
Page 5 and 6: CONTENTS Journal of the Canadian De
Page 7 and 8: Editorial EXPERIMENT AND INNOVATE O
Page 9 and 10: President’s Column PLANNING FOR T
Page 11 and 12: denturists, assistants and dental t
Page 13 and 14: Letters Editor’s Comment The Jour
Page 15 and 16: NEW! White Teeth, Fresh Breath. A G
Page 17 and 18: News NIHB Dental Faxback Confirmati
Page 19 and 20: that most dentists are interested i
Page 21 and 22: Post-Operative Nausea and Vomiting
Page 23 and 24: CDA: Year in Review C O N T E N T S
Page 25 and 26: ITRANS — a uniquely secure, Inter
Page 27 and 28: CDA: Working with Industry CDA cont
Page 29 and 30: The oral health of Canadians and th
Page 31 and 32: Introducing … Dr. Jack Cottrell V
Page 33 and 34: CDA 2003 Award Winners Leading ligh
Page 35 and 36: CDA Down Under Two presidents meet
Page 37 and 38: If You’re Recovering Recovering f
Page 39 and 40: The high prevalence of dentin hyper
Page 41 and 42: Guideline for Treatment of acute ap
Page 43 and 44: Long-term pain management tool? NEW
Page 46: Background Light-emitting diode (LE
Page 49 and 50: THERE’S NO SUBSTITUTE FOR PROPER
Page 51 and 52: Aurum Ceramic /Classic - Aesthetics
Page 53: 1 Background Traumatic injuries to
Page 57 and 58: Point of Care The Point of Care sec
Page 59 and 60: Figure 1: Panoramic radiograph reve
Page 61 and 62: film of tissue fixative (95% ethano
Page 63 and 64: Clinical Showcase Clinical Showcase
Page 65 and 66: Journal of the Canadian Dental Asso
Page 67 and 68: What do you do when an independent
Page 69 and 70: The Canadian Dental Association (CD
Page 71 and 72: Classified Ads Guaranteed access to
Page 73 and 74: make a good income. Please call col
Page 75 and 76: caring, dynamic, with excellent cli
Page 77 and 78: Use in Children: Clinical experienc
show all

JCDA - Canadian Dental Association

Create successful ePaper yourself

Delete template?

Save as template?