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An 11-year review of dental injuries associated with maxillofacial fractures in Turin, Italy

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Abstract

Introduction

The aim of the study was to analyze the incidence, characteristics, and correlations between maxillofacial fractures and dental injuries in patients who were treated at a first-level trauma center in a metropolitan center in northwest Italy in the last 11 years.

Material and methods

Between January 1, 2001 and December 31, 2011, 2,110 patients with maxillofacial fractures were admitted. Only dentulous patients with complete clinical records who presented with associated dental injuries were included in this study. Data on the age, gender, mechanism of injury, damaged tooth, type of dental injury, site of facial fractures, and concomitant injuries were recorded.

Results

On the whole, 267 patients (13.1 %), mainly males aged 20–29 years, presented with 759 dental injuries associated with maxillofacial fractures, especially following motor vehicle accidents. The maxillary teeth, most often the anterior elements with decreasing involvement from the incisors to the molars, were the teeth most frequently damaged overall. The main types of dental trauma in patients with maxillofacial fractures were luxations and dental fractures.

Discussion

Our findings show that patients with mandibular fractures were statistically and significantly associated with dental injury, and the teeth in the upper jaw were the most frequently injured teeth, exhibiting mainly luxations and crown fractures. Confirmation of the predominant impact site in patients with dental injuries associated with maxillofacial fractures comes from the 177 lacerations noted in the chin and lip regions in 267 patients.

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References

  1. Andreasen JO (1970) Etiology and pathogenesis of traumatic dental injuries. A clinical study of 1298 cases. Scand J Dent Res 78:329–342

    PubMed  CAS  Google Scholar 

  2. Borssen E, Holm AK (1997) Traumatic dental injuries in a cohort of 16-year-olds in northern Sweden. Endod Dent Traumatol 13:276–280

    Article  PubMed  CAS  Google Scholar 

  3. Bastone EB, Freer TJ, McNamara JR (2000) Epidemiology of dental trauma: a review of the literature. Australian J Dent 45:1–9

    Google Scholar 

  4. Berman LH, Blanco L, Cohen S (2007) A clinical guide to dental traumatology. Mosby Elsevier, St. Louis, MI

    Google Scholar 

  5. Glendor U (2008) Epidemiology of traumatic dental injuries—a 12 year review of the literature. Dental Traumatol 24:603–611

    Article  Google Scholar 

  6. Santos SE, Marchiori EC, Soares AJ et al (2010) A 9-year retrospective study of dental trauma in Piracicaba and neighboring regions in the state of São Paulo, Brazil. J Oral Maxillofac Surg 68:1826–1832

    Article  PubMed  Google Scholar 

  7. Lieger O, Zix J, Kruse A, Iizuka T (2009) Dental injuries in association with facial fractures. J Oral Maxillofac Surg 67:1680–1684

    Article  PubMed  Google Scholar 

  8. Lin S, Levin L, Goldman S, Sela G (2008) Dento-alveolar and maxillofacial injuries: a 5-year multi-center study. Part 2: severity and location. Dental Traumatol 24:56–58

    Article  Google Scholar 

  9. Thoren H, Numminen L, Snäll J et al (2010) Occurrence and types of dental injuries among patients with maxillofacial fractures. Int J Oral Maxillofac Surg 39:774–778

    Article  PubMed  CAS  Google Scholar 

  10. Roccia F, Caldarelli C, Spada MC et al (2010) Development of regional database for studying epidemiology of maxillofacial trauma. J Craniofac Surg 21:1045–1050

    Article  PubMed  Google Scholar 

  11. Bagheri SC, Dierks EJ, Kademani D, Holmgren E, Bell RB, Potter BE (2006) Application of Facial Injury Severity Scale in craniomaxillofacial trauma. J Oral Maxillofac Surg 64:408–414

    Article  PubMed  Google Scholar 

  12. Fonseca RJ, Walker RV, Betts NJ, Barber HD, Powers MP (2005) Oral and maxillofacial trauma. St. Louis, MI, Elsevier Saunders, vol. 1 chapter 17

  13. von Arx T, Filipi A, Buser D (2001) Splinting of traumatized teeth with a new device TTS (Titanium Trauma Splint). Dent Traumatol 17:180–184

    Article  Google Scholar 

  14. Luz JG, Di Mase F (1994) Incidence of dentoalveolar injuries in hospital emergency room patients. Endod Dent Traumatol 10:188–190

    Article  PubMed  CAS  Google Scholar 

  15. Gassner R, Bösch R, Tuli T, Emshoff R (1998) Prevalence of dental trauma in 6000 patients with facial injuries. Implications for prevention. Oral Surg Med Pathol Radiol Endod 87:27–33

    Article  Google Scholar 

  16. Iida S, Kogo M, Sugiura T, Mima T, Matsuya T (2001) Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg 30:286–290

    Article  PubMed  CAS  Google Scholar 

  17. Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H (2003) Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21067 injuries. J Craniomaxillofac Surg 31:51–61

    Article  PubMed  Google Scholar 

  18. Motamedi MHK (2003) An assessment of maxillofacial fractures: a 5-year study of 237 patients. J Oral Maxillofac Surg 61:61–64

    Article  PubMed  Google Scholar 

  19. Erdmann D, Follmar KE, DeBruijn M et al (2008) A retrospective analysis of facial fracture etiologies. Ann Plast Surg 60:398–403

    Article  PubMed  CAS  Google Scholar 

  20. Iida S, Matsuya T (2002) Paediatric maxillofacial fractures: their aetiological characters and fracture patterns. J Cranio-maxillofac Surg 30:237–241

    Article  Google Scholar 

  21. Gassner R, Tuli T, Hächl O, Moreira R, Ulmer H (2004) Craniomaxillofacial trauma in children: a review of 3,385 cases with 6,060 injuries in 10 years. J Oral Maxillofac Surg 62:399–407

    Article  PubMed  Google Scholar 

  22. Eggensperger Wymann NM, Hölzle A, Zachariou Z, Iizuka T (2008) Pediatric craniofacial trauma. J Oral Maxillofac Surg 66:58–64

    Article  PubMed  Google Scholar 

  23. Vyas RM, Dickinson BP, Wasson KL, Roostaeian J, Bradley JP (2008) Pediatric facial fractures: Current national incidence, distribution, and health care resource use. J Craniofac Surg 19:339–349

    Article  PubMed  Google Scholar 

  24. Laski R, Ziccardi V, Broder HL, Janal M (2004) Facial trauma: a recurrent disease? The potential role of disease prevention. J Oral Maxillofacial Surg 62:685–688

    Article  Google Scholar 

  25. Kelley P, Crawford M, Higuera S, Hollier LH (2005) Two hundred ninety-four consecutive facial fractures in an urban trauma center: lesson learned. Plast Reconstr Surg 116:42e–49e

    Article  PubMed  Google Scholar 

  26. Kontio R, Suuronen R, Ponkkonen H, Lindqvist C, Laine P (2005) Have the causes of maxillofacial fractures changed over the last 16 years in Finland? An epidemiological study of 725 fractures. Dent Traumatol 21:14–19

    Article  PubMed  Google Scholar 

  27. Lee KH, Snaper L, Steenberg LJ, Worthington J (2007) Comparison between interpersonal violence and motor vehicle accidents in the aetiology of maxillofacial fractures. ANZ J Surg 77:695–698

    Article  PubMed  Google Scholar 

  28. Oikarinen KS (1987) Pathogenesis and mechanism of traumatic injuries to teeth. Dental Traumatol 3:220–223

    Article  CAS  Google Scholar 

  29. Ignatius ET, Oikarinen KS, Silvennoinen U (1992) Frequency and type of dental traumas in mandibular body and condyle fractures. Endod Dent Traumatol 8:235–240

    Article  PubMed  CAS  Google Scholar 

  30. da Silva AC, Passeri LA, Mazzonetto R, de Moraes M, Moreira RWF (2004) Incidence of dental trauma associated with facial trauma in Brazil: a 1-year evaluation. Dental Traumatol 20:6–11

    Article  Google Scholar 

  31. Ellis E (2002) Outcomes of patients with teeth in the line of mandibular angle fractures treated with stable internal fixation. J Oral Maxillofac Surg 60:863–865

    Article  PubMed  Google Scholar 

  32. Brasileiro B, Passeri L (2006) Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Med Pathol Radiol Endod 102:28–34

    Article  Google Scholar 

  33. Hackl W, Hausberger K, Sailer R, Ulmer H, Gassner R (2001) Prevalence of cervical spine injuries in patients with facial trauma. Oral Surg Med Pathol Radiol Endod 92:370–376

    Article  CAS  Google Scholar 

  34. Hohlrieder M, Hinterhoelzl J, Ulmer H, Hackl W, Schmutzhard E, Gassner R (2004) Maxillofacial fractures masking traumatic intracranial hemorrhages. Int J Oral Surg 33:389–395

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Maxillofacial Surgery, Head and Neck Department, San Giovanni Battista Hospital, University of Turin, Corso A.M. Dogliotti 14, 10126, Torino, Italy

    Fabio Roccia, Paolo Boffano, Francesca Antonella Bianchi & Guglielmo Ramieri

Authors
  1. Fabio Roccia
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  2. Paolo Boffano
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  3. Francesca Antonella Bianchi
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  4. Guglielmo Ramieri
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Correspondence to Fabio Roccia.

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Roccia, F., Boffano, P., Bianchi, F.A. et al. An 11-year review of dental injuries associated with maxillofacial fractures in Turin, Italy. Oral Maxillofac Surg 17, 269–274 (2013). https://doi.org/10.1007/s10006-012-0371-4

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  • DOI: https://doi.org/10.1007/s10006-012-0371-4

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