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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
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Pattern and Risk Factors

The most common injury site is the maxillary (upper) central incisors, which account for more than 50% of all dental injuries.

Oral injuries typically result from falls (most common), bike and car accidents, sports-related injuries, and violence.

The mouth is also a common site for non-accidental trauma, and child abuse should always be considered in a child presenting with oral trauma.

Pediatricians should be aware of the following risk factors for oral trauma:

Children with compromised protective reflexes or poor coordination
Substance abuse (by the adolescent or within the family)
Child abuse or neglect
Malocclusion: An abnormality in the coming together of teeth.
Malocclusion with protruding front teeth
Failure to use protective face and mouth gear
Fast Facts
Approximately 50% of children will sustain a tooth injury by the time they reach adolescence.
Tooth injury is more common along males.
The maxillary central incisors are the most common site of dental trauma.
Falls are the most common cause of oral injuries.

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