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Approximately 50% of children will sustain a tooth injury by the time they reach adolescence. |
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Tooth injury is more common along males. |
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The maxillary central incisors are the most common site of dental trauma. |
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Falls are the most common cause of oral injuries. |
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Inability to open and laterally deviate the jaw following trauma is concerning for fracture. |
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Physicians should attempt to locate missing teeth following an accident. |
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Tooth injury can be divided into 7 main categories. |
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It is important that the practicing clinician be able to appropriately triage injured patients. |
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All permanent tooth injuries should be examined by a dentist, with the timeframe dictated by the type of injury. |
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90% of intruded primary teeth re-erupt within 6 months. |
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Repositioning and splinting are often required for tooth injuries. |
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Primary avulsed teeth should not be re-implanted. |
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It is paramount to reinsert avulsed permanent teeth as soon as possible. |
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Avulsed teeth should be transported in a tooth storage solution, warm milk, saline, or saliva. |
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The 4 types of tooth fracture can only be distinguished by radiographs. |
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Complications of tooth fractures include pulp death, root resorption, and infection. |
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Aesthetic consequences of tooth injury include tooth discoloration, tooth loss, and misalignment of the permanent dentition. |
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Anticipatory guidance can aid in prevention of tooth injury. |
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Pediatric health professionals have a unique opportunity to provide anticipatory guidance and help prevent injury. |
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It is important to reinforce helmet and mouth guard use at routine visits. |
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The AAP recommends against trampoline use in all environments. |
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More than 3 million children and adolescents in the United States are injured annually while participating in sports. |
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Sports accidents account for 10% to 39% of all dental injuries. |
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Orthodontic appliances increase the risk for oral injury, so a
custom-fit mouth guard may be recommended. |
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Mouth guards are divided into 3 basic types: stock, boil and bite, and custom fit. |
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The American Academy of Pediatric Dentistry recommends proper-fitting mouth guards for all children participating in sports. |
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Athletes should wear all protective gear for both practices and games, as children are more commonly injured in practice. |
