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Objective: To utilize a comprehensive dental trauma database to analyze the demographic profiles of traumatic dental injury (TDI) patients with respect to mechanism of injury (MOI), cost analysis, concomitant injuries, and comorbid conditions. Methods: This study is a retrospective cross-sectional analysis on a population of children seeking treatment for TDIs at Nationwide Children’s Hospital (NCH) Emergency Department (ED) and NCH Dental Clinic over a 28-month period. This study utilizes a comprehensive dental trauma database linked to the patient electronic medical record for analysis.Results: Data collection was completed for a total of 826 patients (284 females, 542 males). A total of 1218 injured teeth were included in the study with patients ranging in age of 5 to 21 years old. The mean age of patients in our study was 13 years old while the peak incidence of TDIs in our study was 9 years of age. The gender distribution of TDIs is weighted towards the male population with males suffering 818 TDIS (67%). A total of 1218 permanent teeth were analyzed for TDIs and periodontal injury types, season of occurrence, and combination fracture injuries. MOI was also correlated to age and gender. The cost of an average ED visit was correlated to type of TDI and compared to TDI charges in the Dental Clinic. Chi-square analysis was used to compare databases for reliability. TDIs were analyzed for associations with concomitant injuries and patients with comorbid conditions.Conclusions: Descriptive data and TDI distribution is mainly in agreement with other national and international data with regard to gender, age, injury type, and MOI. There is little significant difference between the two databases analyzed in regard to periodontal injury type and tooth fracture types. Facial laceration was found to be the most common concomitant injury. Patients with any comorbidity are significantly more likely to have a severe TDI than patients without comorbidities. Patients with Behavior Disorders (ADHD, ODD) and Seizures (Epilepsy) are significantly more likely to have a severe TDI than patients without these comorbid conditions. |
