Warren M, Widmer R, Arora M, Hibbert S
Department of Dentistry, The Children's Hospital at Westmead, Westmead, New South Wales; Westmead Centre for Oral Health, Faculty of Dentistry, The University of Sydney, New South Wales.
Aust Dent J. 2014 Jun;59(2):172-9. doi: 10.1111/adj.12166.
Thorough record taking of traumatic dental injuries is vital. This study aimed to assess the efficacy of a structured paper history for this purpose. Furthermore, the aetiology and epidemiology of these injuries were investigated, with the aim of formulating appropriate preventive guidelines.
A six-month audit of traumatic dental injuries presenting after hours was undertaken at The Children's Hospital at Westmead. A structured paper history form was subsequently created, and the data collected over the following 12 months.
Structured paper histories assisted in thorough record taking. Over 12 months, 190 paediatric patients (male:female ratio 1.5:1) were treated after hours with traumatic dental injuries. There were 396 injured teeth among 182 patients (eight patients had soft tissue injuries only). The mean number of injured teeth per patient with dental injuries was 2.18, the vast majority being maxillary central incisors (62% of primary teeth and 66% of permanent teeth). The most common cause was 'accident during play', followed by a fall. The severe injuries, avulsions and luxations, comprised 63% of injuries to primary teeth and 26% to permanent teeth.
Structured paper histories are useful for recording traumatic dental injuries. The vast majority of these injuries are due to unavoidable accidents, rendering their prevention challenging from a public health perspective.
全面记录牙外伤情况至关重要。本研究旨在评估为此目的使用结构化纸质病史记录的有效性。此外，还对这些损伤的病因和流行病学进行了调查，以期制定适当的预防指南。
在韦斯特米德儿童医院对下班后就诊的牙外伤情况进行了为期六个月的审核。随后创建了一份结构化纸质病史表格，并在接下来的12个月里收集数据。
结构化纸质病史有助于全面记录。在12个月期间，有190名儿科患者（男女比例为1.5:1）在下班后因牙外伤接受治疗。182名患者中有396颗牙齿受伤（8名患者仅有软组织损伤）。有牙外伤的患者平均每人受伤牙齿数为2.18颗，绝大多数为上颌中切牙（乳牙的62%，恒牙的66%）。最常见的原因是“玩耍时意外”，其次是跌倒。严重损伤，即牙齿完全脱位和牙齿松动，在乳牙损伤中占63%，在恒牙损伤中占26%。
结构化纸质病史对于记录牙外伤情况很有用。这些损伤绝大多数是由不可避免的意外导致的，从公共卫生角度来看，预防具有挑战性。
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