Hasneet K. Kalsi BDS, MFDS RCPS(Glasg) Specialty Registrar in Restorative Dentistry, Department of Restorative Dentistry, Glasgow Dental Hospital, Glasgow, UK.
Beth Burns BDS, MSc (Med Sci), FDS (Rest Dent), RCPS (Glas) Consultant & Clinical Lead in Restorative Dentistry, Department of Restorative Dentistry, Glasgow Dental Hospital, Glasgow, UK; Board Member Dental Trauma UK (DTUK).
Prim Dent J. 2023 Dec;12(4):83-88. doi: 10.1177/20501684231210090.
Traumatic dental injuries (TDIs) occur commonly in children and young adults with one in three adults having experience of a TDI to their permanent dentition. Although the management of TDIs have evolved vastly, the consequences of TDIs can still be profound and generally carry a high burden for the patient, family, or carer, as well as the clinician and healthcare services. Hence, prevention of TDIs where possible is key. It is important to ensure that all risk factors for dental trauma are fully explored to allow preventative advice to be tailored to each patient. General Dental Practitioners are well placed to establish a rapport with patients owing to the continuity of care that is commonly seen in dentistry, however, it is imperative that the appropriate questions are asked.This article aims to review dental trauma highlighting the significance of identification of clinical and social risk factors and prevention of TDIs. These risk factors are further divided into modifiable and non-modifiable risk factors which can guide the clinician on what further action is required and when other members of the dental or medical team should be involved. The importance of patient education in prevention of TDIs, including use of mouthguards in sport, and mouthguard design will be discussed.
创伤性牙外伤（TDI）在儿童和年轻人中很常见，每三个成年人中就有一个人恒牙受过 TDI 的影响。尽管 TDI 的治疗已经有了很大的发展，但 TDI 的后果仍然可能很严重，通常会给患者、家属或照顾者以及临床医生和医疗服务带来很大的负担。因此，尽可能预防 TDI 是关键。重要的是要确保充分探讨所有导致牙齿外伤的风险因素，以便根据每位患者的情况提供预防建议。由于牙科中常见的连续性护理，全科牙医与患者建立融洽关系的能力很强，但是，务必提出适当的问题。本文旨在回顾牙齿外伤，强调识别临床和社会风险因素以及预防 TDI 的重要性。这些风险因素进一步分为可改变和不可改变的风险因素，这可以指导临床医生了解需要采取哪些进一步的措施，以及何时应让牙科或医疗团队的其他成员参与。还将讨论预防 TDI 中患者教育的重要性，包括在运动中使用防护牙套和防护牙套的设计。
