Lombardi S, Sheller B, Williams B J
Department of Dental Medicine, Children's Hospital and Medical Center, University of Washington, Seattle, USA.
Pediatr Dent. 1998 Mar-Apr;20(2):112-20.
A comprehensive review of 487 emergency dental trauma visits seen at a children's hospital during a 3-year period was performed to investigate aspects of trauma care that have not been previously reported. Patient characteristics, diagnoses, and injury treatment were analyzed. General patient characteristics and diagnoses were consistent with other studies. Young children were often injured in falls within the home whereas older children were often injured in sports and activities outside the home. The emergency visit was the first contact with the dentist for 80% of children 3.5 years old and younger. Maxillary incisors accounted for 84% of primary tooth injuries: examination and extraction were common treatments. Maxillary incisors accounted for 87% of permanent tooth injuries: bandage restorations and splint placement were frequent treatments. An assistive restraint device was used most often for children 4 years and younger who required extractions. The restraint was used more frequently during clinic hours with support staff present than after hours with a sole provider. Hospital facilities were not essential for treatment of the patients in this study.
对一家儿童医院在3年期间接诊的487例急诊牙外伤病例进行了全面回顾，以调查此前未报告的创伤护理方面。分析了患者特征、诊断情况和损伤治疗情况。一般患者特征和诊断与其他研究一致。年幼儿童常在家庭内跌倒受伤，而年长儿童常在家庭外的运动和活动中受伤。80%的3.5岁及以下儿童首次看牙医是因急诊就诊。上颌切牙占乳牙损伤的84%：检查和拔除是常见的治疗方法。上颌切牙占恒牙损伤的87%：绷带修复和夹板固定是常用的治疗方法。对于需要拔牙的4岁及以下儿童，最常使用辅助约束装置。与仅有一名医护人员的非工作时间相比，在有辅助人员在场的工作时间内更频繁地使用该约束装置。在本研究中，医院设施对患者治疗并非必不可少。
