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Volume 7 Issue 3 (March, 2019)

Original Articles

A Clinical Evaluation of Spectrum of Dental Injuries at Department of Dentistry, K.R. Hospital, Mysore - A 2 year Retrospective Study
S. Sandeep Tejaswi, T.S. Subash

Background: Smile is infectious lets spread it”, one of the greatest assets a person can have is SMILE which shows beautiful and natural teeth. An untreated and unsightly fracture of an anterior tooth can affect behaviours of person and his or her progress in life and can have immense negative impact. There is an urgent need to collect the data on dental injuries in order to obtain a more comprehensive picture of dental trauma. Materials and Methods:- A 2 year retrospective study was conducted at Dept of Dentistry, K R Hospital Mysore a total of 200 cases data were collected from MLC record books from year 2015 to 2017. Age groups were selected from 5 years to 70 years and were tabulated pertaining data in relation to mode of injury, tooth involved, and an attempt in this study has been made to find out any association with adjoining anatomical structures (dentoalveolar, mandibular symphsis, parasymphysis, body , angle, maxilla and nasal bone fractures) traumatised along with dental injuries. For evaluation of Traumatic Dental Injuries “The Modified Ellis Classification and Criteria and Scoring for TDI” was used. Results:- Most commonly involved age group in our study is 11 to 20 years (25%), followed by 21-30 years and 31-40 years(22.4%), least being 51 plus years (13.6%), majority are being male gender. <10 years of age group constituted 12% majority being male patients, Type 3 (Enamel and Dentine fracture with pulp) was maximum of 76(37.8%) followed by Type 2(Enamel and Dentine fracture) 45(22.4%), Type 6 ( tooth loss- due to extra-articulation) constituted 33(16.4%), Type5( displacement ) 32(15.9%), Type 1(enamel fracture only) 12(6%), least being Type 4(non vital tooth with discoloration) and Type 7(fracture and restoration) 1(0.5%) in our study. Conclusion:- The data recorded in our study were showed in young population < 10 years and 11 to 20  years majority dental injury occurred at home and in school, due to fall and collisions showing 90%. Our results were consistent with the literature that reported the most common cause of injury was a fall and home being place. Dental injuries associated with maxillofacial injuries are Dentoalveolar 39.5%, Mandibular fractures 66.7 %, Maxilla fractures 15 %.
Key words:- Elli’s fracture, dentoalveolar, traumatic dental injury, enamel, dentine, pulp.

Received: 14 January, 2019                                     Revised: 26 February, 2019                           Accepted: 27 February, 2019
Corresponding Author: Dr. T.S. Subash, M.D.S, Conservative and Endodontics, MSc, Forensic Odontology, Head of The Department, Department of Dentistry, K.R. Hospital, Mysore -01, Karnataka, India

This article may be cited as: Tejaswi SS, Subash TS. A Clinical Evaluation of Spectrum of Dental Injuries at Department of Dentistry, K.R. Hospital, Mysore – A 2 year Retrospective Study. J Adv Med Dent Scie Res 2019;7(3): 139-142.

 
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