J Korean Assoc Oral Maxillofac Surg.  2010 Feb;36(1):43-52. 10.5125/jkaoms.2010.36.1.43.

Clinical study of maxillofacial trauma of children

• Kim HR
• Kim YG

• KMID: 1457818
• DOI: http://doi.org/10.5125/jkaoms.2010.36.1.43

Abstract

PURPOSE
To research about maxillofacial traumatic injuries of children in aspects of gender difference, various incidence rates between age, trauma type, cause, monthly and daily incidence rate, type of tooth damage, gingival damage, soft tissue damage, and type of facial bone fracture.
MATERIALS AND METHODS
Study group consisted of children under 15 years of age who visited Dental Hospital, School of Dentistry, Kyung Hee University from 2004/7/1 to 2007/6/30 with chief complaint of oral and maxillofacial traumatic injuries. 1,559 cases of traumatic injuries were studied from 1,556 (1,004 male, 552 female) children.
CONCLUSION
1. There were slightly more boys than girls, giving a male-to-female ratio of 1.82:1.0. The 1-3 year old boys and girls had the highest number of traumatic injuries. 2. Of the 1,556 patients, 68.63% had soft tissue injuries, 50.22% had periodontal injuries, 29.89% had teeth injuries, and 3.85% had maxillofacial bone fractures. 3. Falling down was the most common cause of injury in both sexes. 4. The months with the highest incidence rates were in order May (12.12%), June (11.74%), and October (11.13%). Most of the injuries occurred on weekends. 5. The most common tooth injury was uncomplicated crown fracture, and the most common periodontal injury was subluxation. The majority of traumatizes teeth were the upper central incisors. 6. The most common soft tissue injury was intraoral lacerations. 7. Mandibular fractures were most frequent in facial bone fractures; symphysis, condylar head, and angle fractures were most frequent in mandibular fractures; maxillary and nasal bone fractures were most frequent in midfacial bone fractures.

Keyword

Maxillofacial injuries; Dental injuries; Child; Fracture

MeSH Terms

Child
Crowns
Dentistry
Facial Bones
Fractures, Bone
Head
Humans
Incidence
Male
Mandibular Fractures
Maxillofacial Injuries
Nasal Bone
Soft Tissue Injuries
Tooth
Tooth Injuries

Figure

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  Fig. 1. Age distribution of injuries.

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  Fig. 2. Distribution of injuries according to causes and age.

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  Fig. 3. Distribution of injuries according to place of occurrence and age.

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  Fig. 4. Monthly distribution of injuries.

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  Fig. 5. Weekly distribution of injuries.

Reference

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