Journal of Pediatric Dentistry

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 5  |  Issue : 2  |  Page : 50--53

Dental sequelae of pediatric maxillofacial trauma


Sanjay Naran1, Liliana Camison3, Brian Lam2, Osama Basri4, Lindsay Schuster4, Brian Martin2, Joseph E Losee4 
1 Division of Pediatric Plastic and Reconstructive Surgery, Advocate Children's Hospital, Park Ridge, IL; Division of Pediatric Plastic Surgery, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA
2 Division of Pediatric Dentistry, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA

Correspondence Address:
Dr. Joseph E Losee
Division Pediatric Plastic Surgery, Children's Hospital of Pittsburgh of UPMC, Children's Hospital Drive, 45th and Penn, Pittsburgh, PA 15201
USA

Purpose: Our goal was to explore dental complications in the pediatric population following facial trauma and identify those at risk. Patients and Methods: We queried children with fractures of tooth-supporting regions presenting from 2000 to 2014. Data elements included demographics, treatment method, and dental outcome measures. Results: A total of 117 subjects were identified. The average age at injury was 10.41 years, and average follow-up was 2.9 years. Fractures were grouped as mandibular (62.39%), maxillary (22.22%), or combination (15.39%). Dentition at time of injury was classified as primary (17.95%), mixed (38.46%), or permanent (43.59%). Conservative management was employed in 41.88%, open reduction and internal fixation (ORIF) in 49.57%, and closed reduction and external fixation in 8.55%. The majority (67.52%) did not experience any dental trauma or sequela. Dental avulsion (10.26%), subluxation (10.26%), dysgenesis (5.13%), and development of a crossbite (5.13%), openbite (3.42%), and occlusal cant (0.85%) were observed. Avulsion was more likely in subjects requiring ORIF (P < 0.05). Development of an openbite, crossbite, or occlusal cant was more likely in subjects requiring ORIF or with combination fractures (P < 0.05). Conclusions: Fracture severity, treatment method, and dental age are all strong predictors for adverse dental complications. Treating specialists should be cognizant of the increase in risk of complication in these patients.


How to cite this article:
Naran S, Camison L, Lam B, Basri O, Schuster L, Martin B, Losee JE. Dental sequelae of pediatric maxillofacial trauma.J Pediatr Dent 2017;5:50-53


How to cite this URL:
Naran S, Camison L, Lam B, Basri O, Schuster L, Martin B, Losee JE. Dental sequelae of pediatric maxillofacial trauma. J Pediatr Dent [serial online] 2017 [cited 2019 Sep 16 ];5:50-53
Available from: http://www.jpediatrdent.org/article.asp?issn=2321-6646;year=2017;volume=5;issue=2;spage=50;epage=53;aulast=Naran;type=0