Epidemiology, Socio-demographic Determinants and Outcomes of Paediatric Facial and Dental Injuries in Scotland PDF
By:Ousama Rhouma
Published on 2012 by
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Facial injury is less common in childhood than adulthood. However, it is still a significant cause of morbidity and presentation in hospital emergency departments. The pattern, time trends, and key socio-demographic determinants of facial injuries in Scottish adults admitted to hospital have previously been reported but this is not the case in the paediatric population and the question of whether such injuries are equally distributed across all socio-economic groups has not been answered. In contrast to the epidemiology of facial injuries in the paediatric population, traumatic dental injuries in children and adolescents have become one of the most frequent forms of treatment in dental practice. This suggests that traumatic dental injuries are common in childhood and are a significant cause of morbidity and presentation in hospital emergency departments. The relationship between socio-economic circumstances and the commonest dental disease (dental caries) in Scotland is well established and children resident in the most deprived areas experience more dental disease. However, this relationship with regard to dental injuries in Scotland has not yet been established. In the same way, many answers to questions regarding the sequelae and prognosis of pulpal and endodontic treatment among traumatised teeth remain unclear. Furthermore, numerous studies have been published examining the long term variables that might have an effect on treatment outcomes of avulsed teeth, but none have yet been able to estimate the long term prognosis of avulsed and replanted teeth. Two studies presented in this thesis are largely the result of population based studies investigating the epidemiology of facial and dental injuries in relation to individual demographics. An additional two studies explore the occurrence of paediatric dental trauma and its general treatment outcomes with a specific focus on estimation of the long term prognosis of avulsed and replanted teeth. To establish the epidemiology of paediatric facial injuries in children and adolescents requiring in-patient hospital admission in Scotland and to report the pattern, time trends, and key socio-demographic determinants of paediatric facial injury in Scotland, a descriptive epidemiological population-based study of the incidence of facial injuries in Scotland (2001-2009) was undertaken. Poisson regression models were employed to assess trends. There were 45,388 (4.7 per 1000 population) facial injury cases registered (2001-2009). 60% of injuries were due to non-intentional causes, 15% to motor vehicle incidents, and 9% to assault. 4.5% were alcohol related. The incidence decreased over time from 5.5/1000 in 2001 to 4.0/1000 in 2009. The risk ratio (RR) for males was 1.98 times greater than females (p
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