European Archives of Paediatric Dentistry

, Volume 15, Issue 2, pp 83–88 | Cite as

Traumatic dental injuries in primary teeth: severity and related factors observed at a specialist treatment centre in Brazil

  • V. P. P. Costa
  • A. D. Bertoldi
  • E. Z. Baldissera
  • M. L. Goettems
  • M. B. Correa
  • D. D. TorrianiEmail author
Original Scientific Article



This retrospective study aimed to analyse demographic data and the severity of traumatic dental injuries (TDIs) to the primary dentition based on children’s dental records at a university clinic.

Study design

A cross-sectional retrospective study.


The records of all patients were analysed according to gender, age, aetiology, teeth involved, number of affected teeth, place of occurrence, witness to the trauma, time elapsed between trauma occurrence and care-seeking, type of trauma and severity of injury.


A total of 576 children aged 8–89 months suffered injuries to 1,043 teeth. Severe injuries were the most prevalent (45.5 %). These occurred at all ages, but their frequency was higher in children aged between 13 and 24 months. The prevalence of mild injury was higher when the cause was a fall from one’s own height. No differences were detected in severity according to the place of occurrence and witnesses of the accident. The prevalence of severe injury was higher in cases where three or more teeth were involved.


In this specialist treatment centre, severe injuries were the most common TDIs, which occurred in children aged 13–24 months, mainly due to falls and most occurred at home. Professionals must be prepared to deliver the best and most efficient care to this population.


Tooth injuries Cross-sectional studies Primary teeth Dental records 



Vanessa Polina Pereira Costa received support from CAPES (Brazilian Council for Improvement of Research).

Conflict of interest

The authors declare that they have no conflicts of interest.


  1. Aldrigui JM, Abanto J, Carvalho TS, et al. Impact of traumatic dental injuries and malocclusions on quality of life of young children. Health Qual Life Outcomes. 2011;9:78.PubMedCentralPubMedCrossRefGoogle Scholar
  2. Alwash R, McCarthy M. Measuring severity of injuries to children from home accidents. Arch Dis Child. 1988;63:635–8.PubMedCentralPubMedCrossRefGoogle Scholar
  3. Andreasen JO, Andreasen FM. Textbook and color atlas of traumatic injuries to the teeth. 3rd ed. pp. 151–180 Copenhagen: Blackwell Munksgaard; 2001.Google Scholar
  4. Avsar A, Tapaloglu B. Traumatic tooth injuries to primary teeth of children aged 0-3 years. Dent Traumatol. 2009;25:323–7.PubMedCrossRefGoogle Scholar
  5. Bonini GAVC, Marcenes W, Butini L, et al. Trends in the prevalence of traumatic dental injuries in Brazilian preschool children. Dent Traumatol. 2009;25:594–8.CrossRefGoogle Scholar
  6. Borun MK, Andreasen JO. Sequelae of trauma to primary maxillary incisors I. Complications in the primary dentition. Endod Dent Traumatol. 1998;14:31–44.CrossRefGoogle Scholar
  7. Cardoso M, Carvalho Rocha MJ. Traumatized primary teeth in children assisted at the Federal University of Santa Catarina, Brazil. Dent Traumatol. 2002;18:129–33.PubMedCrossRefGoogle Scholar
  8. Choi SC, Park JH, Pae A, et al. Retrospective study on traumatic dental injuries in preschool children at Kyung Hee Dental Hospital, Seoul, South Korea. Dent Traumatol. 2010;26:70–5.PubMedCrossRefGoogle Scholar
  9. Cunha RF, Pugliesi DMC, Vieira AEM. Oral trauma in Brazilian patients aged 0–3 years. Dent Traumatol. 2001;17:210–2.PubMedCrossRefGoogle Scholar
  10. De Jesus MA, Antunes LAA, Risso PA, et al. Epidemiologic survey of traumatic dental in children seen at the Federal University of Rio de Janeiro, Brazil. Braz Oral Res. 2010;24:89–94.PubMedCrossRefGoogle Scholar
  11. DeAmorim LFG, Costa LRRS, Estrela C. Retrospective study of traumatic dental injuries in primary teeth in a Brazilian specialized pediatric practice. Dent Traumatol. 2011;22:368–73.CrossRefGoogle Scholar
  12. Eyuboglu O, Yilmaz Y, Zehir C, et al. A 6-year investigation into types of dental trauma treated in a paediatric dentistry clinic in Eastern Anatolia Region, Turkey. Dent Traumatol. 2009;25:110–4.PubMedCrossRefGoogle Scholar
  13. Flavin MP, Dostaler SM, Simpson K, et al. Stages of development and injury patterns in the early years: a population-based analysis. BMC Public Health. 2006;6:187–97.PubMedCentralPubMedCrossRefGoogle Scholar
  14. Flores MT, Andreasen JO, Bakland LK, et al. Guidelines for the evaluation and management of traumatic dental injuries. Dent Traumatol. 2001;17:49–52.PubMedCrossRefGoogle Scholar
  15. Flores MT, Malmegren B, Anderson L, et al. Guidelines for the management of traumatic dental injuries III. Primary teeth. Dent Traumatol. 2007;23:196–202.PubMedCrossRefGoogle Scholar
  16. Glendor U, Halling A, Andersson L, et al. Incidence of traumatic tooth injuries in children and adolescents in the county of Vastmanland, Sweden. Swed Dent J. 1996;20:15–28.PubMedGoogle Scholar
  17. Hargreaves JA, Cleaton-Jones PE, Roberts GJ, et al. Trauma to primary teeth of South African pre-school children. Endod Dent Traumatol. 1999;15:73–6.PubMedCrossRefGoogle Scholar
  18. Jácomo DRES, Campos V. Prevalence of sequelae in the permanent anterior teeth after trauma in their predecessors: a longitudinal study of 8 years. Dent Traumatol. 2009;25:300–4.CrossRefGoogle Scholar
  19. Kirzioglu Z, Hüseyin K, Ertürk MSO, et al. Epidemiology of traumatized primary teeth in the west-Mediterranean region of Turkey. Int Dent J. 2005;55:329–33.PubMedCrossRefGoogle Scholar
  20. Kramer PF, Zembruski C, Ferreira SH, et al. Traumatic dental injuries in Brazilian preschool children. Dent Traumatol. 2003;19:299–303.PubMedCrossRefGoogle Scholar
  21. Morrongiello BA, Ondejko L, Littlejohn A. Understanding toddlers’ in-home injuries: I. Context, correlates, and determinants. J Pediatr Psychol. 2004;29:415–31.PubMedCrossRefGoogle Scholar
  22. Needleman HL. The art and science of managing traumatic injuries to primary teeth. Dent Traumatol. 2011;27:295–9.PubMedCrossRefGoogle Scholar
  23. Oikarinen K, Kassila O. Causes and types of traumatic tooth injuries treated in a public dental health clinic. Endod Dent Traumatol. 1987;3:172–7.PubMedCrossRefGoogle Scholar
  24. Osuji OO. Traumatised primary teeth in Nigerian children attending university hospital: the consequences of delays in seeking treatment. Int Dent J. 1996;46:165–70.PubMedGoogle Scholar
  25. Rasmusson CG, Koch G. Assessment of traumatic injuries to primary teeth in general practise and specialized paediatric dentistry. Dent Traumatol. 2010;26:129–32.PubMedCrossRefGoogle Scholar
  26. Sandalli N, Cildir S, Guler N. Clinical investigation of traumatic injuries in Yeditepe University, Turkey during the last 3 years. Dent Traumatol. 2005;21:188–94.PubMedCrossRefGoogle Scholar
  27. Saroglu I, Sönmez H. The prevalence of traumatic injuries treated in the pedodontic clinic of Ankara University, Turkey, during 18 months. Dent Traumatol. 2002;18:299–303.PubMedCrossRefGoogle Scholar
  28. Schatz JP, Joho JP. A retrospective study of dentoalveolar injuries. Endod Dent Traumatol. 1994;10:11–2.PubMedCrossRefGoogle Scholar
  29. Shayegan A, Maertelaer V, Abbeele AV. The prevalence of traumatic dental injuries: a 24-month survey. J Dent Child. 2007;74:194–9.Google Scholar
  30. Skaare AB, Jacobsen I. Primary tooth injuries in Norwegian children (1–8 years). Dent Traumatol. 2005;21:315–9.PubMedCrossRefGoogle Scholar
  31. Viegas CM, Scarpelli AC, Carvalho AC, et al. Predisposing factors for traumatic dental injuries in Brazilian preschool children. Eur J Paediatr Dent. 2010;11:59–65.PubMedCrossRefGoogle Scholar
  32. Wendt FP, Torriani DD, Assunção MCF, et al. Traumatic dental injuries in primary dentition: epidemiological study among preschool children in South Brazil. Dent Traumatol. 2010;26:168–73.PubMedCrossRefGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2013

Authors and Affiliations

  • V. P. P. Costa
    • 1
  • A. D. Bertoldi
    • 2
  • E. Z. Baldissera
    • 3
  • M. L. Goettems
    • 4
  • M. B. Correa
    • 5
  • D. D. Torriani
    • 4
    Email author
  1. 1.Post-Graduate Program in Dentistry, School of DentistryFederal University of PelotasPelotasBrazil
  2. 2.Post-Graduate Program in Epidemiology, School of MedicineFederal University of PelotasPelotasBrazil
  3. 3.Department of Semiology and Clinic, School of DentistryFederal University of PelotasPelotasBrazil
  4. 4.Department of Social and Preventive Dentistry, School of DentistryFederal University of PelotasPelotasBrazil
  5. 5.Department of Restorative Dentistry, School of DentistryFederal University of PelotasPelotasBrazil

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