Tuesday, June 6, 2017

Consumer products and activities associated with dental injuries to children treated in United States emergency departments

Department of Pediatric Dentistry
Lutheran Medical Center

Resident’s Name: Amir Yavari                                                                                   Date: 06/06/2017

Article Title:  
Consumer products and activities associated with dental injuries to children treated in United States emergency departments, 1990-2003
Author(s): Stewart GB, Shields BJ, Fields S, Comstock RD, Smith GA.
Journal: Dental Traumatology
Date: 2009
Type of Article: Retrospective
Main Purpose: Describes the association of consumer products and activities with dental injuries

OBJECTIVE:
Describe the association of consumer products and activities with dental injuries among children 0-17 years of age treated in United States emergency departments.

DESIGN:
A retrospective analysis of data from the National Electronic Injury Surveillance System, 1990-2003.

RESULTS:
- There was an average of 22 000 dental injuries annually among children <18 years of age during the study period (average annual rate of 31.6 dental injuries per 100 000 population)
- The greatest number of dental injuries occurred among children 1–2 y/o (24.5% of the dental injuries among children 17 y/o and younger)
- When evaluated by age group, children <7 years had the highest annual dental injury rate (48.3 per 100 000 population), followed by 7–12 year olds (27.7 dental injuries per 100 000 population) and 13–17 year olds (12.6 dental injuries per 100 000 population). 

- Males sustained dental injuries more often than females in every age group and in every consumer product group (63.5% of all dental injuries)

- Children with primary dentition (<7 years) sustained over half of the dental injuries recorded.
- Floors, steps, tables, and beds were the consumer products within the home most associated with dental injuries.
- Outdoor recreational products/activities were associated with the largest number of dental injuries among children with mixed dentition (7-12 years); almost half of these were associated with the bicycle, which was the consumer product associated with the largest number of dental injuries.
- Among children with permanent teeth (13- to 17-year olds), sports-related products/activities were associated with the highest number of dental injuries.
- Of all sports, baseball and basketball were associated with the largest number of dental injuries.


CONCLUSION:
This is the first study to evaluate dental injuries among children using a national sample. Knowledge of these consumer products/activities allows for more focused and effective prevention strategies.

Assessment of Article:  Level of Evidence/Comments: II

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