DENTAL INJURIES IN PEDIATRICS PATIENTS WITH MANDIBULAR FRACTURE

Abstract

Traumatic tooth damage in mandibular fractures is a common problem among children worldwide. Traumatic tooth damage are quite common in maxillofacial surgery and account for 5% of all traumatic injuries and up to 17% of traumatic injuries in preschool children. Purpose of the study. The aim of this study was to conduct retrospective analysis of the series of children with traumatic injuries to the teeth with fractures of the mandibular. Material and methods. The data for this study were obtained from the medical records of patients treated in the Department of Surgical Dentistry and Pediatric Maxillofacial Surgery of the Bogomolets National Medical University from 01.01.2021 to 31.11.2023. Age, gender, fracture pattern, clinical signs and results of X-ray studies of traumatic injuries of teeth with fractures of the lower jaw in these patients were recorded and analyzed. Research results. We monitored 113 children aged 2 months to 18 years (average age was 11.7±5.2 years). Of the 113 patients, 84 (74.3%) were boys and 29 (25.7%) were girls with a gender ratio of 2.1:1. All children were divided into 4 age groups. After clinical and X-ray examination, 113 children were diagnosed with 183 fractures of the lower jaw. Isolated mandibular body fractures were diagnosed in 78.8% (n=89) of cases, and in 21.2% (n=24) of cases combined with condylar processes. Conclusions. Our research indicates that traumatic injuries of teeth are typical and frequent in mandibular fractures. When such damage is detected, complex treatment is necessary with the involvement of dental therapists, often under anesthesia. The first place among such injuries is occupied by children in the age group from 13 to 17 years. Traumatic mobility of teeth with various dislocations, traumatic extraction, and fractures of the crown or root part of the tooth are more often diagnosed among traumatic injuries of teeth.