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Manejo del traumatismo alvéolo-dentario infantil en el Servicio de Urgencias de un hospital terciario

2013; Lúa Ediciones; Volume: 15; Issue: 60 Linguagem: Inglês

10.4321/s1139-76322013000500005

2174-4106

Raquel Núñez‐Ramos, J. Díaz Díaz, Sofía Mesa García, A. I. Romance García, Milagros Marín Ferrer,

Injury Epidemiology and Prevention

Manejo del traumatismo alvéolo-dentario infantil en el Servicio de Urgencias de un hospital terciarioIntroduction: dental injury is very common in childhood and a frequent reason for consultation in pediatric emergency departments.Objectives: to study the management of dental injury in a tertiary hospital.Material and methods: retrospective descriptive study.All patients under 15 years old consulting for dental injury in the Pediatric Emergency Department of Hospital 12 de Octubre between September 2008 and August 2010 were included.During this period of time a specific management protocol of these patients was started.Results: a total of 374 patients were treated, 63% being males, with a median age of 4.45 years.In 84% of cases the etiology was casual, followed by a 3% sports-related accident.Thirty-two percent of the patients were referred from other centers for Maxillofacial Surgery evaluation.In 60% of cases, children were treated exclusively by pediatricians.The most common reasons for maxillofacial surgery evaluation were: suture of gingival laceration (6.4%), dental extraction (3%) and ferulization (1.3%); 83.4% required only medical treatment.Conclusions: dental injury is a common reason for consultation in the pediatric emergency department and referral to other centers.Most patients have mild lesions so they need neither complementary studies nor surgery treatment and should be managed by pediatricians following agreed protocols.Introducción: el traumatismo alvéolo-dentario es muy frecuente en la infancia y supone un motivo habitual de consulta en los Servicios de Urgencias pediátricos.Objetivo: estudiar el manejo de los traumatismos dentales en un hospital terciario.Material y métodos: estudio descriptivo retrospectivo.Se incluyeron todos los menores de 15 años que consultaron por traumatismo dental en la