%0 Journal Article
%T Prevalence of Dental Fracture in Special Needs Patients
%A Leily Macedo FIROOZMAND
%A Raquel Pereira dos Santos VARGAS
%A Jo£¿o Carlos da ROCHA
%J Pesquisa Brasileira em Odontopediatria e Cl¨ªnica Integrada
%D 2007
%I Associa??o de Apoio ¨¤ Pesquisa em Sa¨²de Bucal (APESB)
%X Purpose: To investigate the prevalence of dental fractures in young patients with special needs who attend the Center of Studies and Assistance to Special Needs Patients (NEAPE).Method: 57 children accompanied by their parents/guardians, who had sought treatment at NEAPE (School of Dentistry of S o Jos¨¦ dos Campos/UNESP) were evaluated. Detailed clinical examination and clinical interview were performed and data referring to gender, age, type of fracture (enamel, enamel/dentin and enamel/dentin/pulp), number of affected teeth and cause of fracture.Results: 22 (38.59%) out of 57 children enrolled in the study had fractured teeth (27.2% male and 72.8% female). The maxillary central incisors were the most frequently affected teeth (63.83%). Regarding the type of fracture, 61.7% (95% CI 46.3 to 75.4) involved enamel and dentin, followed by enamel fractures (21.3%) (95% CI 10.7 a 35.66) and those involving enamel, dentin and pulp (17%) (95% CI 7.64 to 30.81). The most frequent causes of dental fractures in syndromic patients were: fall (36.4%), convulsive crisis (18.2%) and bruxism (18.2%). Dental caries represented 4.5% of the causes of dental fracture. In 22.7% of the cases the cause of the fracture was not identified.Conclusion: In conclusion, 38.59% of the children with special needs presented dental fractures, which were more common in the maxillary central incisors. Down¡¯s syndrome and cerebral palsy were the most frequent conditions, and falls, convulsions, bruxism and dental caries were the main causes associated to dental fractures.
%K Prevalence
%K Tooth injuries
%K Mentally disabled persons.
%U http://www.uepb.edu.br/eduep/pboci/pdf/Artigo7v72.pdf