An audit of the time to initial treatment in avulsion injuries

Kargul, B and Welbury, Richard orcid iconORCID: 0000-0002-9322-2440 (2009) An audit of the time to initial treatment in avulsion injuries. Dental Traumatology, 25 (1). pp. 123-125. ISSN 1600-4469

Full text not available from this repository.

Official URL:


Abstract –  The prognosis of avulsed teeth depends on prompt and appropriate treatment. Good outcome requires education of the general public and non-dental professionals.

Aim:  Retrospective observational survey of case records of avulsion injuries attending a dental hospital trauma clinic.

Method:  Data collected included: hospital number, date of birth, gender, source of patient’s referral, date of trauma, number of avulsed teeth, place of initial presentation, storage, hours till initial presentation, and initial treatment.

Results:  One hundred and twenty teeth with avulsion were identified in 75 children. The mean age of the patients was 9.8 years (SD = 2.3 years) at the time of trauma with avulsions recorded in 44 (58.7%) boys and in 31 (41.3%) girls. Only 51 (42.5%) teeth were stored in an appropriate medium before attendance at any site and only 48 (40%) of the teeth were seen within 1 h. 83.3% received emergency treatment at general hospital, 89.7% in dental practice and 92.9% at dental hospital.

Conclusions:  A minority of avulsion injuries were seen within the first hour and a minority were in appropriate storage medium at presentation. Geographical location plays a huge role in the time taken to reach secondary care. However, improving public and non-dental professional knowledge about tooth storage in avulsion injuries is critical to long-term prognosis of the teeth.

Repository Staff Only: item control page