Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Retrospective Study of Traumatic Dental Injuries among Children Aged 0 - 15 Years in Wonju

원주세브란스기독병원 응급실로 내원한 0 - 15세 어린이의 치과적 외상에 관한 후향적 분석

  • Bae, Doo-Hwan (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Kim, Ji-Hun (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University)
  • 배두환 (연세대학교 원주세브란스 기독병원 소아치과학교실) ;
  • 김지훈 (연세대학교 원주세브란스 기독병원 소아치과학교실)
  • Received : 2016.05.13
  • Accepted : 2016.07.19
  • Published : 2017.02.28
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Abstract

This study was designed to evaluate the age, gender, location of trauma, etiology, injury site, types of treatment, elapsed time after trauma, and arrival time of children who visited trauma center of Wonju Severance Christian Hospital. Records of a total of 841 patients who were 0 - 15 years old and received care in the period from March 2011 to October 2015 at the Trauma Center, Wonju Severance Christian Hospital were analyzed. This study showed that traumatic dental injuries were more common in boys and patients between 0 - 3 years old. Under 6 years old, fall was the most common etiology and home was the most common place of trauma. However, fall decreased, and sports and etc increased largely in etiologic factors over 6 years old. Besides, home decreased, and road and kindergarten school increased largely in the place of trauma. Etiology and location of trauma were statistically influenced by the age (p < 0.05). The most commonly affected injury sites were maxillary incisors and lips. The most patients visited trauma center between 18 - 24 o'clock (53.3%), and the least patients visited between 0 - 6 o'clock (4.6%). 51.5% of patients visited the trauma center within 1 hour of sustaining trauma, and 26.8% and 11.5% of patients visited between 1 - 2 hours and 2 - 3 hours respectively. The most common treatment of traumatic dental injuries was observation, and the second most common treatment was suture. Traumatic dental injuries in children exhibit specific epidemiological features according to children's gender, age, and other conditions. These result from combination of social, developmental, and physiologic factors.

본 연구는 원주세브란스기독병원 응급실에 내원한 소아 환자들의 나이, 성별, 외상 발생 장소, 외상의 원인, 외상의 위치, 외상 후 경과시간, 응급실 내원시간, 처치의 유형 등을 파악하기 위해 시행되었다. 2011년 3월부터 2015년 10월까지 치과적 외상으로 인해 원주세브란스기독병원 외상 센터에 내원한 0 - 15세 사이 841명의 환자들의 정보를 수집하였다. 외상은 남아에서 호발하였으며, 호발하는 나이는 0 - 3세였다. 6세 미만에서는 집에서 외상이 가장 호발하고, 넘어지는 것이 외상의 가장 주된 원인이었다. 하지만 6세 이상에서는 외상의 장소로 집이 크게 줄어들었으며, 외상의 원인으로 넘어지는 것이 줄어들고 스포츠와 기타 원인이 매우 크게 증가하였다. 나이 대 별로 외상의 원인과 장소에서는 유의한 차이를 보였다. 외상의 위치로는 입술과 상악 절치가 가장 많은 빈도수를 보였다. 응급실을 내원하는 시간대로는 18 - 24시(53.3%)에 내원하는 환자가 가장 많았으며, 0 - 6시(4.6%)에 내원하는 환자는 가장 적었다. 외상 후 경과 시간은 1시간 이내가 51.5%, 1 - 2시간이 26.8%, 2 - 3시간이 11.5%로, 3시간 이내에 내원하는 환자가 89.8%에 달했다. 응급에서 행해지는 처치의 유형으로는 경과관찰을 하는 경우가 가장 많았으며, 가장 많이 행해지는 술식은 봉합술이었다. 본 연구를 통해 소아의 치과적 외상과 응급실 방문은 환아의 성별, 나이, 상황에 따라 역학적인 특징을 보인다는 것을 살펴보았다. 외상의 양상은 어린이의 사회, 발달, 생리적인 요인이 종합되어 나타난다.

Keywords

References

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