Frequency and Patterns of Traumatic Dental Injuries Reported at Islamabad Dental Hospital: A Retrospective Study.

Main Article Content

Talha Bin Mushtaq
Saima Azam
Iman Baig


Background: Traumatic dental injuries (TDIs) are increasingly becoming a public health concern, with a significant number of cases presenting to emergency departments worldwide. They affect a diverse age range, particularly children and adolescents, and are influenced by various etiological factors such as falls, sports injuries, and road traffic accidents. Previous studies have indicated a gender predisposition, with males more frequently affected, and a pattern of injury that varies by region.

Objective: This study aimed to investigate the frequency and patterns of TDIs treated at the Department of Operative Dentistry, Islamabad Dental Hospital, and to analyze the management strategies employed.

Methods: A retrospective cross-sectional analysis was conducted, examining patient records from 2015 to 2022. Approval was obtained from the institutional review board, aligning with the Declaration of Helsinki. Data from complete TDIs forms were extracted, detailing the type of injury, timing, and treatment administered. Statistical analysis was performed using SPSS v.23, with chi-square tests applied to examine the association between the type of trauma and demographic variables.

Results: A total of 88 teeth with TDIs were recorded. The most common injuries were complicated crown fractures (28.4%) and root fractures (17.0%), with splinting (31.8%) and root canal treatments (29.5%) being the most frequent management procedures. Male patients were predominantly affected. Notably, adult cases surpassed those of children and adolescents, contrary to global trends.

Conclusion: TDIs constitute a significant portion of dental emergency cases, with specific patterns and treatments that vary by demographics. Immediate and appropriate management, guided by current guidelines, is essential. Efforts should focus on increasing awareness and providing adequate training to healthcare providers for timely and effective treatment of TDIs.

Article Details

How to Cite
Mushtaq, T. B., Azam, S., & Baig, I. (2024). Frequency and Patterns of Traumatic Dental Injuries Reported at Islamabad Dental Hospital: A Retrospective Study. Journal of Health and Rehabilitation Research, 4(2), 239–243.
Author Biographies

Talha Bin Mushtaq, Islamabad Medical and Dental College Islamabad- Pakistan.

BDS, MDS Resident, Post Graduate Trainee of Operative Dentistry and Endodontics, Islamabad Medical and Dental College, Islamabad- Pakistan.

Saima Azam, Islamabad Medical and Dental College Islamabad- Pakistan.

Professor, Head of Department (HOD) of Operative Dentistry and Endodontics, Islamabad Medical and Dental College, Islamabad- Pakistan.

Iman Baig, Islamabad Medical and Dental College Islamabad- Pakistan.

BDS, MPH, FCPS Resident, Post Graduate Trainee of Operative Dentistry and Endodontics, Islamabad Medical and Dental College, Islamabad- Pakistan.


Bae JH, Kim YK, Choi YH. Clinical Characteristics of Dental Emergencies and Prevalence of Dental Trauma at a University Hospital Emergency Center in Korea. Dent Traumatol. 2011;27(5):374-8.

Petti S, Glendor U, Andersson L. World Traumatic Dental Injury Prevalence and Incidence, A Meta-Analysis—One Billion Living People Have Had Traumatic Dental Injuries. Dent Traumatol. 2018;34(2):71-86.

Del Bianca N, Lauridsen E, Fausto Medeiros M, Andreasen JO, Marcia Turolla W, Hermann NV. Impact of Avulsion of the Primary Incisors on the Occurrence of Sequelae in the Permanent Teeth: A Retrospective Cohort Study. Community Dent Oral Epidemiol. 2022;50(5):404-13.

Wolfer S, von Hahn N, Sievers D, Hohenstein C, Kauffmann P. Knowledge and Skills of Emergency Physicians in Managing Traumatic Dental Injuries. Eur J Trauma. 2022;48(3):2081-8.

Khan N, Saadia H, Maxood A, Khan A, Abbas I. Traumatic Injuries of the Permanent Maxillary Incisors at Dental Department, Pakistan Institute Of Medical Science Islamabad: A Retrospective Study. JAMC. 2008;20:84-7.

Nadeem M. Traumatic Dental Injuries in Mixed Dentition of School Going Children in Karachi, Pakistan. Int J Clin Dent. 2014;6:7-9.

Ain QU, Shahid A, Afzal M, Azhar S, Khawaja H, Sadiq MS. Frequency of Traumatic Dental Injuries to Anterior Teeth Among 7 to 14 Year-Old School Children. PJMHS. 2022;16(7):283-5.

Mahshid SN, Majid A, Khosro S, Samaneh V, Armita R. Retrospective Study of Traumatic Dental Injuries in North-East of Iran. Journal of Dental Materials and Techniques. 2014;4(1):37-42.

Kırzıoglu Z, Oz E. Changes in the Aetiological Factors of Dental Trauma in Children Over Time: An 18-Year Retrospective Study. Dent Traumatol. 2019;35(4-5):259-67.

Borin-Moura L, Azambuja-Carvalho P, Daer-de-Faria G, Barros-Gonçalves L, Kirst-Post L, Braga-Xavier C. A 10-Year Retrospective Study of Dental Trauma in Permanent Dentition. Estudio Retrospectivo De 10 Años Sobre Trauma Dental En La Dentición Permanente (Spanish; Castilian). 2018;40(2):65-70.

Lam R. Epidemiology and Outcomes of Traumatic Dental Injuries: A Review of the Literature. Aust Dent J. 2016;61(S1):4-20.

Day PF, Flores MT, O'Connell AC, Abbott PV, Tsilingaridis G, Fouad AF, et al. International Association of Dental Traumatology Guidelines for the Management of Traumatic Dental Injuries: 3. Injuries in the Primary Dentition. Dent Traumatol. 2020;36(4):343-59.

Choi SC, Park JH, Pae A, Kim JR. Retrospective Study on Traumatic Dental Injuries in Preschool Children at Kyung Hee Dental Hospital, Seoul, South Korea. Dent Traumatol. 2010;26(1):70-5.

Mustafa S, Romana N, Muhammad J, Mohsin J, Ehsan H, Muhammad A. Prevalance of Dental Traumatic Injuries in Young Children in Public School of Layyah. PODJ. 2020;39(4):337-40.

Cardoso M, de Carvalho Rocha MJ. Association of Crown Discoloration and Pulp Status in Traumatized Primary Teeth. Dent Traumatol. 2010;26(5):413-6.

Moccelini BS, Santos PS, Barasuol JC, Magno MB, Bolan M, Maia LC, et al. Prevalence of Sequelae After Traumatic Dental Injuries to Anterior Primary Teeth: A Systematic Review and Meta-Analysis. Dent Traumatol. 2022;38(4):286-98.

Tewari N, Mathur VP, Singh N, Singh S, Pandey RK. Long-Term Effects of Traumatic Dental Injuries of Primary Dentition on Permanent Successors: A Retrospective Study of 596 Teeth. Dent Traumatol. 2018;34(2):129-34.

Oliveira GCD, Silva JCD, Ionta FQ, Alencar CRBD, Gonçalves PSP, Oliveira TMD, et al. Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption. Case Rep Dent. 2017;2017:1-4.

Abdel Jabbar NS, Aldrigui Jm, Braga MM, Wanderley MT. Pulp Polyp in Traumatized Primary Teeth--A Case-Control Study. Dent Traumatol. 2013;29(5):360-4.

Nagata JY, Góis VLDA, Münchow EA, Albuquerque MTP. Dental Trauma Education Intervention as a Positive Influence Among Undergraduate Students. Eur J Dent. 2018;12(04):502-7.

Memon M, Al Absi MA, Siya ZH, Memon A, Shaikh AG. Analysis of Types and Causes of Traumatic Dental Injuries to Permanent Dentition Among Patients Attending Tertiary Care Hospital of Pakistan. Open J Stomatol. 2020;10(08):211-7.

Alhaddad B, Rózsa NK, Tarján I. Dental Trauma in Children in Budapest. A Retrospective Study. Eur J Paediatr Dent. 2019;20(2):111-5.

Faus-Matoses V, Faus-Matoses I, Ruiz-Sánchez C, Faus-Damiá M, Faus-Llácer VJ. Incidence of Traumatic Dental Injury in Valencia, Spain. Med Oral Patol Oral Cir Bucal. 2020;25(5):592-8.

Rajab LD. Traumatic Dental Injuries in Children Presenting for Treatment at the Department of Pediatric Dentistry, Faculty of Dentistry, University of Jordan, 1997-2000. Dent Traumatol. 2003;19(1):6-11.

Glendor U. Epidemiology of Traumatic Dental Injuries - A 12 Year Review of the Literature. Dent Traumatol. 2008;24(6):603-11.

Freire-Maia FB, Auad SM, Abreu MHNGD, Sardenberg F, Martins MT, Paiva SM, et al. Oral Health-Related Quality of Life and Traumatic Dental Injuries in Young Permanent Incisors in Brazilian Schoolchildren: A Multilevel Approach. PLoS One. 2015;10(8):e0135369.

Lembacher S, Schneider S, Lettner S, Bekes K. Prevalence and Patterns of Traumatic Dental Injuries in the Permanent Dentition: A Three-Year Retrospective Overview Study at the University Dental Clinic of Vienna. Int J Environ Res Public Health. 2022;19(23):15725.

Levin L, Day PF, Hicks L, O'Connell A, Fouad AF, Bourguignon C, et al. International Association of Dental Traumatology Guidelines for the Management of Traumatic Dental Injuries: General Introduction. Dent Traumatol. 2020;36(4):309-13.