Abstract:

The study investigates the epidemiological and clinical features of dental trauma regarding permanent dentition in patients - victims of physical aggression. We retrospectively reviewed 762 victims of heteroagression who addressed the forensic service for facial and dental traumatic injury, during a 10-year follow-up. Demographic data (gender, age, residence) and clinical features (type of dental traumatic injury, type of the tooth affected) were taken into consideration. The incidence of traumatic dental injury is relatively constant, with a mean of 76 cases per year and no significant difference between the residents of urban or rural areas. Traumatic dental injury mostly affected young adults, mean age of the patients being 33.11 years. Men are over 4 times more likely to experience a dental trauma in violent context. Maxillary central incisors are 7 times more affected than other teeth of the superior arch and 10 times rarer than central incisors of the mandibular arch. The most common type of traumatic injury was tooth fracture (80%), followed by abnormal mobility (about one third of cases). Traumatic dental injuries represent a dental public health problem with long lasting complications or lifetime disabilities with important impairment on lifestyle and life quality

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