Dental injuries in Swiss children – an analysis of Swiss national health insurance data from the year 2019

Authors

  • Roman Wieland Department of Oral Surgery and Center of Dental Traumatology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
  • Andreas Filippi 1 Department of Oral Surgery and Center of Dental Traumatology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland

DOI:

https://doi.org/10.61872/sdj-2024-02-06

PMID:

38739772

Keywords:

Dental trauma, Insurance, Accident prevention

Abstract

This study, the first to analyze accident data from a major compulsory Swiss health insurer (Concordia), reviewed 5,063 dental accident reports of 122,370 children under the age of 16. The predominant cause of injury was a "fall," with "playing" being the foremost activity mentioned and "ground" identified as the primary object of impact. The analysis of the involved objects showed that dental injuries occur most frequently with scooters, bicycles, and stairs. In 2019, 8.14% of children aged one and insured by Concordia suffered a dental injury. By age 16, 58.8% of all children had experienced a dental injury. 0.72% had suffered a primary dentition crown fracture with pulp involvement. Regarding their permanent teeth, 0.21% suffered an avulsion, 0.84% another luxation injury, 0.65% a crown fracture with pulp involvement, and 0.16% a root fracture. A significant increase in injuries per day was observed after the summer holidays. On weekends, there were 28% fewer injuries per day on average than on weekdays. Despite differences among the cantons, the dataset can be considered to be representative for Switzerland. Accident descriptions were often too brief for detailed prevention strategies. Detailed accident information is essential for effective structural measures, which are more effective than promoting behavioural changes. A detailed recording could also be used to draw up a list of the objects frequently involved in accidents. An updated insurance form with an improved nomenclature, the option of digital submission, photo uploads and AI-supported data recording could greatly improve the quality and interpretability of injury data.

References

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.

Cortes MI, Marcenes W, Sheiham A. Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12-14-year-old children. Community Dent Oral Epidemiol. 2002;30(3):193-8.

Lee JY, Divaris K. Hidden consequences of dental trauma: the social and psychological effects. Pediatr Dent. 2009;31(2):96-101.

Wieland-Hess A, Eggmann F, Filippi A. Dental Injuries on Garden Trampolines. Swiss Dent J. 2021;131(10).

Petrović M, Kühl S, Šlaj M, Connert T, Filippi A. Dental and General Trauma in Team Handball. Swiss Dent J. 2016;126(7-8):682-6.

Gass M, Kühl S, Connert T, Filippi A. Dental trauma in showjumping - A trinational study between Switzerland, France and Germany. Dent Traumatol. 2016;32(3):174-9.

Innerhofer K, Krastl G, Kühl S, Baumgartner EN, Filippi A. Dental trauma on ski slopes. Schweiz Monatsschr Zahnmed. 2013;123(7-8):655-9.

Müller KE, Persic R, Pohl Y, Krastl G, Filippi A. Dental injuries in mountain biking--a survey in Switzerland, Austria, Germany and Italy. Dent Traumatol. 2008;24(5):522-7.

Schmid M, Schädelin S, Kühl S, Filippi A. Head and dental injuries or other dental problems in alpine sports. Clin Exp Dent Res. 2018;4(4):125-31.

Fuhrer Y, Eggmann F, Reichardt E, Filippi A. Head and dental injuries among farriers and hoof care practitioners: A nationwide survey in Switzerland. Dent Traumatol. 2023;39(1):38-43.

Sekulic M, Kühl S, Connert T, Krastl G, Filippi A. Dental and jaw injuries sustained by hooligans. Dent Traumatol. 2015;31(6):477-81.

Bruggesser S, Kühl S, Solakoglu Ö, Filippi A. The prevalence of orofacial injuries in judo: A cross-sectional study. Dent Traumatol. 2020;36(4):411-6.

Ifkovits T, Kühl S, Connert T, Krastl G, Dagassan-Berndt D, Filippi A. Prevention of dental accidents in Swiss boxing clubs. Swiss Dent J. 2015;125(12):1322-35.

Schildknecht S, Krastl G, Kühl S, Filippi A. Dental injury and its prevention in Swiss rugby. Dent Traumatol. 2012;28(6):465-9.

Baumgartner EN, Krastl G, Kühl S, Filippi A. Dental injuries with kick-scooters in 6- to 12-year-old children. Dent Traumatol. 2012;28(2):148-52.

Schneider C, Simonek M, Eggmann F, Filippi A. Dental injuries in Swiss soccer supporters: A comparative study of regular fans, ultras, and hooligans for public health strategies. Clin Exp Dent Res. 2023.

Berli C, Reichardt E, Filippi A. Survey on the prevalence of occupational injuries to the head and teeth in automotive repair and maintenance in Switzerland. Swiss Dent J. 2022;132(5):334-41.

Brunner F, Krastl G, Filippi A. Dental trauma in adults in Switzerland. Dent Traumatol. 2009;25(2):181-4.

Fasciglione D, Persic R, Pohl Y, Filippi A. Dental injuries in inline skating - level of information and prevention. Dent Traumatol. 2007;23(3):143-8.

Perunski S, Lang B, Pohl Y, Filippi A. Level of information concerning dental injuries and their prevention in Swiss basketball--a survey among players and coaches. Dent Traumatol. 2005;21(4):195-200.

Stillhard A, Buschor C, Krastl G, Kühl S, Filippi A. Frequency of injuries, in particular dental injuries, in ski jumping and Nordic combined. Swiss Dent J. 2015;125(7-8):815-9.

Lieger O, von Arx T. Orofacial/cerebral injuries and the use of mouthguards by professional athletes in Switzerland. Dent Traumatol. 2006;22(1):1-6.

Schmid C, Fongaufier C, Hamza B, Höhn T, Staubli G, Stadlinger B. A 3-year Retrospective Analysis of Dento-Alveolar Injuries at the University Children's Hospital Zurich (2018-2020). Swiss Dent J. 2023;134(2).

Kubiak R, Slongo T. Unpowered scooter injuries in children. Acta Paediatr. 2003;92(1):50-4.

Bundesamt für Gesundheit BAG DK-uU, Sektion Datenmanagement und Statistik, Schwarzenburgstrasse 157, CH-3003 Bern. Statistik der obligatorischen Krankenversicherung [Available from: https://www.bag.admin.ch/bag/de/home/zahlen-und-statistiken/statistiken-zur-krankenversicherung/statistik-der-obligatorischen-krankenversicherung.html.

R: A language and environment for statistical computing. R Foundation for Statistical Com-puting, Vienna, Austria.

Statistik Bf. Struktur der ständigen Wohnbevölkerung nach Kanton, 1999-2022 2023 [Available from: https://www.bfs.admin.ch/bfs/de/home/statistiken/bevoelkerung.assetdetail.26565154.html.

Filippi A. Unfallbedingte Zahnverletzungen - Klassifikation, Terminologie und Risikofaktoren. Quintessenz Zahnmedizin. 2009;69(5):525-9.

Joos M, Joos R, Berli C, Filippi A. Photographic assessment of simulated dental luxation injuries. Dent Traumatol. 2021;37(4):601-7.

Europäisches Unfallprotokoll. In: (NVB) NVS, editor.

Shields BJ, Fernandez SA, Smith GA. Comparison of minitrampoline- and full-sized trampoline-related injuries in the United States, 1990-2002. Pediatrics. 2005;116(1):96-103.

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Published

2024-04-08

How to Cite

Wieland, R., & Filippi, A. (2024). Dental injuries in Swiss children – an analysis of Swiss national health insurance data from the year 2019. SWISS DENTAL JOURNAL SSO – Science and Clinical Topics, 134(2), 88-104. https://doi.org/10.61872/sdj-2024-02-06

How to Cite

Wieland, R., & Filippi, A. (2024). Dental injuries in Swiss children – an analysis of Swiss national health insurance data from the year 2019. SWISS DENTAL JOURNAL SSO – Science and Clinical Topics, 134(2), 88-104. https://doi.org/10.61872/sdj-2024-02-06