HYBRID EVENT: You can participate in person at Madrid, Spain or Virtually from your home or work.

9th Edition of International Conference on Dentistry
and Oral Health

September 02-04, 2024 | Madrid, Spain

September 02-04, 2024 | Madrid, Spain
ICDO 2021

Shima Chundoo

Shima Chundoo, Speaker at Oral Health Conferences
Birmingham Children’s Hospital, United Kingdom
Title: A retrospective study examining the presentation of paediatric dental trauma injuries and immediate management over 4-year period at a regional childrens hospital


Introduction: Over the past four years, children have sustained massive changes to their lifestyle, schooling, intergenerational and generational interactions. Trends in dental trauma are evolving and management has changed. The aim of this study is to assess trends in the presentation of paediatric dental trauma and subsequent immediate management within a regional paediatric hospital. 

Methodology: Retrospective study over a 4-year period (from 2018-2021 between months of January and April). Inclusion of all paediatric patients seen on the emergency department by OMFS team.

Results: Between 2018 to 2021, there has been a reduction, of nearly 50%, in the number of patients attending hospital.  The average age has increased from 6 to 7.9 between 2020 and 2021 respectively. Males were more commonly seen between 2018-2019. Most injuries were attributed to falls with slight increase in road traffic accidents and assaults between 2018 to 2020.

Complicating injuries were present in nearly 60% of patients in 2020 but this has now dropped to 17% in 2021. From 2018 to 2019, there was greater proportion of injuries associated with primary dentition. Avulsion injuries increased by 54% between 2020 and 2021 and accounted for most injuries in 2021. This was followed by enamel fractures at 17%. In 2020, there was 31% increase in conservative management of injuries. Overall, there has been a 50% reduction in operative treatment under GA between 2019 and 2020.

Discussion: Mechanism of injuries are evolving with a growing proportion of road traffic collisions and assaults seen on ED. This may be attributable to differences in patient’s lifestyle, spending more time outside and with less supervision. Overall, the number of patients attending has reduced which may indicate that dental health seeking behaviours are changing. 

The average age has increased from 2018-2021 and this has permitted cooperation for a wider range of treatment modalities. A large proportion of injuries were managed conservatively. This could be due to reduced severity of injuries, less complicated injuries or the impact of COVID-19 on management and clinical time.

Conclusion: Paediatric dental trauma is changing, and dentists need to be aware of the current trends in presentation and management. Immediate treatment modalities were limited to extraction, splinting, bandage or a conservative approach.


Shima Chundoo studied Dentistry at the University of Birmingham and graduated as Bachelor of Dental Surgery in 2016. She achieved her MFDS postgraduate qualification from the Royal College of Surgeons of Edinburgh in 2018. Shima completed foundation training within the City Scheme of HEE West Midlands Deanery. After completing Dental Core Training years 1 and 2 at Shrewsbury and Telford Trust, Shima is currently a Dental Core Trainee 3 in Paediatric Dentistry and Oral and Maxillofacial surgery at Birmingham Children’s Hospital. Shima is due to start work as an NHS regional clinical fellow in leadership and management from September.