ABSTRACT
A cross-sectional study was carried out in children and adolescents of both sexes, aged 1-15 years that sought dental emergency attention to the Regional Hospital between 2004 and 2007 in Temuco, Chile. The purpose of this study was to identify the aetiology, types of traumatic dental injuries in primary and permanent dentitions, sex and age distributions, accident location; and time elapsed before emergency treatment in children and adolescents. The sample consisted of 359 patients with 145 primary teeth and 525 permanent teeth affected by dental trauma. The results showed a 2:1 male:female ratio distribution (242/117) with a mean age of 8.4 years. The 7- to 12-year-old group had the highest frequency of dental injuries (66.6%). Unspecific accidental falls were the main cause of injury to primary and permanent dentition (51.8%), followed by striking teeth against objects (15.6%) and bike accidents (13.9%). In primary dentition the most common diagnosis were subluxation (38.6%) and avulsion (16.6%), whereas in permanent dentition was uncomplicated crown fracture (32.9%). A high proportion of the patients received their first emergency attention 24 h after the accident (32.6%). This study revealed a high frequency (37.9%) in 1-15 aged population that sought emergency attention by dental trauma in the period of time study. A large proportion of children with dental trauma received delayed first emergency care, even 24 h after the accident. Considering the high frequency of traumatic dental injuries in 1-15 aged population and the high percentage of delayed emergency attention is necessary to develop effective educational campaigns in regard to causes, prevention and emergency management of traumatic dental injuries, especially in deprived areas. In conclusion, traumatic dental injury may be considered as a serious dental public health problem especially in children of deprived areas.
Subject(s)
Tooth Injuries/epidemiology , Accidental Falls/statistics & numerical data , Accidents, Home/statistics & numerical data , Adolescent , Age Distribution , Bicycling/injuries , Child , Child, Preschool , Chile/epidemiology , Cross-Sectional Studies , Dental Service, Hospital/statistics & numerical data , Emergency Medical Services/statistics & numerical data , Female , Hospitals, Public/statistics & numerical data , Humans , Infant , Male , Sex Distribution , Social Class , Time Factors , Tooth Avulsion/epidemiology , Tooth Crown/injuries , Tooth Fractures/epidemiology , Tooth, Deciduous/injuries , Vulnerable Populations/statistics & numerical dataABSTRACT
By using a simple Sequential Injection Analysis (SIA) manifold and in base to the kinetic reaction of the molybdenum with As(V) and P(V) was possible to determine As(III), As(V) and P(V) in simple, binary and ternary samples. The activation energies for the reaction between molybdenum and As(V) and P(V) were of 70.90 kJ mol(-1) and of 19.02 kJ mol(-1), respectively, therefore it was possible to determine both analytes in mixtures by using different reaction temperature. When the analyses were carried out at room temperature, only the P(V) supplied analytical signal; with increased temperature, the kinetics of reaction for As(V) also increased, and a signal was obtained, being 55 degrees C the optimum temperature. In order to determine As(III), it was oxidized into As(V) with KIO(3,) and the reaction was carried out in the same way as for As(V). To resolve mixtures, an equations system from six calibration curves with different sequences of SIA at different temperature was performed. The lineal ranges were between 0.5 microg mL(-1) and 10 microg mL(-1) with a repeatability and reproducibility between 0.7% and 5.2% and detection limits between 0.36 microg mL(-1) and 0.58 microg mL(-1). In binary mixtures of P(V)/As(V) the recoveries were close to 100% for both analytes at ratios lesser than 10:1. For As(V)/As(III) ratios between 1:1 and 5:1 the recoveries were ranged between 85% and 95%. The method was applied in mine tailings and in arsenopyrite. The results showed that the soluble arsenic was found oxidized as As(V). These results were compared with those obtained by atomic absorption spectrometry and both proved to be very close.