{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T19:06:31Z","timestamp":1781982391496,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study was performed to identify the characteristics of oral and maxillofacial injuries in children and determine factors influencing a treatment duration of more than 1 month using medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>This retrospective observational study reviewed medical records of 258 children (&lt;\u200916 years of age) with maxillofacial trauma treated at a university hospital between 2011 and 2021. Patients with and without tooth fractures or dislocations were compared, and the prevalence of injuries was analyzed across three age groups (0\u20132, 3\u20135, \u2265\u20096 years). Long (&gt;\u20091 month) and short (&lt;\u20091 month) treatment durations were compared, and independent predictive factors for prolonged treatment were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Tooth injuries were observed in 204 (79.1%) patients. Deciduous central incisors in the primary dentition and central incisors in the permanent dentition were the most commonly affected. Soft tissue injuries occurred in 165 (64.0%) patients, while maxillofacial fractures were present in 7 (2.7%). Tooth fractures significantly increased with age (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), while dislocations showed no age\u2010related differences. Logistic regression revealed that maxillofacial fractures, tooth fractures, and two or more dislocated teeth were independent predictors of prolonged treatment, with odds ratios of 14.666 (1.625\u2013132.359), 2.411 (1.099\u20135.287), and 2.350 (1.208\u20134.570), respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Maxillofacial fractures, multiple tooth dislocations, and tooth fractures were confirmed as key factors influencing longer treatment durations. These findings may assist in the early management of maxillofacial injuries and improve communication with pediatric patients and their families.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cre2.70218","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T11:13:47Z","timestamp":1757330027000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Characteristics of Pediatric Dental Injuries and Predictive Factors for Long Treatment Duration"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4071-4830","authenticated-orcid":false,"given":"Yuki","family":"Sakamoto","sequence":"first","affiliation":[{"name":"Department of Legal Medicine Shiga University of Medical Science Otsu Shiga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mineko","family":"Baba","sequence":"additional","affiliation":[{"name":"Center for Integrated Medical Research 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