{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T01:59:59Z","timestamp":1779242399723,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,1,31]],"date-time":"2017-01-31T00:00:00Z","timestamp":1485820800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Aims<\/jats:title><jats:p>In epidemiological studies, traumatic dental injuries in children are usually determined from clinical signs or parents\u2019 reports. Radiographs are used in dental trauma centers but not in field surveys. The aim of this study was to evaluate the proportion of patients who present with radiographic evidence of trauma without any clinical signs of a history of <jats:styled-content style=\"fixed-case\">TDI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The prevalence of traumatic dental injuries was assessed from the records of 674 preschool children at their first visit to a private dental practice. Evidence of the history of traumatic dental injuries was based on clinical and radiographic signs. Clinical signs consisted of enamel fracture, crown fracture with dentin exposure (with or without pulp exposure), internal coronal discoloration, and the presence of a draining sinus. Radiographic signs were as follows: root fracture, pulp canal obliteration, tube\u2010like mineralization, internal resorption, arrested dentin deposition, external inflammatory root resorption, and a periapical radiolucency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 674 children, 408 (60.5%) presented with clinical evidence of traumatic dental injuries. This included 195 (28.9%) with enamel fracture as the sole sign. Seventeen (2.5%) had radiographic signs of traumatic dental injuries without any clinical evidence of trauma, increasing the prevalence of traumatic dental injuries by 2.5\u201363.0%. Fifteen of these were pulp canal obliteration, one root fracture, and one with arrested dentin deposition. Clinical signs of traumatic dental injuries without radiographic evidence of trauma were present in 275 (40.8%) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Traumatic dental injuries based on both clinical and radiographic evidence are more prevalent than when based on clinical examination only.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12315","type":"journal-article","created":{"date-parts":[[2016,12,13]],"date-time":"2016-12-13T20:26:41Z","timestamp":1481660801000},"page":"133-136","source":"Crossref","is-referenced-by-count":12,"title":["Radiographic evidence of traumatic injuries to primary incisors without accompanying clinical signs"],"prefix":"10.1111","volume":"33","author":[{"given":"Gideon","family":"Holan","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry The Hebrew University \u2013 Hadassah School of Dental Medicine Alpha\u2010Omega Fraternity Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Yodko","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry The Hebrew University \u2013 Hadassah School of Dental Medicine Alpha\u2010Omega Fraternity Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,1,31]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"220","volume-title":"Textbook and Color Atlas of Traumatic Injuries to the Teeth","author":"Andreasen 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