{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T21:35:46Z","timestamp":1757453746446,"version":"3.40.5"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,18]],"date-time":"2020-11-18T00:00:00Z","timestamp":1605657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007520","name":"Nationwide Children's Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007520","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["1R01 HS24263\u201001"],"award-info":[{"award-number":["1R01 HS24263\u201001"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Aim<\/jats:title><jats:p>It is crucial that dentists who treat traumatic dental injuries rule out concomitant brain injuries. Despite anatomic proximity, controversy exists regarding association between facial trauma and head injury. The aim of this study was to examine the association between dento\u2010alveolar trauma (DAT) and traumatic brain injuries (TBI) using a national dataset of emergency department (ED) visits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Nationwide Emergency Department Sample (NEDS) data, one of the Healthcare Cost and Utilization Project (HCUP) datasets, were analyzed. Encounters of patients age 0\u201018\u00a0years with International Classification of Diseases, Ninth Revision, Clinical Modification (ICD\u20109\u2010CM) codes associated with DAT and TBI in the 2010\u20102014 NEDS were identified. Data were analyzed using descriptive statistics, chi\u2010square test, and logistic regression models to investigate the association between DAT and TBI and factors associated with TBI in DAT\u2010positive patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 6\u00a0281\u00a0658 ED visits were associated with traumatic injuries. DAT was recorded in 93\u00a0408 (1.5%) and TBI was recorded in 996\u00a0334 (15.9%) of these traumatic injury visits. Within the group of DAT\u2010positive encounters, 7035 (7.5%) had codes associated with TBI. Of trauma encounters where a DAT was not involved (6\u00a0188\u00a0250 encounters), 989\u00a0299 (16%) had an associated TBI code. Patients with DAT had 0.20 odds of having TBI (95% CI, 0.19\u20100.20, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001) compared with patients who did not have DAT when all other confounding variables were kept constant. Having multiple injuries, being involved in motor vehicle crashes, and injuries due to assault were associated with higher odds of concomitant TBI in patients who sustained DAT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There was an inverse association between DAT and TBI in this study population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12611","type":"journal-article","created":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T16:39:42Z","timestamp":1604162382000},"page":"114-122","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The association between traumatic dental and brain injuries in American children"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8754-1747","authenticated-orcid":false,"given":"Ehsan N.","family":"Azadani","sequence":"first","affiliation":[{"name":"Department of Dentistry Nationwide Children\u2019s Hospital and Division of Pediatric Dentistry The Ohio State University College of Dentistry  Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice","family":"Townsend","sequence":"additional","affiliation":[{"name":"Department of Dentistry Nationwide Children\u2019s Hospital and Division of Pediatric Dentistry The Ohio State University College of Dentistry  Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Peng","sequence":"additional","affiliation":[{"name":"Research Information Solutions and Innovation Research &amp; Development Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital  Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3728-8928","authenticated-orcid":false,"given":"Krista","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine Nationwide Children's Hospital The Ohio State University  Columbus OH USA"},{"name":"Center for Pediatric Trauma Research and Center for Injury Research and Policy Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital  Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8112-319X","authenticated-orcid":false,"given":"Henry","family":"Xiang","sequence":"additional","affiliation":[{"name":"Center for Pediatric Trauma Research and Center for Injury Research and Policy Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital  Columbus OH USA"},{"name":"Department of Pediatrics Nationwide Children\u2019s Hospital and Division of Emergency Medicine The Ohio State University College of Medicine  Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-200505000-00006"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0b013e3181ccc8b4"},{"key":"e_1_2_8_4_1","unstructured":"Centers for Disease Control and Prevention.TBI\u2010related Emergency Department (ED) visits: centers for disease control and prevention.2017.https:\/\/www.cdc.gov\/traumaticbraininjury\/data\/tbi-ed-visits.html. 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