{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T12:21:01Z","timestamp":1778070061599,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100002050","name":"Delta Dental Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100002050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Aim<\/jats:title>\n                    <jats:p>Traumatic dental injuries (TDIs) significantly affect quality of life and healthcare costs. Large administrative datasets using ICD codes offer opportunities for epidemiological research; however, the accuracy of International Classification of Diseases, Tenth Revision (ICD\u201010) codes for TDIs remains unclear. This study aimed to evaluate the validity of ICD\u201010 codes in identifying TDIs and their ability to specify injury type in a pediatric emergency department (ED) setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional diagnostic accuracy study was conducted at a large urban\u2010based children's hospital. Children aged 0\u201318\u2009years presenting to the ED between January 2021 and August 2022 were included. Patients with documented dental injuries (positive controls) or facial injuries (negative controls) were identified using structured dental trauma flowsheets and computed tomography (CT) scan records, respectively. Manual chart reviews served as the reference standard. Accuracy, sensitivity, specificity, and predictive values of ICD\u201010 codes for TDI were calculated. Secondary analysis assessed whether ICD\u201010 codes matched the specific type of TDI (fracture vs. periodontal injury).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 405 patients (mean age 10.5\u2009\u00b1\u20094.7\u2009years) were analyzed. Overall accuracy of ICD\u201010 codes for TDIs was 78.5%, with sensitivity of 60.1% and specificity of 98.4%. Positive predictive value was 97.6%, and negative predictive value was 69.4%. Among true positives (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009127), 96% of ICD\u201010 codes correctly reflected the specific injury type (fracture vs. periodontal injury). The most frequent correct codes were S03.2XXA (dislocation of tooth, initial encounter) and S02.5XXA (fracture of tooth, initial encounter). The most common incorrect code among false negatives was S09.93XA (unspecified injury of face).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ICD\u201010 codes demonstrate high specificity but moderate sensitivity for TDI in pediatric ED records. Undercoding remains a concern and may lead to underestimating TDI prevalence and incidence. Improved education and coding practices are essential to enhance data reliability for research and healthcare planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/edt.70076","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T11:50:47Z","timestamp":1778068247000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Validity of\n                    <scp>ICD<\/scp>\n                    \u201010 Codes in Recording the Incidence of Traumatic Dental Injuries"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8754-1747","authenticated-orcid":false,"given":"Ehsan N.","family":"Azadani","sequence":"first","affiliation":[{"name":"Division of Pediatric Dentistry The Ohio State University College of Dentistry  Columbus Ohio USA"},{"name":"Department of Dentistry Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jodee","family":"McDaniel","sequence":"additional","affiliation":[{"name":"Department of Dentistry Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Peng","sequence":"additional","affiliation":[{"name":"Information Technology Research and Innovation The Abigail Wexner Research Institute, Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice A.","family":"Townsend","sequence":"additional","affiliation":[{"name":"Division of Pediatric Dentistry The Ohio State University College of Dentistry  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12425"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0172235"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12333"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12561"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2004.00263.x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2001.290210.x"},{"key":"e_1_2_12_8_1","volume-title":"Oral Health in America: Advances and Challenges","author":"National Institutes of Dental and Craniofacial Research","year":"2021"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7048a1"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2018.0542"},{"key":"e_1_2_12_11_1","volume-title":"The ICD\u201010 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines","author":"World Health Organization","year":"1992"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamiaopen\/ooz066"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000001479"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12844"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2012.01170.x"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2011.75.5.tb05086.x"},{"key":"e_1_2_12_17_1","first-page":"20","article-title":"International Classification of Diseases Codes and Their Use in Dentistry","volume":"1","author":"Weatherspoon D.","year":"2013","journal-title":"Journal of Dental, Oral and Craniofacial Epidemiology"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084418815150"},{"key":"e_1_2_12_19_1","unstructured":"American Dental Association \u201cWhat Is the Relationship Between the CDT Code and ICD Codes? \u201d(2025) https:\/\/www.ada.org\/resources\/practice\/dental\u2010insurance\/frequently\u2010asked\u2010questions\u2010regarding\u2010dental\u2010codes."},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2023.2253"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12753"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.13873"},{"key":"e_1_2_12_23_1","unstructured":"World Health Organization \u201cICD\u201010 Version:2019 \u201daccessed July 1 2025 https:\/\/icd.who.int\/browse10\/2019\/en#\/S02.5."},{"key":"e_1_2_12_24_1","unstructured":"National Center for Health Statistics \u201cNational Center for Health Statistics\u2014ICD\u201010\u2010CM \u201daccessed July 1 2025 https:\/\/icd10cmtool.cdc.gov\/?fy=FY2024."},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0298411"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-127-8_Part_2-199710151-00048"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssresearch.2016.04.015"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijinfomgt.2009.07.002"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20200827-10"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.2196\/58278"}],"container-title":["Dental Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70076","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/edt.70076","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T11:50:53Z","timestamp":1778068253000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/edt.70076"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,6]]},"references-count":29,"alternative-id":["10.1111\/edt.70076"],"URL":"https:\/\/doi.org\/10.1111\/edt.70076","archive":["Portico"],"relation":{},"ISSN":["1600-4469","1600-9657"],"issn-type":[{"value":"1600-4469","type":"print"},{"value":"1600-9657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,6]]},"assertion":[{"value":"2025-10-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"edt.70076"}}