[Retrospective analysis of dental trauma among soldiers in the Israel Defense Forces]

Determination of the incidence, types and causes of traumatic dental incidents (TDIs) among Israel Defense Forces (IDF) soldiers.

Dental trauma reports from all active IDF dental clinics between the years 2000-2010 were analyzed. A total of 1671 dental trauma reports were classified according to the incidence, causes and etiologies of the injuries, the number and type of traumatized teeth, and the types of dental injuries. Statistical associations between the number of trauma cases and gender, type of training of the soldier, and the month during which the injury occurred were analyzed.

The incidence of dental injuries was 19.65 cases/10,000 soldiers/year. In basic training bases, 75.49 dental trauma cases/10,000 soldiers/year were found in comparison to 14.28 cases in all other bases. Male soldiers were 4.24 times more prone to dental injuries than female soldiers. Significantly more trauma cases occurred during the months of January and August (rate ratio 1.39 and 1.33 respectively), and significantly fewer cases occurred in July (rate ratio 0.59). The most frequent circumstances of TDIs were military training and work related injuries (29.5% and 15% respectively). The etiology of 56.3% of the injuries was trauma from blunt objects that are not a weapon. Of the injuries, 34.9% occurred as a result of trauma from the personal weapon of the soldier. Most trauma cases involved one or two injured teeth (73.2% and 20.1% respectively). Of the trauma cases, 33.8% involved the right maxillary central incisor and 32.5% involved the left maxillary central incisor. There was no significant difference between injuries on the right or left side. The most frequent type of dental injury was a crown fracture (72.8%).

The risk factors for dental trauma found in this study were male soldiers during basic training in the months of January and August. Most TDIs resulted from blunt objects including personal weapons. Crown fracture was the most frequent type of injury.