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Dental Trauma on whole Body Trauma CT-An underreported finding
Hans-Jonas Meyer1, Dominik Schramm2, Andreas Gunter Bach2
1Department of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany. Hans-jonas.meyer@medizin.uni-leipzig.de.
Summary
Dental injuries are common in polytrauma patients, affecting 12.8% of those studied. However, radiologists frequently underreport these dental trauma findings on whole-body CT scans.
Area of Science:
- Radiology
- Trauma Surgery
- Dentistry
Background:
- Dental injuries (DI) are a significant concern in polytrauma patients, but their prevalence is not well-established.
- Whole-body computed tomography (CT) is a standard imaging modality for assessing polytrauma patients.
Purpose of the Study:
- To determine the frequency of dental injuries in polytrauma patients using whole-body CT scans.
- To assess the accuracy of radiologist reporting for dental injuries identified on these scans.
Main Methods:
- A retrospective review of 994 whole-body trauma CT scans from 2006 to 2018 was conducted.
- Dental injuries were identified and characterized in the re-evaluated CT scans.
Main Results:
- Dental injuries were present in 12.8% of polytrauma patients (127 out of 994).
- The most common dental injuries were luxations (45.8%) and crown fractures (43%), frequently involving molars and incisors.
- Only 11.8% of identified dental injuries were noted in the original radiological reports, indicating significant underreporting.
Conclusions:
- Dental injuries occur frequently in polytrauma patients.
- There is a high rate of underreporting of dental trauma findings by radiologists on whole-body CT scans.
- Radiologists should be vigilant in identifying and reporting dental injuries in polytrauma patients to ensure adequate patient care.
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