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Pacifiers and Teething Devices: A Risk for Craniofacial Injury in Children Under 2 Years Old

Alyssa D Reese1,2, Alaina Kenny1, Victoria Miller3

  • 1Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.

Clinical Pediatrics
|October 13, 2024
PubMed

Insights

Pacifier and teething device use in infants can lead to emergency room visits for craniofacial injuries, primarily from falls at home. Educating parents on safe usage may prevent these common pediatric injuries.

Area of Science:

  • Pediatric emergency medicine
  • Craniofacial trauma
  • Consumer product safety

Background:

  • Pacifiers and teething devices are common infant comfort items.
  • Pediatric craniofacial injuries present a significant public health concern.
  • Understanding injury mechanisms is crucial for prevention.

Purpose of the Study:

  • To determine the incidence of emergency department visits for pediatric craniofacial injuries related to pacifiers and teething devices.
  • To analyze injury characteristics, including age, sex, race, context, and cause.
  • To identify trends in these injuries over a 10-year period.

Main Methods:

  • Utilized the National Electronic Injury Surveillance System (NEISS) database.
  • Extracted data on craniofacial injuries in children under 2 years old associated with pacifiers or teething rings.
  • Collected demographic and injury-specific information.

Main Results:

  • An estimated 5,424 nationwide injuries occurred between 2012 and 2021.
  • The mean age of injured children was 12.1 months.
  • Most injuries (70.2%) happened at home due to falls (71.0%) while using the device. 97.6% of patients were treated and released.

Conclusions:

  • Pacifier and teething device use is associated with a notable incidence of pediatric craniofacial injuries.
  • Falls during use, particularly at home, are the primary cause of these injuries.
  • Targeted education on safe practices, such as avoiding use during active play, could mitigate injury rates.

Keywords:
NEISSinjury preventionpacifierspediatricteething

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