Raluca-Elena Botros, Magdalena Dragu, Madalina Maria Diac, Diana Bulgaru Iliescu
ABSTRACT
Aim of the study Buco-maxillo-facial traumas pose particular problems of medico-legal interpretation, due to the serious post-traumatic, functional and aesthetic consequences, sanctioned by criminal law. The aim of the study is the medico-legal and dental interpretation of these traumas from an etiological aspect, of the circumstances of occurrence, as well as prognostic, therapeutic and evolutionary. Materials and methods The study was conceived as a retrospective, case-control study, which statistically demonstrates loco-regional particularities, correlated with demographic factors, etiology, mechanisms of occurrence, treatment, post-traumatic consequences, as well as the association with craniocerebral trauma, which often imprints the severity of the trauma. Results 11275 (11.79%) patients, with oral-maxillofacial injuries, were selected, out of a total of 95628 traumatized patients. Descriptive and analytical methods were used; the data were centralized in SPSS18.0 databases and processed with statistical functions, at the 95% significance threshold (CI95%). In the statistical processing, significance tests were used: ANOVA test, Skewness test, t-Student, Pearson correlation coefficient, univariate and multivariate analysis, ROC curve, etc. The results were comparable with those in the specialized literature for all categories of items, except for gender, with a predominance of the female gender (61.6%). Conclusions The assessment of severity, through the perspective of the duration of medical care and post- consequences, reveals that a number of 10422 (99.6%) patients required less than 90 days of medical care and only 39 (0.4%) required more than 90 days of medical care; 324 (2.9%) patients had their lives put in danger; 21 (0.21%) presented a disability, and serious and permanent aesthetic damage was noted in 10 (0.1%) patients.
DOI : 10.62610/RJOR.2025.1.17.39
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