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Catananti IS, Abreu-e-Lima FCBD, Silva SRCD, Pardi V, Tagliaferro EPDS. Dental trauma and oral health-related quality of life among 7th-grade students of public elementary schools. BRAZILIAN JOURNAL OF ORAL SCIENCES 2023. [DOI: 10.20396/bjos.v22i00.8667398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Dental trauma is a public health problem because of its high prevalence rates and treatment costs and for affecting mainly younger individuals. Aim: This cross-sectional study aimed to investigate the variables associated with dental trauma and its influence on oral health-related quality of life among 7th-grade students of public elementary schools. Methods: The data was collected with semi-structured and self-administered questionnaires and an intraoral clinical examination (n = 204). The variables collected regarded dental trauma, lip coverage, overjet, oral health-related quality of life (Child Perceptions Questionnaire - CPQ11-14 ISF: 8), and sociodemographic profile. Association tests and the Mann-Whitney test were performed at a 5% significance level. Results: Dental trauma occurred in 12.3% of students, 94.6% had adequate lip coverage, and the mean overjet was 2.7 mm (±2.0). Sex was the only variable with a statistically significant association with dental trauma (p = 0.021). There was no statistically significant difference in the CPQ11-14 ISF: 8 score between students with and without dental trauma (p = 0.136). Conclusions: Dental trauma was significantly associated with sex and did not impact the oral health-related quality of life of the students.
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Olczak-Kowalczyk D, Turska-Szybka A, Studnicki M, Tomczyk J. Prevalence, Etiology, and Types of Dental Trauma in Self-Assessment of 18-Year-Olds in Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12924. [PMID: 36232226 PMCID: PMC9566764 DOI: 10.3390/ijerph191912924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 10/02/2022] [Accepted: 10/07/2022] [Indexed: 06/16/2023]
Abstract
The aim of the study is to determine the occurrence and etiology of traumatic dental injuries of permanent teeth and to evaluate the relationship between diagnosed injuries and selected socio-economic indicators. In total, 1741 students aged 18 years, representing all the regions of Poland, took part in the survey. Questionnaires for monitoring studies were prepared in accordance with the criteria of the World Health Organization. Among the respondents, tooth trauma was reported by 18% of adolescents. The most common trauma occurred during other activities (e.g., playing) (64%). The most common direct cause of injury was a fall (43%) or a collision with an object or another person (36%). Risk of injury was increased by a low level of parents' education and poor financial situation of the family. Playing sports is important in the etiology of injuries. The incidence of injuries was highest in school, demonstrating the need for school education in injury prevention and first aid. Occurrence of injuries, their causes, therapy, and post-traumatic complications were similar in respondents of both genders, which can be explained by secularization trends. Risk of injury was increased by parents' low level of education and poor economic status. The research demonstrates the need for universal education on treatment of dental injuries.
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Affiliation(s)
| | - Anna Turska-Szybka
- Department of Pediatric Dentistry, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Marcin Studnicki
- Department of Biometry, Institute of Agriculture, Warsaw University of Life Sciences, 02-787 Warsaw, Poland
| | - Jacek Tomczyk
- Institute of Biological Sciences, Cardinal Stefan Wyszynski University, 01-815 Warsaw, Poland
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COMIM LD, DALLA NORA Â, KNORST JK, RACKI DNDO, ZENKNER JEDA, ALVES LS. Association between the city region and traumatic dental injuries among adolescents from Santa Maria, South Brazil. Braz Oral Res 2022; 36:e114. [DOI: 10.1590/1807-3107bor-2022.vol36.0114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 05/02/2022] [Indexed: 11/22/2022] Open
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Ramachandran A, Khan SIR, Al-Maslamani M, Baskaradoss JK. Pattern of Traumatic Dental Injuries Among Adults. Open Access Emerg Med 2021; 13:201-206. [PMID: 34045907 PMCID: PMC8149273 DOI: 10.2147/oaem.s311113] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Accepted: 04/28/2021] [Indexed: 12/04/2022] Open
Abstract
Background The etiology, presentation and management of traumatic dental injuries (TDIs) vary significantly between the adult and the younger population. Most epidemiological studies on TDIs have focused on the pediatric age group. This study aims to report and compare the distributions of TDIs among adults in a sub-population in India. Methods This prospective observational study was performed on 1562 consecutively selected patients (1218 males and 344 females) from a university dental hospital in India, between July 2014 and June 2018. The clinical examinations were performed by a single trained and calibrated endodontist. Only TDIs to anterior teeth were recorded (canine to canine in the maxilla and mandible) and classified using a modified version of the World Health Organization's (WHO’s) classification. Periapical and panoramic radiographs were taken for all the subjects. Results A total of 1562 patients aged between 20 and 73 years, with a mean age of 36 years, were examined during the study period. The total number of teeth with TDIs was 3044. Males (78%) clearly outnumbered the females (22%) in all the age groups. The most common type of injury occurring in both the genders is uncomplicated crown fractures (male=31.0% and female=36.6%). Avulsion injuries are more likely to be seen by a dentist within 1 hour post-trauma. About two-third of the TDIs were caused by road traffic accidents (RTAs) followed by falls in about 20% of the patients. Conclusion Uncomplicated crown fracture was the most commonly observed type of TDI, and RTAs were the primary cause of TDI.
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Affiliation(s)
- Anupama Ramachandran
- Department of Conservative Dentistry & Endodontics, Chettinad Dental College & Research Institute, Tamil Nadu, India
| | - Sulthan Ibrahim Raja Khan
- Restorative & Endodontics, Department of Restorative & Prosthetic Dental Sciences, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
| | - Manal Al-Maslamani
- Department of Restorative Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait
| | - Jagan Kumar Baskaradoss
- Department of Developmental and Preventive Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait
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de Paiva HN, Guimarães MO, Varajão GFDC, Marques LS, Silvestrini RA, Zarzar PM, Silva CJDP, Paiva PCP. Spatial density of adolescents aged 14 years old, victims of dental: A longitudinal study. Dent Traumatol 2020; 37:282-293. [PMID: 33184933 DOI: 10.1111/edt.12617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 09/29/2020] [Accepted: 10/04/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND/AIM Knowledge about the spatial density of the domiciles of dental trauma victims can assist in the identification of the most vulnerable areas and contribute to the planning of prevention, promotion, control, and treatment actions, focusing on the most affected areas. The aim of this study was to analyze the spatial density of domiciles of 14-year-old adolescent victims of dental trauma, in the city of Diamantina, Brazil, after a two-year follow-up period. MATERIAL AND METHODS This longitudinal study was carried out with 584 adolescents between 2013 and 2015. Dental trauma, overjet, and lip protection were assessed by two trained and calibrated examiners (K > 0.70). Information about binge drinking was collected among the adolescents through the Alcohol Use Disorders Identification Test and sociodemographic indicators were obtained through a questionnaire answered by the caregivers of the adolescents. Spatial analyses were performed to evaluate the spatial density of adolescents with dental trauma and the independent variables of interest according to the domicile using Ripley's K function and the Kernel Map. RESULTS Ripley's K function revealed spatial aggregation of the domiciles of adolescent victims of dental trauma in relation to males, binge drinking and overjet, with a confidence interval of 95%. The higher density of domiciles with adolescents with two or more traumatized teeth was found in the north-east region of the city. Boys were the most affected, their homes were located in the north, north-west, and south-east regions at baseline and follow-up. The largest density of domiciles of adolescents with overjet greater than 5 mm and inadequate lip protection was in the north-east region. Similar spatial distribution was identified for binge drinking for both years. CONCLUSION The majority of adolescents with dental trauma lived in the north-east and south-east regions, characterized by high population density and greater social vulnerability.
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Affiliation(s)
- Haroldo Neves de Paiva
- Dentistry Department, Faculty of Biological and Health Sciences, Federal University Vales of Jequitinhonha and Mucuri- UFJVM, Diamantina, Brazil.,Dentistry Department, Faculty of Biological and Health Sciences, Federal University Vales do Jequitinhonha e Mucuri. Diamantina- UFJVM, Minas Gerais, Brazil
| | - Mariana Oliveira Guimarães
- Department of Child and Adolescent Oral Health, Faculty of Dentistry, Federal University of Minas Gerais - UFMG, Belo Horizonte, Brazil
| | | | - Leandro Silva Marques
- Dentistry Department, Faculty of Biological and Health Sciences, Federal University Vales do Jequitinhonha e Mucuri. Diamantina- UFJVM, Minas Gerais, Brazil
| | | | - Patricia Maria Zarzar
- Department of Child and Adolescent Oral Health, Faculty of Dentistry, Federal University of Minas Gerais-UFMG, Belo Horizonte, Brazil
| | - Carlos José de Paula Silva
- Department of Public Oral Health, Faculty of Dentistry, Federal University of Minas Gerais - UFMG, Belo Horizonte, Brazil
| | - Paula Cristina Pelli Paiva
- Dentistry Department, Faculty of Biological and Health Sciences, Federal University Vales do Jequitinhonha e Mucuri. Diamantina- UFJVM, Minas Gerais, Brazil.,Dentistry Department, Faculty of Biological and Health Sciences, Federal University Vales of Jequitinhonha and Mucuri- UFJVM. Diamantina, Minas Gerais, Brazil
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Fonseca RCLD, Antunes JLF, Cascaes AM, Bomfim RA. Individual and contextual factors associated with traumatic dental injuries in a population of Brazilian adolescents. Dent Traumatol 2019; 35:171-180. [DOI: 10.1111/edt.12469] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Revised: 03/07/2019] [Accepted: 03/08/2019] [Indexed: 12/30/2022]
Affiliation(s)
| | | | - Andreia Morales Cascaes
- School of Dentistry Department of Community Health Federal University of Pelotas Pelotas Brazil
| | - Rafael Aiello Bomfim
- School of Dentistry Department of Community Health Federal University of Mato Grosso do Sul Campo Grande Brazil
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Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis-One billion living people have had traumatic dental injuries. Dent Traumatol 2018; 34:71-86. [PMID: 29455471 DOI: 10.1111/edt.12389] [Citation(s) in RCA: 250] [Impact Index Per Article: 41.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/08/2018] [Indexed: 12/24/2022]
Abstract
Traumatic dental injuries (TDIs) account for a considerable proportion of bodily injuries. Nevertheless, global TDI frequency is unknown, probably because TDI diagnosis is not standardized. This study estimated world TDI frequency. A literature search (publication years 1996-2016) was aimed at covering as many countries, communities, ethnic groups as possible, thus achieving high generalizability. In particular, non-specific keywords, no language restrictions, and large databanks were used. Observational studies reporting proportions of individuals with at least one TDI (prevalence) and who developed TDI (incidence rate) were considered. Prevalence rates to permanent dentition, primary dentition and in 12-year-olds, incidence rate to any tooth for any age, male-to-female prevalence ratio (PR) in 12-year-olds, with 95% confidence intervals (95 CIs), were extracted/calculated. Study quality, Z-score distribution, funnel plot symmetry analysis, between-study heterogeneity, sensitivity, and subgroup analyses were performed. Selected primary studies were 102 (permanent dentition; 268 755 individuals; median age, 13.8 years), 46 (primary dentition; 59 436 individuals; median age, 3.4 years), 42 (12-year-olds; 33 829 individuals), 11 (incidence rate; 233 480 person-years; median age, 7.8 years), and 31 (PR; 16 003 males, 16 006 females). World TDI frequency resulted as follows: permanent dentition prevalence 15.2% (95 CI, 13.0%-17.4%); primary dentition prevalence 22.7% (95 CI, 17.3%-28.7%); 12-year-olds prevalence 18.1% (95 CI, 15.3%-21.0%); incidence rate, 2.82 (95 CI, 2.28%-3.42%) per 100 person-years; PR, 1.43 (95 CI, 1.34%-1.52%). Differences between WHO Regions were found. This study shows that more than one billion living people have had TDI. TDI is a neglected condition which could rank fifth if it was included in the list of the world's most frequent acute/chronic diseases and injuries.
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Affiliation(s)
- Stefano Petti
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - Ulf Glendor
- Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Lars Andersson
- Department of Surgical Sciences, Faculty of Dentistry, Health Sciences Center, Kuwait University, Kuwait City, Kuwait
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Bomfim RA, Herrera DR, De-Carli AD. Oral health-related quality of life and risk factors associated with traumatic dental injuries in Brazilian children: A multilevel approach. Dent Traumatol 2017; 33:358-368. [DOI: 10.1111/edt.12348] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/09/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Rafael A. Bomfim
- Department of Community Health; School of Dentistry; Federal University of Mato Grosso do Sul (UFMS); Campo Grande Brazil
| | | | - Alessandro Diogo De-Carli
- Department of Community Health; School of Dentistry; Federal University of Mato Grosso do Sul (UFMS); Campo Grande Brazil
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Vettore MV, Efhima S, Machuca C, Lamarca GDA. Income inequality and traumatic dental injuries in 12-year-old children: A multilevel analysis. Dent Traumatol 2017; 33:375-382. [PMID: 28544700 DOI: 10.1111/edt.12350] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/11/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIM Contextual socio-economic factors have been associated with traumatic dental injuries (TDIs). However, evidence concerning the role of income inequality on TDIs in children is scarce. The aim of this study was to investigate the association between contextual income inequality over a 10-year period and TDIs in Brazilian children. SUBJECTS AND METHODS The study population comprised a representative sample of 5027 children aged 12 years who participated in the Brazilian oral health survey in 2010. City-level Gini Index was used to measure contextual income inequality in the years 2000 and 2010, as well as the variation in income inequality between 2000 and 2010. Covariates were gender, ethnicity, family income, number of people per room and incisal overjet. Clinical examinations were used to assess TDIs. Multivariable multilevel ordered multinomial logistic regression was used to estimate cumulative Odds Ratio (OR) and 95% confidence intervals between income inequality and TDIs. RESULTS The prevalence of children who had one tooth with TDI and two or more teeth with TDIs was 15.2% and 6.4%, respectively. The maxillary central and left lateral incisors were the teeth most affected by TDIs. Gini coefficient reduction between the years 2000 and 2010 decreased the odds of TDIs even after adjustment for demographic and socio-economic characteristics, and incisal overjet. The likelihood of more TDIs decreased 21% for each 0.05 unit decrease in the Gini coefficient between the years 2000 and 2010. Boys, brown skin colour, overcrowding and incisal overjet greater than 5 mm remained statistically associated with TDIs in the final model. CONCLUSIONS The decrease in income inequality over a 10-year period was inversely associated with TDIs among Brazilian children aged 12 years.
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Affiliation(s)
- Mario Vianna Vettore
- Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Salma Efhima
- Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Carolina Machuca
- Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Gabriela de Almeida Lamarca
- Centre of Studies, Policies and Information on Social Determinants of Health, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
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