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Guerra C, Braido A, Ferraz DC, Paranhos LR, de-Jesus-Soares A, Vieira WA. Family structure and social vulnerability as risk factors for traumatic dental injuries in children and adolescents: a systematic review and meta-analysis. Clin Oral Investig 2024; 28:451. [PMID: 39060462 DOI: 10.1007/s00784-024-05841-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Accepted: 07/18/2024] [Indexed: 07/28/2024]
Abstract
OBJECTIVE To investigate the associations between family structure and social vulnerability with TDIs in children and adolescents. METHODS An electronic search was conducted in seven databases (PubMed, Scopus, LILACS, Embase, Web of Science, ProQuest, and Google Scholar) to retrieve observational studies that evaluated the prevalence of TDIs. The risk of bias was assessed using the JBI Critical Appraisal Tools. Meta-analyses were also conducted using odds ratios (ORs) and 95% confidence intervals (CIs). The certainty of evidence was evaluated using the GRADE approach. RESULTS Out of 7,424 records, seventeen articles were included (n = 18,806 children and adolescents aged between 0 and 19 years). Only two studies had a low risk of bias. Children and adolescents from nonnuclear families were more likely to suffer from TDIs (OR: 1.39; 95% CI: 1.17; 1.66). On the other hand, the level of social vulnerability did not show a positive association with TDIs (OR - 1.21; 95% CI: 1.00; 1.47). The GRADE approach assessed the certainty of evidence as low. CONCLUSION Despite the uncertainty of the evidence, children and adolescents from nonnuclear families are more likely to have TDIs than are those from nuclear families. On the other hand, social vulnerability does not seem to be associated with episodes of TDIs in children and adolescents. CLINICAL RELEVANCE Through knowledge of the risk factors for TDIs, it is possible to develop public policies for their prevention.
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Affiliation(s)
- Cecília Guerra
- Department of Dentistry, Universidade Federal de Sergipe - UFS, Aracaju, SE, Brazil
| | - Arian Braido
- Department of Restorative Dentistry, Endodontics Division, School of Dentistry of Piracicaba, Universidade Estadual de Campinas - UNICAMP, Piracicaba, SP, Brazil
| | | | | | - Adriana de-Jesus-Soares
- Department of Restorative Dentistry, Endodontics Division, School of Dentistry of Piracicaba, Universidade Estadual de Campinas - UNICAMP, Piracicaba, SP, Brazil
| | - Walbert A Vieira
- Department of Dentistry, Centro Universitário das Faculdades Associadas de Ensino - UNIFAE, Sāo Joāo da Boa Vista, Sāo Paulo, Brazil.
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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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Abstract
OBJECTIVE To evaluate the Social Vulnerability Index (SVI) as a predictor of long-term outcomes after injury. BACKGROUND The SVI is a measure used in emergency preparedness to identify need for resources in the event of a disaster or hazardous event, ranking each census tract on 15 demographic/social factors. METHODS Moderate-severely injured adult patients treated at one of three level-1 trauma centers were prospectively followed six to 14 months post-injury. These data were matched at the census tract level with overall SVI percentile rankings. Patients were stratified based on SVI quartiles, with the lowest quartile designated as low SVI, the middle two quartiles as average SVI, and the highest quartile as high SVI. Multivariable adjusted regression models were used to assess whether SVI was associated with long-term outcomes after injury. RESULTS A total of 3,153 patients were included [54% male, mean age 61.6 (SD = 21.6)]. The median overall SVI percentile rank was 35th (IQR: 16th-65th). Compared to low SVI patients, high SVI patients were more likely to have new functional limitations (OR, 1.51; 95% CI, 1.19-1.92), to not have returned to work (OR, 2.01; 95% CI, 1.40-2.89), and to screen positive for PTSD (OR, 1.56; 95% CI, 1.12-2.17). Similar results were obtained when comparing average with low SVI patients, with average SVI patients having significantly worse outcomes. CONCLUSIONS The SVI has potential utility in predicting individuals at higher risk for adverse long-term outcomes after injury. This measure may be a useful needs assessment tool for clinicians and researchers in identifying communities that may benefit most from targeted prevention and intervention efforts.
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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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Prevalence of Dental Trauma and Receipt of Its Treatment among Male School Children in the Eastern Province of Saudi Arabia. ScientificWorldJournal 2020; 2020:7321873. [PMID: 32952454 PMCID: PMC7481994 DOI: 10.1155/2020/7321873] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 08/03/2020] [Accepted: 08/17/2020] [Indexed: 11/18/2022] Open
Abstract
Background Dental trauma is a common dental public health problem, and it affects 20% to 30% of permanent dentition worldwide. Objective To evaluate self-reported dental trauma to permanent anterior teeth and the receipt of dental treatment among male school children. Materials and Methods This cross-sectional study included grade 7 to 9 school children in Dammam/Al-Khobar, the Eastern Province of Saudi Arabia. The participants responded to a pilot-tested self-completion questionnaire which contained questions about experience, types, place, and reasons for dental trauma and the receipt of dental treatment. Bivariate and multiple logistic regression analyses were performed. Results There were 258 students in the study with a mean age of 14.29 ± 1.11 years. Dental trauma was experienced by 39.5% of the participants. Tooth fracture (22.7%) was the most common type of dental trauma followed by tooth displacement (8.7%) and complete tooth removal (8%). The most common reason of dental trauma included fall (9.3%) and accidental hit by some objects (8.9). Home (19.8%), school (5%), and playground (4.2%) were reported as common places of dental trauma. Dental treatment was received by 20.5% of the samples. Most participants visited a dental clinic (10.8%) and used self-care at home (7.2%) after dental trauma. Nearly 4.7% of the participants received dental treatment immediately, 5% on the next day, and 2.7% after a month. Multiple logistic regression analyses showed a significant association of monthly family income (odds ratio = 0.44) with dental trauma (P = 0.008). Conclusion Dental trauma was highly prevalent among school children; however, few of them received care/dental treatment. Participants frequently experienced dental trauma due to a fall in their homes. Preventive measures should be taken to prevent dental trauma, reduce its burden, and improve quality of life.
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Arheiam AA, Elareibi I, Elatrash A, Baker SR. Prevalence and factors associated with traumatic dental injuries among schoolchildren in war-torn Libya. Dent Traumatol 2019; 36:185-191. [PMID: 31743570 DOI: 10.1111/edt.12529] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 11/14/2019] [Accepted: 11/16/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIMS No previous epidemiological study has investigated the prevalence and associated factors of traumatic dental injuries (TDIs) among Libyan children. Such information is required for the planning and evaluation of health services. The aim of this study was to assess the prevalence of TDIs and associated factors among 12-year-old schoolchildren in Benghazi, Libya. METHODS Data for this study were collected as part of a comprehensive, cross-sectional survey investigating oral health status and treatment needs of 12-year-old schoolchildren in Benghazi, Libya, between December 2016 and May 2017. Sociodemographic information was collected through a dental health questionnaire. The children were assessed for oral health status, including TDIs according to modified World Health Organization (WHO) classification criteria, in their classroom by trained and calibrated examiners. Anthropometric measures, lip competence and overjet were all assessed and reported. History of TDIs was sought among those affected. Logistic regression models were applied for TDIs as an outcome variable. The statistical significance for all tests was ≤0.05. RESULTS Data from 1134 participants were included in this study. TDIs were observed in 10.3% of the sample. Most of these TDIs were enamel fractures only (55.6%) and enamel and dentine fractures (35.9%). "Falling" was the most common cause of TDIs, accounting for 51% of cases. While increased overjet appeared to be associated with higher risk of TDIs (OR: 1.92; 95% CI: 1.29-2.86), being female (OR: 0.34; 95% CI: 0.22-0.53) and overweight (OR: 0.33; 95% CI: 0.13-0.83) were also associated with lower risk of having TDIs. CONCLUSIONS This survey showed that a considerable proportion (10.3%) of 12-year-old Libyan children had TDIs, with relatively high unmet treatment needs. More efforts are required to develop effective prevention programmes and to enhance the provision of dental treatment of TDIs for Libyan children.
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Affiliation(s)
- Arheiam A Arheiam
- Department of Paediatric, Community, and Preventive Dentistry, Faculty of Dentistry, University of Benghazi, Benghazi, Libya.,Department of community oral health and clinical prevention, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Iman Elareibi
- Department of Paediatric, Community, and Preventive Dentistry, Faculty of Dentistry, University of Benghazi, Benghazi, Libya
| | - Aymen Elatrash
- Department of Oral Surgery, Faculty of Dentistry, University of Benghazi, Benghazi, Libya
| | - Sarah R Baker
- Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
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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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Martins LP, Bittencourt JM, Bendo CB, Vale MP, Paiva SM. Malocclusion and social vulnerability: a representative study with adolescents from Belo Horizonte, Brazil. CIENCIA & SAUDE COLETIVA 2019; 24:393-400. [PMID: 30726372 DOI: 10.1590/1413-81232018242.33082016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Accepted: 03/18/2017] [Indexed: 11/21/2022] Open
Abstract
Malocclusion is public health problem because of its high prevalence, treatment possibility, and impact on the individual's quality of life. This article aims to determining the prevalence of malocclusion in adolescents and to test its association with social vulnerability. A representative transversal study was performed with 1612 adolescents aged between 11 and 14 years old who came from public and private schools in Belo Horizonte, Brazil. The adolescents were examined by three calibrated examiners for diagnosis of malocclusion, using the Dental Aesthetic Index. The Social Vulnerability Index from Belo Horizonte was used to determine the degree of social vulnerability from adolescents. The data were analyzed using Poisson regression with robust variance (p<0,05). Most adolescents presented absence/minor malocclusion (68.7%). Dental crowding was diagnosed in 51.9% from the sample, diastema in 23.7%, anterior open bite in 7.6 %. Malocclusion was associated with social vulnerability (PR=1.25;95% CI=1.01-1.55). Dental crowding was the most prevalent type of malocclusion. The more socially vulnerable adolescents had worse indicators of malocclusion.
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Affiliation(s)
- Letícia Pereira Martins
- Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | - Jéssica Madeira Bittencourt
- Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | - Cristiane Baccin Bendo
- Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | - Miriam Pimenta Vale
- Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | - Saul Martins Paiva
- Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
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Bittencourt JM, Martins LP, Bendo CB, Vale MP, Paiva SM. Negative effect of malocclusion on the emotional and social well-being of Brazilian adolescents: a population-based study. Eur J Orthod 2019; 39:628-633. [PMID: 28371848 DOI: 10.1093/ejo/cjx020] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Background/objectives The aesthetic impact of malocclusion can have negative repercussions on quality of life, social interaction, interpersonal relationships, and psychological well-being. The aim of this study was to evaluate the impact of malocclusion on the quality of life of Brazilian adolescents. Methods A representative cross-sectional study of 1612 adolescents from Belo Horizonte, Minas Gerais was conducted. The adolescents responded to the Brazilian version of the Child Perception Questionnaire (CPQ11-14-ISF:16) to assess the impact of the condition on quality of life. Cases of malocclusion were diagnosed using the Dental Aesthetic Index while clinical examination was performed by three calibrated examiners. Data regarding traumatic dental injuries, dental caries, gender, type of school, age and social vulnerability was collected. Data analysis was performed using bivariate and multivariate Poisson regression with robust variance (P < 0.05). Results The prevalence of malocclusion was 31.3%. The presence of definite malocclusion (PR = 1.28; CI = 1.13-1.45), severe malocclusion (PR = 1.24; CI = 1.04-1.47) and handicapping malocclusion (PR = 1.55; CI = 1.31-1.84) was associated with a greater negative impact on Emotional Well-Being. The presence of definite malocclusion (PR = 1.18; CI = 1.02-1.36), severe malocclusion (PR = 1.46; CI = 1.21-1.76) and handicapping malocclusion (PR = 1.61; CI = 1.35-1.94) was also associated with a greater negative impact on Social Well-Being. Conclusions Adolescents with handicapping malocclusion, where the need for treatment was mandatory, suffered from a greater negative impact on quality of life, with emotional and social aspects most affected.
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Affiliation(s)
- Jéssica Madeira Bittencourt
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Letícia Pereira Martins
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Cristiane Baccin Bendo
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Miriam Pimenta Vale
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Saul Martins Paiva
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
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Soares TRC, Magno MB, Jural LA, Loureiro JM, Chianca TK, de Andrade Risso P, Maia LC. Risk factors for traumatic dental injuries in the Brazilian population: A critical review. Dent Traumatol 2018; 34:445-454. [PMID: 30207628 DOI: 10.1111/edt.12439] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 09/04/2018] [Accepted: 09/05/2018] [Indexed: 12/14/2022]
Abstract
BACKGROUND/AIMS Strategies for the prevention of traumatic dental injuries (TDI) should consider the risk factors involved for each population studied. The aim of this study was to perform a critical review regarding the risk factors for TDI in the Brazilian population. MATERIALS AND METHODS A systematic literature search was performed in the MEDLINE, Scopus, Web of Science, Lilacs, and BBO databases using MeSH terms, synonyms, and keywords, with no language or date restrictions. In the first step, all relevant studies identified, regardless of the type of statistical analysis performed, were grouped according to their geographic location. In a second step, the studies using Andreasen's criteria to classify the injuries and multivariate analysis to identify the risk factors for TDI in Brazilian subjects were included for data extraction. RESULTS The search strategy initially identified 3373 articles. However, only 108 articles assessed TDI with predisposing factors and were included in the first step. From those, 28 were deemed eligible for inclusion in the second step. No consensus related to the relationship between gender and TDI in the primary dentition was achieved. Nonetheless, males were found to be more prone to trauma in the permanent dentition. Overjet, inadequate lip sealing and anterior open bite increased the risk for TDI, both in primary and permanent dentitions. Social environment was related to trauma only in primary dentition. For permanent dentition, dental caries, obesity, binge drinking, and drug use were identified as considerable risk factors for TDI. CONCLUSION The risk factors for TDI in the Brazilian population are similar to those found worldwide. However, some differences can be observed, such as gender and socioeconomic indicators as predisposing factors.
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Affiliation(s)
- Thais Rodrigues Campos Soares
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Marcela Baraúna Magno
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Lucas Alves Jural
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Jessica Muniz Loureiro
- Department of Dental Clinic, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Thomaz Kauark Chianca
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Patrícia de Andrade Risso
- Department of Dental Clinic, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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Wang XM, Su XL, Wang H, Liu F, Zhao YP, Guo QY. [Prevalence survey of dental trauma to immature permanent teeth in Xi'an schoolchildren]. HUA XI KOU QIANG YI XUE ZA ZHI = HUAXI KOUQIANG YIXUE ZAZHI = WEST CHINA JOURNAL OF STOMATOLOGY 2018; 36:194-198. [PMID: 29779283 DOI: 10.7518/hxkq.2018.02.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJECTIVE The prevalence rate, distribution, and reasons of immature permanent-tooth trauma in Xi'an were investigated and described, and a scientific basis was provided for the decision-making of health-administration departments. METHODS Through cluster and simple random sampling survey, 4 013 pupils in schools from nine districts and four counties in Xi'an were sampled. All pupils and their parents were requested to complete a questionnaire. Oral examinations were conducted for children who had immature permanent teeth trauma. The number of trauma teeth and teeth were recorded. Survey data were analyzed statistically. RESULTS The prevalence rate of immature permanent dental trauma was 10.5% in Xi'an. No significant differences were observed between districts and counties (P>0.05). The peak age of permanent dental trauma was at 7-9 years old, and the most was at 8 years old (31.5%). The first reason of trauma was falling down (50.9%), and the second reason was crash (36.0%). The most common trauma teeth were maxillary incisors (75.4%). CONCLUSIONS The prevalence rate of immature permanent teeth trauma in Xi'an was in the middle of all international levels. Children, who are vulnerable to dental trauma at their age, should be provided with appropriate prevention measures to reduce the incidence of dental trauma.
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Affiliation(s)
- Xiao-Min Wang
- Clinical Research Center of Shanxi Province for Dental and Maxillofacial Diseases, Dept. of Pediatric Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, China
| | - Xue-Long Su
- Clinical Research Center of Shanxi Province for Dental and Maxillofacial Diseases, Dept. of Pediatric Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, China
| | - Hong Wang
- Clinical Research Center of Shanxi Province for Dental and Maxillofacial Diseases, Dept. of Pediatric Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, China
| | - Fei Liu
- Clinical Research Center of Shanxi Province for Dental and Maxillofacial Diseases, Dept. of Pediatric Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, China
| | - Ya-Ping Zhao
- Clinical Research Center of Shanxi Province for Dental and Maxillofacial Diseases, Dept. of Pediatric Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, China
| | - Qing-Yu Guo
- Clinical Research Center of Shanxi Province for Dental and Maxillofacial Diseases, Dept. of Pediatric Dentistry, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, China
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Mesquita GC, Soares PBF, Moura CCG, Roscoe MG, Paiva SM, Soares CJ. A 12-Year Retrospective Study of Avulsion Cases in a Public Brazilian Dental Trauma Service. Braz Dent J 2017; 28:749-756. [DOI: 10.1590/0103-6440201701610] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Accepted: 05/23/2017] [Indexed: 11/22/2022] Open
Abstract
Abstract This study assessed the epidemiological characteristics and management of the permanent teeth avulsion cases attended in a Brazilian dental trauma service from December 2005 to August 2016. A retrospective study was conducted of case records of 93 patients involving 139 avulsed teeth. Data included sex, age, trauma etiology, location of the accident, number and position of avulsed teeth, and presence and type of associated traumatic lesions. Management of the avulsed teeth was addressed as: time elapsed until teeth were retrieved from the accident’s location; teeth’s cleaning method and storage media; time elapsed until seeking treatment and replantation. The majority of the patients were children from 6-10 (31.2%) and 11-15 years old (26.9%). Male patients were more affected than female. Bicycle accident was the main etiological factor (31.2%). In 56 (60.2%) cases, traumatic lesions to neighboring teeth were present. In 55 (59.1%) cases, lesions to adjacent soft tissues were reported. In 82 (88.2%) cases, patients requested treatment at the same day of the accident. Sixty-four teeth (46.0%) were immediately retrieved and 28 (20.1%) were not found. Forty-two teeth (30.2%) were kept dry. Only one tooth (0.7%) was immediately replanted at the accident’s site, while 51 teeth (36.7%) were not replanted. Numerous avulsed teeth were inappropriately managed and immediate replantation was not frequent. Public policies must be created to raise awareness towards the particularities of avulsion cases.
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Schumann LRMA, Schumann LA, Moura LBA. Vulnerability synthetic indices: a literature integrative review. CIENCIA & SAUDE COLETIVA 2017; 20:2105-20. [PMID: 26132249 DOI: 10.1590/1413-81232015207.10742014] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2014] [Accepted: 09/13/2014] [Indexed: 11/21/2022] Open
Abstract
The concept of vulnerability is delimited by dynamic social and multigenerational processes involving at least three dimensions: exposure to risk trajectories, internal and external capabilities of reaction and possibilities of adaptation based on both the intensity of risk and the resilience of people. In order to identify and describe the synthetic indices of vulnerability, there was an integrative literature review. We consulted free access articles indexed in the following databases: BioMed, Bireme, PubMed, Reldalyc, SciELO and Web of Science; and we used controlled descriptors in English and Portuguese for all time slots available with selection and analysis of 47 studies that reported results of 23 synthetic indices of vulnerability. The results showed that the synthetic indices of vulnerability address four themes: social determinants of health; environmental and climatic conditions; family and course of life; territories and specific geographic areas. It was concluded that the definition of the components and indicators, as well as the methodologies adopted for the construction of synthetic indices need to be evaluated by means of the limitations and advantages of reporting the vulnerability through summary measures in policy formulation and decision-making aimed at human development.
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Blokland A, Watt RG, Tsakos G, Heilmann A. Traumatic dental injuries and socioeconomic position - findings from the Children's Dental Health Survey 2013. Community Dent Oral Epidemiol 2016; 44:586-591. [DOI: 10.1111/cdoe.12252] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2016] [Accepted: 07/19/2016] [Indexed: 11/25/2022]
Affiliation(s)
- Alex Blokland
- Department of Epidemiology and Public Health; University College London; London UK
| | - Richard G. Watt
- Department of Epidemiology and Public Health; University College London; London UK
| | - Georgios Tsakos
- Department of Epidemiology and Public Health; University College London; London UK
| | - Anja Heilmann
- Department of Epidemiology and Public Health; University College London; London UK
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Mathur MR, Watt RG, Millett CJ, Parmar P, Tsakos G. Determinants of Socioeconomic Inequalities in Traumatic Dental Injuries among Urban Indian Adolescents. PLoS One 2015; 10:e0140860. [PMID: 26479873 PMCID: PMC4610674 DOI: 10.1371/journal.pone.0140860] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Accepted: 10/01/2015] [Indexed: 11/13/2022] Open
Abstract
Objectives To assess socioeconomic inequalities in traumatic dental injuries (TDIs) in adolescents in New Delhi and examine the role of material, psychosocial and behavioural factors in explaining these inequalities. Methods We conducted a cross sectional study of 1386 adolescents aged between 12–15 years residing in three diverse areas of New Delhi. A non-invasive clinical examination was used to estimate the prevalence of TDIs, and an interviewer-administered questionnaire was used to gather relevant behavioural and socio-demographic data. Multiple logistic regression models were used to assess the association between area based socioeconomic position and TDIs. Results The overall prevalence of TDIs was 10.9%. Social inequalities in the prevalence of TDIs were observed across the adolescent population according to their area of residence. Socio-economic group differences in the prevalence of TDIs remained statistically significant after adjusting for demographic factors, material resources, social capital, social support and health affecting behaviours (OR 3.36, 95% CI 1.75–6.46 and OR 3.99, 95% CI 1.86–8.56 for adolescents from resettlement areas and urban slums respectively in comparison to middle class adolescents). Different psychosocial, material and socio-demographic variables did not attenuate the estimates for the relationship between area socioeconomic position and TDIs. Conclusion Area of residence was a strong predictor of TDIs in adolescents with a higher prevalence in more deprived areas. Social inequalities in TDIs were not explained by psychosocial and behavioural variables. Health promoting policies aimed at improving the physical environment in which adolescents reside might be instrumental in reducing the prevalence of TDIs and associated inequalities.
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Affiliation(s)
- Manu Raj Mathur
- Department of Dental Public Health, Public Health Foundation of India, Gurgaon, Haryana, India
- * E-mail:
| | - Richard G. Watt
- Department of Epidemiology and Public Health, University College London, London, United Kingdom
| | - Christopher J. Millett
- Department of Primary Care and Public Health, Imperial College London, London, United Kingdom
| | - Priyanka Parmar
- Department of Dental Public Health, Public Health Foundation of India, Gurgaon, Haryana, India
| | - Georgios Tsakos
- Department of Epidemiology and Public Health, University College London, London, United Kingdom
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Freire-Maia FB, Auad SM, de Abreu MHNG, Sardenberg F, Martins MT, Paiva SM, Pordeus IA, Vale MP. Oral Health-Related Quality of Life and Traumatic Dental Injuries in Young Permanent Incisors in Brazilian Schoolchildren: A Multilevel Approach. PLoS One 2015; 10:e0135369. [PMID: 26287386 PMCID: PMC4545601 DOI: 10.1371/journal.pone.0135369] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2014] [Accepted: 07/21/2015] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND Traumatic dental injury (TDI) during childhood may negatively impact the quality of life of children. OBJECTIVE To describe the association of oral health-related quality of life (OHRQoL) and domains (oral symptons, functional limitation, emotional- and social-well-being) of children with individual and contextual variables. METHODS A cross-sectional study was performed using a representative sample of 1,201 schoolchildren, 8-10 years-old, from public and private schools of Belo Horizonte, Brazil. The CPQ8-10 was used to assess OHRQoL, dichotomized in low and high impact. Sociodemographic information was collected through questionnaires to parents. Children were examined at schools, using the Andreasen criteria. Individual variables were gender, age, number of residents in home, parents/caregivers' level of education, family income, and TDI (dichotomized into without trauma/mild trauma and severe trauma). Dental caries and malocclusion were considered co-variables. Contextual variables were the Social Vulnerability Index and type of school. Ethical approval and consent forms were obtained. Data were analyzed using SPSS for Windows 19.0 and HLM 6.06, including frequency distribution, chi-squared test and multilevel approach (p < 0.05). RESULTS The prevalence of a negative impact on OHRQoL in children with severe trauma was 55.9%. The TDI negatively impacted emotional and social domains of OHRQoL. A multilevel analysis revealed a significant difference in OHRQoL according to the type of school and showed that 16% of the total variance was due to contextual characteristics (p < 0.001; ICC = 0.16). The negative impact on OHRQoL was higher in girls (p = 0.009), younger children (p = 0.023), with severe TDI (p = 0.014), those from public schools (p = 0.017) and whose parents had a lower education level (p = 0.001). CONCLUSION Severe trauma impacts OHRQoL on emotional and social domains. Contextual dimensions add information to individual variability to explain higher impact, emphasizing socioeconomic inequalities.
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Affiliation(s)
- Fernanda Bartolomeo Freire-Maia
- Department of Paediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- * E-mail:
| | - Sheyla Márcia Auad
- Department of Paediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | | | - Fernanda Sardenberg
- Department of Paediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Milene Torres Martins
- Department of Paediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Saul Martins Paiva
- Department of Paediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Isabela Almeida Pordeus
- Department of Paediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Míriam Pimenta Vale
- Department of Paediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Abstract
Um dos exercícios teóricos da Saúde Pública diz respeito à necessária e contínua tarefa de se discutirem os conceitos nos quais se ancoram suas práticas. Uma análise crítica sobre os usos do conceito de vulnerabilidade em saúde, com base em uma revisão sistemática, serve de suporte para uma discussão sobre seu conteúdo, alcances e limites, no sentido de fortalecer a potencialidade teórica e prática do conceito e o diálogo entre as distintas áreas de conhecimento implicadas. O conceito de vulnerabilidade apresenta alta capacidade heurística e aplicação diferenciada. Neste artigo, ele é caracterizado com base em complexos processos de fragilização biossocial que exprimem, de maneira inextrincável, valores biológicos, existenciais e sociais. Esta perspectiva considera vulnerabilidade como dimensão ontológica constitutiva e constituinte da vida humana, que reclama distintos e complexos sistemas de segurança.
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Bendo CB, Paiva SM, Abreu MH, Figueiredo LD, Vale MP. Impact of traumatic dental injuries among adolescents on family's quality of life: a population-based study. Int J Paediatr Dent 2014; 24:387-96. [PMID: 24308549 DOI: 10.1111/ipd.12083] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
AIM To evaluate the impact of traumatic dental injury (TDI) among Brazilian adolescents on their families' quality of life (QoL). DESIGN A cross-sectional study was carried out with a population-based sample of 1122 schoolchildren aged 11-14 years selected using a multistage sampling procedure. Parents/caregivers answered the Brazilian version of the 14-item Family Impact Scale (B-FIS) to assess the impact on family's QoL. The main independent variable was TDI, which was diagnosed using the Andreasen classification. Malocclusion, dental caries, gender and socio-economic classification were the other independent variables. Poisson regression analyses were carried out (P<0.05). RESULTS The prevalence of TDI was 14.8%. The multivariate model demonstrated that families of adolescents diagnosed with fracture involving the dentine or dentine/pulp were more likely to report a negative impact on the overall B-FIS score [rate ratio (RR)=1.44; 95% confidence interval (CI): 1.10-1.88] as well on the Parental/Family Activity (RR=1.45; 95% CI: 1.09-1.94), Parental Emotions (RR=1.45; 95% CI: 1.03-2.04) and Family Conflict (RR=1.46; 95% CI: 1.01-2.11) subscales in comparison with those who had no signs of TDI. CONCLUSIONS Families of adolescents with more severe TDI were more likely to report a negative impact on QoL, affecting family activities and emotions, which can result in family conflicts.
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Affiliation(s)
- Cristiane B Bendo
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
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