Impact of traumatic dental injuries on quality of life in preschoolers and schoolchildren: A systematic review and meta‐analysis

Abstract

Objectives: Traumatic dental injuries (TDIs) in childhood and adolescence are a potential public health problem given their prevalence and consequences. The aim of this study was to assess the impact of TDIs on the oral health-related quality of life (OHRQoL) of preschoolers and schoolchildren, by synthesizing the available evidence.Methods: A systematic search was conducted in MEDLINE, EMBASE, Cochrane, ScieLo and Lilacs databases since January 1966 until March 2016. The included studies compared OHRQoL between groups with and without TDIs, using validated instruments. The selection process and data extraction were carried out by two researchers independently. A third reviewer resolved discrepancies. Methodological quality was assessed with the Effective Public Health Practice Project's Quality Assessment Tool. Meta-analyses were performed using random effect models, separately for preschoolers and schoolchildren.Results: Of 213 identified articles, 26 studies (involving a total of 4582 patients and 13 601 controls between the ages of 1 and 15 years) met the inclusion criteria.Most of the studies had been published in the last 5 years, and their methodological quality was judged to be moderate. The TDIs group had a significantly higher chance of reporting any impact on OHRQoL than controls for both preschoolers (OR = 1.44; 95% confidence interval [CI]: 1.28-1.63; I 2 = 0%) and schoolchildren (OR = 1.31; 95% CI: 1.04-1.66; I 2 = 70%). In preschoolers, the OR for OHRQoL impact for complicated vs uncomplicated TDIs was 1.53 (95% CI: 1.04-2.26;The social domain was the most affected one in schoolchildren (standard mean difference = 0.34; 95% CI: 0.13, 0.55; I 2 = 68%). Conclusion:Traumatic dental injuries have a negative impact on OHRQoL of both preschoolers and schoolchildren. Outcome standardization to measure OHRQoL impact, such as mean score differences and cut-off points, is needed. Prospective cohort studies are recommended to confirm these findings and to understand how TDIs' impact changes with time. K E Y W O R D Sadolescent, child, preschool, quality of life, tooth injury

Oral and cranio‐maxillofacial trauma in children and adolescents in an emergency setting at a Brazilian hospital

“…Knowledge of epidemiologic factors for cranio‐maxillofacial trauma is essential in order to establish appropriate clinical management plans. Moreover, retrospective surveys with representative samples provide important information regarding oral disease status, hence contributing to the development of public health policies for the target population . Therefore, the aim of this study was to perform a case‐by‐case evaluation of oral and cranio‐maxillofacial trauma in individuals aged 0 to 18 years presenting to an emergency‐based hospital setting in Brazil.…”

“…Moreover, retrospective surveys with representative samples provide important information regarding oral disease status, hence contributing to the development of public health policies for the target population. [16][17][18] Therefore, the aim of this study was to perform a case-by-case evaluation of oral and cranio-maxillofacial trauma in individuals aged 0 to 18 years presenting to an emergency-based hospital setting in Brazil. The studied variables were inpatient stay; day of the week on which the trauma occurred; gender; age; etiology of the trauma; region in which the trauma occurred (face, cranium, face, and cranium); anatomic trauma site according to the attached CT reports; tissue affected (soft, hard, soft and hard); dental trauma; associated comorbidities; and whether or not the trauma led to patient death.…”

Dental trauma in social media—Analysis of Facebook content and public engagement

“…With more than 2.2 billion monthly active users, Facebook is the dominant social networking platform. 14,15 Previous studies have demonstrated an inadequate level of public knowledge and awareness with regard to prevention and management of dental trauma. 9 Compared with burden and can impair the quality of life of affected individuals and their families.…”

Impact of crown fracture treatment on oral health‐related quality of life of children, adolescents, and their families: A prospective clinical study

“…These injuries may cause pain, functional and aesthetic impairments, and psychosocial problems, leading to negative effects on the lives of those who have them . Previous studies have been conducted to analyze the impact of TDI on OHRQoL and, according to these investigations, preschool‐aged children as well as children and adolescents (C/As) with untreated TDIs exhibited a higher adverse impact on OHRQoL as compared with those who never suffered a TDI …”