Predisposing Factors for Traumatic Dental Injury in Primary Teeth and Seeking of Post-trauma Care

Siqueira, Maria Betânia Lins Dantas; Gomes, Monalisa Cesarino; Oliveira, Ana Cristina; Martins, Carolina Castro; Granville-Garcia, Ana Flávia; Paiva, Saul Martins

doi:10.1590/0103-6440201302352

Cited by 45 publications

(77 citation statements)

References 16 publications

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“…After the screening procedure, 26 papers remained. Of these, nine papers were excluded for various reasons, thus leaving seventeen primary studies for the meta‐analysis. The paper of Peerhentupa et al.…”

Section: Resultsmentioning

confidence: 99%

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Are overweight/obese children at risk of traumatic dental injuries? A meta‐analysis of observational studies

Corrêa‐Faria

Petti

2015

Dental Traumatology

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-Background/aim: Observational studies which investigated the association between overweight/obesity and traumatic dental injuries (TDI) reported contrasting results. Thus, this meta-analysis was designed to investigate such an association with the highest possible levels of internal and external validities. Material and methods: A comprehensive literature search was performed through PubMed, ISI Web of Science, Cochrane Library, Scopus, Google scholar to ensure generalizability. Eligible studies reported clear case and control definitions, exposure assessment. Where possible, odds ratio (OR) adjusted for covariates was extracted. Study quality was assessed through Newcastle-Ottawa Scale (NOS). Only fair-togood quality studies with NOS scores ≥4 were selected. The method to assess the pooled OR was based on the level of between-study heterogeneity, estimated through the Cochran's Q. Reliability of the pooled OR was improved by controlling for publication bias, sensitivity analysis to study inclusion, and subgroup analyses according to tooth type (permanent vs primary teeth) and country where the study was performed (Brazilian studies vs studies from other countries). Results: Seventeen studies were selected from America, Asia, and Europe, their NOS scores ranged between 4 and 8. Overall, there were almost 28 000 patients, 7400 of them with TDI. The level of publication bias was minimal, and no adjustment was necessary. Between-study heterogeneity was high, and the randomeffects method was used to assess the pooled OR, which resulted 1.30 (95% confidence interval, 1.11-1.53; P < 0.05). Sensitivity and subgroup analyses corroborated this estimate. Conclusion: The choice to increase internal and external validity levels decreased the precision of the pooled OR (i.e., confidence intervals were relatively wide). The statistically significant overweight/obesity-TDI association, together with the so-called counterfactual condition (i.e., TDI prevalence was higher among overweight/ obese children than among lean children), suggests that causal association between these two conditions is plausible.

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Section: Resultsmentioning

confidence: 99%

“…, and self‐reported TDI (Table ). The majority of studies included overweight and obese subjects in the exposed group , three studies included obese subjects only , while three studies merged obese/overweight subjects with normal‐weight subjects who were close to the overweight threshold .…”

Section: Resultsmentioning

confidence: 99%

Are overweight/obese children at risk of traumatic dental injuries? A meta‐analysis of observational studies

Corrêa‐Faria

Petti

2015

Dental Traumatology

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“…There is a general consensus that older children have a greater likelihood of exhibiting TDI . The few studies that did not report significant differences among ages examined samples with a very small age range . However, rather than demonstrating that an older age represents greater risk, this information demonstrates that TDI is a cumulative outcome.…”

Section: Factors Associated With Tdi In the Primary Dentitionmentioning

confidence: 95%

“…A recent systematic review including children, adolescents, and adults concluded that accentuated overjet accounts for 22% of TDIs worldwide . Indeed, accentuated overjet is the most commonly identified risk/associated factor in the primary dentition (). Studies also report that inadequate lip seal and open bite are risk factors, as children with these conditions are more exposed to fractures and displacements in cases of falls and collisions .…”

Section: Factors Associated With Tdi In the Primary Dentitionmentioning

confidence: 99%

Risk factors for traumatic dental injuries in the primary dentition: concepts, interpretation, and evidence

Feldens

Borges

Vargas‐Ferreira

et al. 2016

Dental Traumatology

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The purpose of this comprehensive review is to explore the main concepts related to quantification and interpretation of risk factors and investigate characteristics associated with traumatic dental injuries (TDI) in the primary dentition. Initially, the main concepts related to causality and risk factors were summarized, including how to measure, express, and compare risk as well as interpret statistical significance. Based on a structured search through PubMed, original research articles regarding TDI and associated factors in the primary dentition were then reviewed by two examiners. Studies with a sample size of at least 300 children aged between 0 and 6 years were summarized according to journal, country, study design, and type of statistical analysis. Variables associated with TDI in primary teeth were identified from studies with multivariable analysis. Measures of effect size and P values were presented. Thirty-two studies were retrieved: most were cross-sectional in design and only 17 (53.1%) performed multivariable analysis. Most investigations did not find an association between gender and socioeconomic variables with TDI. Increased overjet was the only factor consistently identified as an associated factor. Behavioral characteristics have been recently investigated and suggested as potential risk factors for TDI in the primary dentition. In conclusion, increased overjet is undoubtedly associated with TDI in the primary dentition. As behavioral factors may be targeted by preventive strategies, their role on TDI occurrence should be clarified in future cohort studies. Clinicians should understand the terms and measures described in studies on risk factors to properly apply knowledge and benefit patients.

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“…Recent studies carried out in Brazil have shown high prevalence rates of adverse oral conditions, especially in areas with social inequalities, such as the area in which the present study was conducted [10-12]. …”

Section: Introductionmentioning

confidence: 99%

Impact of oral health conditions on the quality of life of preschool children and their families: a cross-sectional study

Gomes

Pinto-Sarmento

Costa

et al. 2014

Health Qual Life Outcomes

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BackgroundDental caries, traumatic dental injury (TDI) and malocclusion are common oral health conditions among preschool children and can have both physical and psychosocial consequences. Thus, it is important to measure the impact these on the oral health-related quality of life (OHRQoL) of children. The aim of the present study was to assess the impact of oral health conditions on the OHRQoL of preschool children and their families.MethodsA preschool-based, cross-sectional study was carried out with 843 preschool children in the city of Campina Grande, Brazil. Parents/caregivers answered the Brazilian Early Childhood Oral Health Impact Scale and a questionnaire addressing socio-demographic data as well as the parent’s/caregiver’s perceptions regarding their child’s health. Clinical exams were performed by three researchers who had undergone a calibration process for the diagnosis of dental caries, TDI and malocclusion (K = 0.83-0.85). Hierarchical Poisson regression was employed to determine the strength of associations between oral health conditions and OHRQoL (α = 5%). The multivariate model was run on three levels obeying a hierarchical approach from distal to proximal determinants: 1) socio-demographic data; 2) perceptions of health; and 3) oral health conditions.ResultsThe prevalence of impact from oral health conditions on OHRQoL was 32.1% among the children and 26.2% among the families. The following variables were significantly associated with a impact on OHRQoL among the children: birth order of child (PR = 1.430; 95% CI: 1.045-1.958), parent’s/caregiver’s perception of child’s oral health as poor (PR = 1.732; 95% CI: 1.399-2.145), cavitated lesions (PR = 2.596; 95% CI: 1.982-3.400) and TDI (PR = 1.413; 95% CI: 1.161-1.718). The following variables were significantly associated with a impact on OHRQoL among the families: parent’s/caregiver’s perception of child’s oral health as poor (PR = 2.116; 95% CI: 1.624-2.757), cavitated lesions (PR = 2.809; 95% CI: 2.009-3.926) and type of TDI (PR = 2.448; 95% CI: 1.288-4.653).ConclusionCavitated lesions and TDI exerted a impact on OHRQoL of the preschool children and their families. Parents’/caregivers’ perception of their child’s oral health as poor and the birth order of the child were predictors of a greater impact on OHRQoL.

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Predisposing Factors for Traumatic Dental Injury in Primary Teeth and Seeking of Post-trauma Care

Cited by 45 publications

References 16 publications

Are overweight/obese children at risk of traumatic dental injuries? A meta‐analysis of observational studies

Are overweight/obese children at risk of traumatic dental injuries? A meta‐analysis of observational studies

Risk factors for traumatic dental injuries in the primary dentition: concepts, interpretation, and evidence

Impact of oral health conditions on the quality of life of preschool children and their families: a cross-sectional study

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