Prevalence of traumatic dental injuries and its association with binge drinking among 12‐year‐olds: a population‐based study

Section: Discussionsupporting

confidence: 90%

Traumatic dental injuries in Brazilian children and oral health‐related quality of life

Silva-Oliveira

Goursand²,

Ferreira

et al. 2017

“…As for epidemiologic studies, among the 631 titles and abstracts screened, 229 full texts were potentially eligible and 77 of them were excluded for various reasons, thus leaving 152 primary studies (Figure ). Of these, 102 studies were considered for TDI prevalence to permanent teeth (Unpublished Material 2), 46 for TDI prevalence to primary teeth (Unpublished Material 3), 42 for TDI prevalence among 12‐year‐old children…”

Section: Resultsmentioning

confidence: 99%

World traumatic dental injury prevalence and incidence, a meta‐analysis—One billion living people have had traumatic dental injuries

Petti¹,

Glendor

Andersson

2018

382

329

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.

“…Many risk factors are related to TDI, which has a complex causal network that encompasses individual characteristics as well as environmental (both physical and social) aspects. Accentuated overjet is among the most widely studied predisposing factors and has a confirmed associated with TDI, which was corroborated by the results of the present investigation. A taller height is another risk factor reported for the occurrence of TDI .…”

Section: Discussionmentioning

confidence: 97%

The association of childhood sleep problems with the prevalence of traumatic dental injury in schoolchildren

Todero

Cavalcante-Leão

Fraiz

et al. 2018

Background/Aim Sleep quality exerts an influence on attention level and motor skills and is associated with accidental injuries in children. The aim of this study was to evaluate the association between traumatic dental injury and sleep behaviour in children. Material and Methods A cross‐sectional study was conducted in a small city in southern Brazil with a representative sample of schoolchildren aged 8‐10 years (n = 537). Weight and height were measured, and examinations were performed for the determination of clinical occlusion and traumatic dental injury. The parents answered the Sleep Behaviour Questionnaire and questions addressing socio‐demographic characteristics. Results The prevalence of traumatic dental injury was 22% (95% CI: 19‐26) and was higher among children who woke three to four times per night (PR = 3.30; 95% CI: 2.47‐4.39), those who fell asleep in the parental bed (PR = 1.41; 95% CI: 1.09‐1.83), those who were not in a good mood on waking up in the morning (PR = 1.30; 95% CI: 1.02‐1.65), those who became sleepy while sitting and/or studying (PR = 1.57; 95% CI: 1.09‐2.24) and while watching TV (PR = 1.41; 95% CI: 1.0005‐1.97) and those who had bad dreams (PR = 1.35; 95% CI: 1.04‐1.76). The Poisson multiple regression model with a multilevel approach revealed that the prevalence of traumatic dental injury was 1.51‐fold higher among children with daytime drowsiness (PR = 1.51; 95% CI: 1.11‐2.04) after adjusting for socio‐demographic, occlusal and anthropometric variables. Conclusion Sleep problems were associated with a higher prevalence of traumatic dental injury among the children analysed.