Risk factors for injuries to maxillary permanent incisors and upper lip among schoolchildren in Dar es Salaam, Tanzania

Enamel and dentin fractures without pulp exposure and avulsion were the most common TDI. Gender (female) and age (adolescent) were considered risk factors for the occurrence of avulsion. However, male gender was a risk factor for the occurrence of intrusive luxation. So public health policies and educational programs aimed at prevention need to be developed, and the differences among groups should be respected.

Section: Discussionsupporting

confidence: 91%

Traumatic dental injury in permanent teeth of young patients attended at the federal University of Rio de Janeiro, Brazil

Soares

Risso

Maia

2013

Section: Discussionmentioning

confidence: 99%

“…Adjustment for other factors (socioeconomic status and school year) in the multivariable model did not affect the magnitude of this association, strengthening the role of gender in the occurrence of TDI. Boys frequently engage in contact sports and intense/competitive activities, which increase the risk for accidents (5,(33)(34)(35). Several variables have been used as proxies to try to capture the effect of children and adolescents' socioeconomic status on TDI, including school type (public or private) (10,18,19,23), parents' educations (9,17), income (8,9,19), socioeconomic status (6,36), and housing conditions (21).…”

Section: Discussionmentioning

confidence: 99%

Traumatic dental injury among 12‐year‐old South Brazilian schoolchildren: prevalence, severity, and risk indicators

Damé‐Teixeira

Alves

Susin

et al. 2012

106

– An increasing prevalence of traumatic dental injury (TDI) has been reported in the last few decades. The aim of this study was to assess the prevalence and severity of TDI and its association with socio‐demographics and physical characteristics in the anterior permanent teeth of 12‐year‐old Brazilian schoolchildren. A cross‐sectional study was carried out in a population‐based sample of 1528 subjects attending 33 public and nine private schools (response rate of 83.17%). A single calibrated examiner performed the clinical examinations at the schools and recorded the TDI index (Children’s Dental Health Survey criteria), overjet and lip coverage. Height and weight were measured to calculate the body mass index (BMI). Parents/legal guardians answered a questionnaire containing socio‐demographic questions. The relationships among TDI, socio‐demographic variables and physical characteristics were assessed by survey Poisson regression models. The prevalence of TDI was 34.79% (mild trauma = 24.37%; severe trauma = 10.43%). Male schoolchildren (RR = 1.41, 95% CI = 1.23–1.61, P = 0.002) and schoolchildren from low socioeconomic status (RR = 1.32, 95% CI = 1.07–1.64, P = 0.021) were more likely to present at least one tooth with TDI, whereas students attending 7th grade (advanced students) were less likely to experience TDI (RR = 0.59, 95% CI = 0.43–0.82, P = 0.012). Regarding the severity analysis, students of mid‐high (RR = 1.46, 95% CI = 1.09–1.94, P = 0.022), mid‐low (RR = 1.68, 95% CI = 1.01–2.77, P = 0.045) and low (RR = 1.78, 95% CI = 1.11–2.85, P = 0.027) socioeconomic status were more likely to have mild trauma when compared with schoolchildren of high socioeconomic status. No significant association between severe trauma and socioeconomic status was observed. In conclusion, this study showed a high prevalence of TDI in 12‐year‐old Brazilian schoolchildren. Socio‐demographic data and school achievement were associated with TDI.

“…The important risk factors for dental injuries are gender, incisal overjet, inadequate lip coverage, status of socioeconomic background, obesity, physical and sporting activities (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). The important risk factors for dental injuries are gender, incisal overjet, inadequate lip coverage, status of socioeconomic background, obesity, physical and sporting activities (1)(2)(3)(4)(5)(6)(7)(8)(9)(10).…”

mentioning

confidence: 99%

Traumatic dental injuries in children with attention deficit/hyperactivity disorder

Avşar

Akbaş

Ataibiş

2009

The aim of this study was to assess the frequency and distribution of traumatic injuries in 247 children with attention deficit/hyperactivity disorder (ADHD) who were 7-16 years old and attended the Ondokuz Mayis University Medical Faculty (Department of Child Psychiatry, Samsun, Turkey). Each psychiatric diagnosis was based on criteria from the Diagnostic and Statistical Manual of Mental Disorders (4th edn, Washington, DC: American Psychiatric Association, 1994). Traumatic dental injuries were recorded using the classification of the World Health Organization, which was slightly modified by Andreasen and Andreasen (Textbook and color atlas of traumatic injuries, 3rd edn. Copenhagen, Denmark: Munksgaard; 1994. p. 151). Thirty-two percent (78/247) of the ADHD children presented 103 traumatized teeth. The frequency of dental injuries peaked in children who were 10-12 years of age, and showed no significant difference between subtypes of ADHD or gender. The maxillary central incisors were the most vulnerable to injury, and there were no differences between the right and the left sides in terms of susceptibility. Uncomplicated crown fracture (52.4%) and complicated crown fracture (16.6%) were the most commonly encountered types of injury. The main causes of dental injury were falls, collisions with objects, violence, and traffic accidents, and there was no difference in the frequencies of these causes between subtypes of ADHD, age, or gender. Only 5.1% (4/78) of the ADHD children sought treatment within the first 24 h of the injury. In conclusion, children with ADHD experience dental injuries more frequently than was previously described.