Risk factors for traumatic dental injuries in the Brazilian population: A critical review

Soares, Thaís Rodrigues Campos; Magno, Marcela Baraúna; Jural, Lucas Alves; Loureiro, Jéssica Muniz; Chianca, Thomaz; Risso, Patrícia; Maia, Lucianne Cople

doi:10.1111/edt.12439

Cited by 13 publications

(24 citation statements)

References 37 publications

(61 reference statements)

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“…However, that systematic review focused only on the age group of 0-19 years, and it was performed as metaanalyses according to the dentition type and age group, providing more specific results with less heterogeneity. Nevertheless, as observed by Soares et al72 inadequate lip coverage and increased overjet were associated with DT in all the age groups investigated in this review.…”

supporting

confidence: 63%

The association of inadequate lip coverage and malocclusion with dental trauma in Brazilian children and adolescents – A systematic review and meta‐analysis

Vieira

Pecorari

Gabriel

et al. 2021

Dental Traumatology

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Background/Aim: Dental trauma (DT) occurs frequently in children and adolescents.Therefore, understanding the factors associated with its occurrence in these age groups is important to establish specific preventive measures. The aim of this study was to investigate the relationships of lip coverage, overjet, and open bite to dental trauma in Brazilian children and adolescents. Material and methods:The review protocol was registered in the PROSPERO database (CRD42020156290) and the bibliographic search was performed in nine electronic databases until July 2020. The studies included were observational, performed in Brazil, with healthy children and adolescents (0-19 years old), and without the restriction of date or language. Two reviewers assessed the individual risk of bias of the eligible studies with a standardized checklist. The meta-analyses were stratified by dentition stage and age range using fixed or random effects, odds ratio (OR) as the effect measure, and 95% confidence interval. The heterogeneity across studies was assessed with the I² test and the GRADE approach assessed the certainty of evidence. Results: The search presented 2493 initial results, from which 55 met the eligibility criteria and were included. Most studies (67%) presented a low risk of bias and were published between 2000 and 2019. Children and adolescents with inadequate lip coverage are 1.86-2.36 times more likely to suffer from DT, while those with increased overjet are 1.94-3.11 times more likely. Children with primary dentitions and anterior open bites are 1.76 (95% CI: 1.20-2.59) times more likely to suffer from DT. The certainty of evidence varied from very low to moderate. Conclusions: Inadequate lip coverage, increased overjet, and anterior open bite are associated with the occurrence of dental trauma in Brazilian children and adolescents.

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supporting

confidence: 63%

The association of inadequate lip coverage and malocclusion with dental trauma in Brazilian children and adolescents – A systematic review and meta‐analysis

Vieira

Pecorari

Gabriel

et al. 2021

Dental Traumatology

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“…As noted, other authors have assessed the occurrence of maxillofacial injury as a result of sports activities in Chile and Germany and have also identified soccer as the sports activity most related to injury (Elhammali et al, 2010;Barrios et al, 2013). Other studies demonstrate that maxillofacial injury is more related to other sports activities, which suggests a significant influence of the popularity that a given activity has for the local culture (Tozoglu, Tozoglu, 2006;Lieger, Von Arx, 2006;Soares et al, 2018).…”

Section: Discussionmentioning

confidence: 93%

“…It was also found that the most prevalent maxillofacial injury was in the soft tissues. Other authors have also demonstrated a high prevalence of injury to soft tissues, mainly affecting the lips and nasal region (Soares et al, 2018;Galic et al, 2018). Regarding the location of the maxillofacial injury, the third of the face most affected was the middle and side of the face with the highest occurrence near the center.…”

Section: Discussionmentioning

confidence: 96%

Maxillofacial injuries resulting from the practice of sports activities: a cross-sectional study

Pereira

Silva

Paula

et al. 2021

RSD

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The occurrence of maxillofacial injury increases as a result of a great demand for the practice of sports activities worldwide. Maxillofacial injuries can cause a series of losses for individuals who practice physical activities, resulting in emotional and functional consequences, decreased athletic performance, and financial losses. This study aimed to carry out an analysis of the data obtained from medical records of patients with maxillofacial injury due to sports practices. Medical records of patients seen at the Hospital between January 2008 and May 2019 were evaluated, whose attendance occurred as a result of sports activities. Independent variables were related to the type of maxillofacial injury that occurred. The records of 739 patients were analyzed. The occurrence of maxillofacial injury was more prevalent in adolescents and young adult males, as a result of playing soccer. The most prevalent type of injury was soft tissue, with the middle third of the face and the central region being the most frequently affected. Maxillofacial injury was more prevalent in adolescents and young male adults, due to the practice of soccer, typically affecting soft tissues, the middle third of the face, and the central region. The treatment performed was, mostly, conservative.

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“…The majority of the studies did not find a relationship between gender and TDI 26‐30 . This finding could be explained by the fact that there are no specific activities for each sex and due to the largely association of TDI in the primary teeth with fall from own height, which does not differ between sex 31 …”

Section: Discussionmentioning

confidence: 95%

Dental arch perimeter changes as a result from premature loss of primary anterior teeth due to trauma: A case series in infant and pre‐school children

Nadelman

Gárate

Oliveira

et al. 2020

Int J Paed Dentistry

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Background The premature loss of primary anterior teeth in deciduous arches is a controversial topic in the literature, especially due to the lack of robust scientific evidence about the consequences in the arch perimeter space and magnitudes of the effects involved. Aim Evaluate the association between premature loss of primary anterior teeth and dental arch perimeter changes, according to clinical variables as deciduous arch type, erupted primary canines, midline involvement and deleterious oral habits, on infants and pre‐school children. Design Patients with avulsion or referral to extraction due to traumatic dental injuries (TDI) were evaluated. After the tooth loss, two trained operators measured the tooth/teeth space, both with a digital caliper and a dry tip compass. The clinical documentation included photographs and radiographs. Follow‐up visits occurred from the baseline and every two months over a 12‐month period. Chi‐square test was used to evaluate the association between arch perimeter changes and clinical variables (α = 0.05). A descriptive statistic was performed to explore the magnitude of space changes, with 95% confidence intervals. Results Eighteen infants/children (mean, 2.78 ± 1.39 years) were included. Nine patients presented space loss (50.0%) (mean, −1.32 mm), six patients gained space (33.3%) (mean, +1.55 mm), and three patients presented space maintenance (16.7%). Clinical variables did not influence dental arch perimeter changes. Conclusions: Premature loss of primary anterior teeth, as well as deleterious oral habits, deciduous arch type, midline involvement and erupted primary canines, were not associated with dental arch perimeter changes.

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Risk factors for traumatic dental injuries in the Brazilian population: A critical review

Abstract: 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.

Cited by 13 publications

References 37 publications

The association of inadequate lip coverage and malocclusion with dental trauma in Brazilian children and adolescents – A systematic review and meta‐analysis

The association of inadequate lip coverage and malocclusion with dental trauma in Brazilian children and adolescents – A systematic review and meta‐analysis

Maxillofacial injuries resulting from the practice of sports activities: a cross-sectional study

Dental arch perimeter changes as a result from premature loss of primary anterior teeth due to trauma: A case series in infant and pre‐school children

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