The impact of treatment of dental trauma on the quality of life of adolescents – a case‐control study in southern Brazil

Abstract

The aim of this study was to investigate the impact of treatment for Enamel-Dentin Fracture (EDF) on the daily activities of adolescents. This was a case-control study (1:4). The case group was composed of 40 adolescents from 11 to 17 years of age, presenting definitive restoration treatment for EDF for over 6 months. The control group was made up of 160 adolescents with no history of dental trauma and belonging to the circle of friends of the participants of the case group, matched by gender, age, and socioeconomic level. The outcome variable 'impact' was assessed through the Oral Impact on Daily Performances (OIDP). The independent variables were collected for being of interest to the study (dental trauma) or for acting as potential confounding factors (malocclusion, decay, and mother's education). Descriptive, univariate, simple and multiple logistic regression analyses were performed. Among the cases, the impact prevalence was 40.0%, whereas among the controls it was 16.9%. The more affected daily activities were showing the teeth (18.0%), eating (6.5%), speaking (2.0%), and cleaning the mouth (0.5%). The odds ratio of adolescents treated for EDF of presenting an impact on daily activities was 3.3 times (confidence interval 95%: 1.4-7.7) greater than among adolescents without dental trauma, controlling for mother's education, decay and the presence of malocclusion. Adolescents whose teeth have been esthetically treated for EDFs run a greater risk of presenting OIDP when compared to adolescents that have never suffered dental injuries.

Cárie Dentária e Necessidade de Tratamento Ortodôntico: Impacto na Qualidade de Vida de Escolares

“…Nas demais crianças (idade entre 11 e 14 anos), a cárie dentária mostrou associação significativa com impacto negativo na qualidade de vida, principalmente considerando-se os domínios do CPQ11-14: bem-estar emocional e bem-estar social. Impacto negativo na qualidade de vida de jovens, relacionado à presença de problemas bucais, também foram observados em pesquisas realizadas com jovens de diferentes países como Brasil 9 , Tailândia 14 , Nova Zelândia e Brunei 15 . Estes estudos revelaram associação entre impacto negativo e maiores valores de CPOD 9,15 , além de maior impacto em atividades como comer e sorrir 14 .…”

“…Impacto negativo na qualidade de vida de jovens, relacionado à presença de problemas bucais, também foram observados em pesquisas realizadas com jovens de diferentes países como Brasil 9 , Tailândia 14 , Nova Zelândia e Brunei 15 . Estes estudos revelaram associação entre impacto negativo e maiores valores de CPOD 9,15 , além de maior impacto em atividades como comer e sorrir 14 . A maloclusão também tem sido associada ao impacto negativo na qualidade de vida de crianças, como foi observado no presente estudo.…”

Evaluation of Epidemiology and Etiology of Dental Injuries Observed in Children [Cocuklarda Gorulen Dis Yaralanmalarinin Etiyoloji ve Epidemiyolojilerinin Degerlendirilmesi]

“…Epidemiyoloji TDY, maruz kalan bireylerin fiziksel, psikolojik ve sosyal hayatlarını olumsuz yönde etkileyerek hayat kalitelerinin düşürebilmektedir [58]. 12-14 yaş çocuklar üzerinde yapılan son çalışmalar mine-dentin kırığı olan daimi dişlerin tedavi edildiğinde bile, travmanın günlük yaşam üzerindeki etkisinin elimine edilemediğini göstermektedir [58,59]. Bir çalışmada tedavi edilmemiş TDY hikayesi olan çocukların hayat kalitesinin, TDY hikayesi olmayan çocuklara göre 20 kat daha düşük olduğu rapor edilmiştir [58].…”

Childhood dental injuries: a resiliency model of adaptation

“…Whilst impacts were found to reduce over a 12-month period lasting impacts were reported at follow-up for both children and parents suggesting that there are considerable persistent impacts on families as a result of childhood dental trauma. However, not all parents and children report negative impacts associated with childhood dental injuries (3,6) and no research to date has investigated the clinical, demographic or psychosocial factors that may be important in the child or family's adaptation to this injury stressor.…”

“…Trauma to the permanent dentition can result in irreversible damage to the tooth structures and therefore whilst treatment for dental injuries aims to restore the aesthetics and function of the mouth, research has revealed that a variety of functional, emotional and social impacts associated with these injuries can persist following dental treatment (3). Within family systems theory it is widely recognised that childhood injuries can place significant amounts of stress on the wider family unit (4).…”