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

Background/Aim Dental trauma is a public health issue with a high prevalence in children. The aim of this study was to evaluate the level of knowledge of dentists in Rio Grande do Sul, Brazil, of the management of traumatic dental injuries, using the International Association of Dental Traumatology (IADT) Guidelines as a reference. Materials and Methods An electronic questionnaire investigating personal and professional characteristics and 12 questions about dento‐alveolar trauma, was sent to all registered dentists of the Regional Council of Dentistry of Rio Grande do Sul (n=14 753). The respondents were grouped according to the sociodemographic and professional profiles and the data were evaluated by the Student‐T test or one‐way ANOVA, with Tukey's post‐hoc, with α = 5%. Results A total of 1414 dentists responded to the survey (9.59% response rate). The overall mean self‐reported knowledge of dental trauma was 5.87 ± 1.57, of a maximum possible score of 12. Some factors associated with a higher knowledge of the IADT guidelines were: female gender, previous clinical experience, years from qualification, self‐reported knowledge, and academic postgraduate degree. Dentists who are specialized in endodontics (6.58 ± 1.63) and pediatric dentistry (6.05 ± 1.44) achieved higher levels of knowledge on dental trauma. Analysis of the characteristics (gender, location, and proportion of specialists) of the respondents confirmed that they were representative of the target population. Conclusion The overall level of knowledge of dentists from Rio Grande do Sul of the IADT guidelines is moderate. These results highlight the need for continuing education on dento‐alveolar trauma in this population.

Section: Discussionmentioning

confidence: 99%

Dentists′ knowledge of dental trauma based on the International Association of Dental Traumatology guidelines: A survey in South Brazil

Hartmann

Rossetti

Pinheiro

et al. 2018

“…This argument would contribute to explain the absent association between this factor (overjet) and the outcome (dental trauma). However, most of the studies report the tendency of adolescents with marked overjet to experience a higher frequency of TDI . Chopra et al identified maximum injuries in 69% of the children's sample with increased overjet, followed by those with normal overjet (17%), thus concluding that overjet is an important risk factor for TDIs.…”

Section: Discussionmentioning

confidence: 99%

Individual and contextual factors associated with traumatic dental injuries in a population of Brazilian adolescents

Fonseca

Antunes

Cascaes

et al. 2019

Background/Aims Traumatic dental injuries (TDIs) stand out as one of the major public health problems worldwide, characterized by a high prevalence in children and adolescents. However, their association with the 15‐19 years age group has not been fully described. The aim of this study was to evaluate TDIs in a population of Brazilian adolescents. Methods An association study was performed with 5558 adolescents attending the São Paulo State Oral Health Survey (SBSP‐15). Individual predisposing variables (gender, age, schooling, ethnic, overjet, and molar relationship); contextual predisposing (city size and Municipal Human Development Index); individual enabling (per capita income and type of service used); contextual enabling (number of dentists, family health team coverage, and family median income); individual need (satisfaction and perception regarding treatment) and contextual needs (average supervised brushing, number of visits, and dental extractions per city), as well as health behaviors were analyzed. Andersen's behavioral model was used for the data analysis. A multilevel logistic regression with fixed effects was performed to calculate the odds ratio (OR), with 95% confidence interval (CI). Results The prevalence of TDIs in adolescents was 1.42% (95% CI: 0.94‐2.13). Individual and contextual factors of need, predisposing factors, facilitators, and health behaviors were associated with TDIs. In the adjusted analysis, gender (OR = 0.32, 95% CI: 0.18‐0.53), mean family income (OR = 2.52, 95% CI: 1.35‐4.69), number of dental visits (OR = 0.40, 95% CI: 0.19‐0.84), and time of last visit (OR = 2.64, 95% CI: 1.46‐4.77) remained significant concerning trauma. Conclusion At least one variable of the individual and contextual predisposing, enabling, and need factors (except for individual enabling variables) were associated with dental trauma in Brazilian adolescents aged 15‐19 years. This information may help with the planning of preventive actions and dental treatment, especially in mid‐sized and large cities.

“…For teeth with a TDI, healing of the pulp and surrounding tissues can last for several years. In addition, sequelae in the form of pulp necrosis and infection can appear many years after the injury has occurred . Among schoolchildren, the frequency of treated TDI has been shown to range between 23% and 28%, with uncomplicated crown fractures constituting the majority of untreated fractures .…”

Section: Discussionmentioning

confidence: 99%

Prevalence and severity of traumatic dental injuries among young amateur soccer players: A screening investigation

Qudeimat

AlHasan²,

AlHasan³

et al. 2019

Background/Aims Traumatic dental injuries (TDI) are prevalent among soccer players. In Kuwait, no studies of TDI among soccer players have been carried out. The aim of this study was to investigate the prevalence, type and causes of soccer‐related traumatic dental injuries among 7‐18‐year‐old amateur soccer players. Methods All amateur soccer players who were registered in the 14 sports clubs in the country were invited to participate in this screening study. Players who were present in the club on the assigned examination day were included. The players were examined by two trained and calibrated paediatric dentists for signs of injury to the oral tissues. Injury diagnosis was made according to the Andreasen (2007) epidemiological dental injury classification. The history of any dental injury present at the time of examination was recorded. The timing and nature of any dental advice or treatment sought was also noted. Results Six hundred sixty‐seven (48% inclusion rate) male players were included (mean age of 13.4 ± 2.6 years). In total, 213 injured teeth were observed among 169 (25%) players. The prevalence of soccer‐related injuries was 11%, and a greater number of injuries were observed in older players. Maxillary central incisors were the most frequently injured teeth (91%), and enamel‐only fractures represented 60% of all injured teeth. Slightly more TDIs were soccer‐related (44%) compared to non‐soccer‐related injuries (39%), and a large number of TDIs (39%) occurred inside the sports clubs. The prevalence of reported soft‐tissue injuries was 18%. The majority of the players (75%) did not receive dental care for their injuries. Conclusions A significant number of young Kuwaiti amateur soccer players suffered TDIs. In addition, a high percentage of traumatic injuries were not treated, and there was a lack of the use of protective mouthguards.