Traumatic dental injury incidence of unseen children

Abstract

Background/Aims There is a lack of information about the incidence of dental trauma in Turkish children with disabilities and those in detention centers. The aim of this study was to investigate the occurrence of dental trauma in two groups estimated to have high‐potential risk, young prisoners and disabled children, compared with healthy peers. Materials and methods A total of 530 children were included in the study. The participants were divided into three groups: Disability Group (n=238), Imprisoned Children Group (n=231) and school children (n=61) as the Control Group. The occurrence of dental trauma was evaluated according to age and gender. Statistical evaluations were done by using SPSS statistics‐22 programme. Results The mean age of all participants was 14.85 ± 3.43 years. Males predominated (75.8%). In the Imprisoned Children Group, not only maxillary and mandibular incisors but also canines had dental trauma. Time of imprisonment and education level did not have any significant effect on dental trauma occurrence among children in detention centers. In the Disability Group, the disability type did not have any significant effect. In the Control Group, maxillary central incisors were the most traumatized teeth. The incidence of dental trauma was 11.3% in the Imprisoned Children Group, 4.6% in the Disability Group, and 9.8% in the Control Group. There was a significant difference among the three groups (p:0.027; p<0.05). Conclusion Dental trauma incidence may differ among disabled, imprisoned, and healthy children. Hence, children from different parts of the community should be included in epidemiological studies to provide a more accurate incidence of dental trauma.

The relationship between special needs and dental trauma. A systematic review and meta‐analysis

“…Although most studies found that the prevalence of dental trauma was higher in the case group than the control group, only two studies found that the difference was statistically significant . Other studies have shown a higher prevalence of trauma in healthy patients when compared to patients with special needs …”

“…All articles were classified as case‐control studies. In the study sample representative section, some studies showed major problems for the source of sample and minor problems in sampling method . No problems in sample size were found in six studies, and some studies showed major problems in entry criteria's/exclusions …”

“…When the control group section was analyzed, major problems were shown in the definition of controls, source of controls, matching/randomization, and comparable characteristics …”

“…No problems were found in six studies and two studies for reproducibility and blindness topics, respectively. For quality control, major problems and minor problems were found. Also, all studies showed some problems in the confounding factors section.…”

“…Most of the studies evaluated young patients, with the exception of one study . Three studies did not report the age group evaluated . Sample sizes varied from 24 to 959 for the case group and from 22 to 1.010 for the control group …”