Trends in the prevalence of traumatic crown injuries and associated factors in Brazilian preschool children: 10‐year observational data

Tello, Gustavo; Bonini, Gabriela Cunha; Murakami, Christiana; Abanto, Jenny; Oliveira, Luciana Butini; Bönecker, Marcelo

doi:10.1111/edt.12255

Cited by 36 publications

(59 citation statements)

References 31 publications

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“…Our findings also identify the social domain as the most affected in schoolchildren, and the association between OHRQoL and severity of TDIs. Furthermore, their increasing prevalence during the past few decades has made TDIs one of the most common reasons for seeking emergency treatment …”

Section: Discussionmentioning

confidence: 99%

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Impact of traumatic dental injuries on quality of life in preschoolers and schoolchildren: A systematic review and meta‐analysis

Zaror

Martinez‐Zapata

Abarca

et al. 2017

Comm Dent Oral Epid

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Objectives: Traumatic dental injuries (TDIs) in childhood and adolescence are a potential public health problem given their prevalence and consequences. The aim of this study was to assess the impact of TDIs on the oral health-related quality of life (OHRQoL) of preschoolers and schoolchildren, by synthesizing the available evidence.Methods: A systematic search was conducted in MEDLINE, EMBASE, Cochrane, ScieLo and Lilacs databases since January 1966 until March 2016. The included studies compared OHRQoL between groups with and without TDIs, using validated instruments. The selection process and data extraction were carried out by two researchers independently. A third reviewer resolved discrepancies. Methodological quality was assessed with the Effective Public Health Practice Project's Quality Assessment Tool. Meta-analyses were performed using random effect models, separately for preschoolers and schoolchildren.Results: Of 213 identified articles, 26 studies (involving a total of 4582 patients and 13 601 controls between the ages of 1 and 15 years) met the inclusion criteria.Most of the studies had been published in the last 5 years, and their methodological quality was judged to be moderate. The TDIs group had a significantly higher chance of reporting any impact on OHRQoL than controls for both preschoolers (OR = 1.44; 95% confidence interval [CI]: 1.28-1.63; I 2 = 0%) and schoolchildren (OR = 1.31; 95% CI: 1.04-1.66; I 2 = 70%). In preschoolers, the OR for OHRQoL impact for complicated vs uncomplicated TDIs was 1.53 (95% CI: 1.04-2.26;The social domain was the most affected one in schoolchildren (standard mean difference = 0.34; 95% CI: 0.13, 0.55; I 2 = 68%). Conclusion:Traumatic dental injuries have a negative impact on OHRQoL of both preschoolers and schoolchildren. Outcome standardization to measure OHRQoL impact, such as mean score differences and cut-off points, is needed. Prospective cohort studies are recommended to confirm these findings and to understand how TDIs' impact changes with time. K E Y W O R D Sadolescent, child, preschool, quality of life, tooth injury

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Section: Discussionmentioning

confidence: 99%

“…Traumatic dental injuries (TDIs) are a common condition in up to 20% of children and adolescents, given their greater participation in recreational and sports activities . Given their relevant prevalence and consequences, they are a public health issue to be taken into consideration …”

Section: Introductionmentioning

confidence: 99%

Impact of traumatic dental injuries on quality of life in preschoolers and schoolchildren: A systematic review and meta‐analysis

Zaror

Martinez‐Zapata

Abarca

et al. 2017

Comm Dent Oral Epid

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“…This is probably due to the fact that men have a greater tendency to engage in more energetic activities than women (5,17). Several studies focused in younger children (up to 5 years old) often demonstrate that the difference between traumatic incident rates of boys and girls are not statistically significant because both male and female children of this age are usually involved in the same social activities and games (19) and their psychomotor abilities are analogously developed (20). On the other hand, studies focused on age groups over 10 years old (7) show higher dental trauma incident rates for male patients.…”

Section: Discussionmentioning

confidence: 99%

A 12-Year Retrospective Study of Avulsion Cases in a Public Brazilian Dental Trauma Service.

et al. 2017

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This study assessed the epidemiological characteristics and management of the permanent teeth avulsion cases attended in a Brazilian dental trauma service from December 2005 to August 2016. A retrospective study was conducted of case records of 93 patients involving 139 avulsed teeth. Data included sex, age, trauma etiology, location of the accident, number and position of avulsed teeth, and presence and type of associated traumatic lesions. Management of the avulsed teeth was addressed as: time elapsed until teeth were retrieved from the accident's location; teeth's cleaning method and storage media; time elapsed until seeking treatment and replantation. The majority of the patients were children from 6-10 (31.2%) and 11-15 years old (26.9%). Male patients were more affected than female. Bicycle accident was the main etiological factor (31.2%). In 56 (60.2%) cases, traumatic lesions to neighboring teeth were present. In 55 (59.1%) cases, lesions to adjacent soft tissues were reported. In 82 (88.2%) cases, patients requested treatment at the same day of the accident. Sixty-four teeth (46.0%) were immediately retrieved and 28 (20.1%) were not found. Forty-two teeth (30.2%) were kept dry. Only one tooth (0.7%) was immediately replanted at the accident's site, while 51 teeth (36.7%) were not replanted. Numerous avulsed teeth were inappropriately managed and immediate replantation was not frequent. Public policies must be created to raise awareness towards the particularities of avulsion cases.

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“…As a result, in the event of a slight traumatic injury, damage to the supporting tissue is more common than to the hard tissue of the tooth [1]. Besides being less frequent, the traumatic crown injuries are considered a public dental health problem due to its costs and treatment, which may persist for the rest of the patient's infancy [2]. Particularly among Brazilian preschool children, a recent investigation has shown that the prevalence of traumatic crown injuries increased in the last 10 years [2].…”

Section: Introductionmentioning

confidence: 99%

“…Besides being less frequent, the traumatic crown injuries are considered a public dental health problem due to its costs and treatment, which may persist for the rest of the patient's infancy [2]. Particularly among Brazilian preschool children, a recent investigation has shown that the prevalence of traumatic crown injuries increased in the last 10 years [2]. The most commonly affected primary teeth are the upper central incisors and more than one tooth can be lesioned [1].…”

Section: Introductionmentioning

confidence: 99%

Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption

Oliveira

Silva

Ionta

et al. 2017

Case Reports in Dentistry

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Complicated crown fracture and crown-root fracture with pulp involvement expose dental pulp to the oral environment. The pulp outcome is often unpredictable because the patient and injury which are related to variables can influence the treatment of choice and the prognosis of the case. This report presents the case of a 4-year-old boy with complicated crown fracture with pulp polyp in the primary right maxillary central incisor (51) and crown-root fracture with pulp involvement in the primary left maxillary central incisor (61), which was treated only 3 months after the tooth injuries. The treatment of choice was extraction of tooth (61) due to a periapical lesion with disruption of the dental follicle of the permanent successor and pulpotomy (MTA) of the tooth (51), because the pulp presented signs of vitality. At the follow-up visits, no clinical, symptomalogical, and radiographic changes were observed until the primary tooth's exfoliation. However, at 3-year follow-up, the permanent successors showed hypocalcification and the position of the permanent right maxillary central incisors (11) was altered. Besides the conservative and adequate delayed treatment, the sequelae on the permanent successors could not be avoided.

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Trends in the prevalence of traumatic crown injuries and associated factors in Brazilian preschool children: 10‐year observational data

Cited by 36 publications

References 31 publications

Impact of traumatic dental injuries on quality of life in preschoolers and schoolchildren: A systematic review and meta‐analysis

Impact of traumatic dental injuries on quality of life in preschoolers and schoolchildren: A systematic review and meta‐analysis

A 12-Year Retrospective Study of Avulsion Cases in a Public Brazilian Dental Trauma Service.

Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption

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