Do binge drinking adolescents have a greater number of traumatised teeth? A longitudinal study with 12-year-olds in Brazil.

BACKGROUND: Binge drinking has been linked to traumatic dental injury (TDI). Once drunk, adolescents are more prone to accidents, which may result in orofacial injury. AIM: This study evaluated the possible association of binge drinking with a number of traumatised teeth in a population of 12-year-old Brazilian adolescents in 2013 and 2015. DESIGN: This study was longitudinal, carried out with 588 adolescents at two moments, 2013 and 2015. TDI, overjet and lip protection were assessed by calibrated examiners. Binge drinking data were collected through the Alcohol Use Disorders Identification Test. Sociodemographic indicators were obtained through a questionnaire answered by the parents/guardians. The Poisson regression model with a random effects intercept was estimated. RESULTS: A higher prevalence of traumatised teeth was observed among adolescents who binge drink (IRR = 1.37; 95% CI: 1.05-1.80; p < .05). The prevalence was also significantly higher among adolescents in this age range with a ≥ 3-mm overjet and those with inadequate lip protection (IRR = 1.99; 95% CI: 1.44-2.76; p < .001 and IRR = 3.41; 95% CI: 2.57-4.53; p < .001, respectively). CONCLUSION: A greater number of traumatised teeth were found among adolescents who reported binge drinking and had severe overjet and inadequate lip coverage.

Spatial density of adolescents aged 14 years old, victims of dental: A longitudinal study.

BACKGROUND/AIM: Knowledge about the spatial density of the domiciles of dental trauma victims can assist in the identification of the most vulnerable areas and contribute to the planning of prevention, promotion, control, and treatment actions, focusing on the most affected areas. The aim of this study was to analyze the spatial density of domiciles of 14-year-old adolescent victims of dental trauma, in the city of Diamantina, Brazil, after a two-year follow-up period. MATERIAL AND METHODS: This longitudinal study was carried out with 584 adolescents between 2013 and 2015. Dental trauma, overjet, and lip protection were assessed by two trained and calibrated examiners (K > 0.70). Information about binge drinking was collected among the adolescents through the Alcohol Use Disorders Identification Test and sociodemographic indicators were obtained through a questionnaire answered by the caregivers of the adolescents. Spatial analyses were performed to evaluate the spatial density of adolescents with dental trauma and the independent variables of interest according to the domicile using Ripley's K function and the Kernel Map. RESULTS: Ripley's K function revealed spatial aggregation of the domiciles of adolescent victims of dental trauma in relation to males, binge drinking and overjet, with a confidence interval of 95%. The higher density of domiciles with adolescents with two or more traumatized teeth was found in the north-east region of the city. Boys were the most affected, their homes were located in the north, north-west, and south-east regions at baseline and follow-up. The largest density of domiciles of adolescents with overjet greater than 5 mm and inadequate lip protection was in the north-east region. Similar spatial distribution was identified for binge drinking for both years. CONCLUSION: The majority of adolescents with dental trauma lived in the north-east and south-east regions, characterized by high population density and greater social vulnerability.

Third molar removal and its impact on quality of life: systematic review and meta-analysis.

OBJECTIVE: The purpose of this systematic review was to assess the impact of third molar removal on patient's quality of life. METHODS: To address the study purpose, investigators designed and implemented a systematic review. The primary outcome variable was the quality of life after third molar extraction. An electronic search was conducted through March, 2017, on the PUBMED, Virtual Health Library (VHL), Web of Science, and OVID, to identify relevant literatures. Research studies (randomized or non-randomized clinical trials) were included that evaluated the quality of life in individuals before and after third molar extraction, using validated measures of oral health-related quality of life with quantitative approach, besides procedures performed under local anesthesia. The R software was used to measure the mean difference on the quality of life between the preoperative period and follow-up days. RESULTS: A total of 1141 studies were identified. Of this total, 13 articles were selected in the present systematic review, of which six studies were included in the meta-analysis. All of these 13 articles used the OHIP-14, and 4 of this 13 used OHQoLUK-16 to evaluate the quality of life. Regarding quality assessment, four of the 13 included studies in this review received a maximum score of 9 points, according to the Newcastle-Ottawa (NOS). The OHIP-14 mean score on the first postoperative day was 17.57 (95% CI 11.84-23.30, I2 = 96%) higher than the preoperative period. On the seventh postoperative day, the quality of life assessed by OHIP-14 got worse again. CONCLUSION: This systematic review revealed that the highest negative impact on quality of life of individuals submitted to third molar surgery was observed on the first postoperative day, decreasing over the follow-up period.

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

BACKGROUND/AIMS: Population-based studies that investigate the impact of TDI on oral health-related quality of life (OHRQoL) among school children and its association with socioeconomic factors are scarce and offer conflicting results. The aim of this study was to evaluate the impact of TDI on OHRQoL among school children and its association with socioeconomic status. MATERIALS AND METHODS: A cross-sectional study was conducted with 588 12-year-old children enrolled in public and private schools in the urban areas in the city of Diamantina (southeastern Brazil). Clinical examinations were performed for the diagnosis of traumatic dental injury based on Andreasen's classification. The Child Perceptions Questionnaire (CPQ11-14 ), which has been validated for the population in Brazil, was employed to evaluate oral health-related quality of life. Socioeconomic status and overjet were also analyzed. Statistical analysis involved the chi-square test and logistic regression. RESULTS: A total of 29.4% of the students exhibited some type of trauma to at least one tooth. A negative impact on oral health-related quality of life was found in 53.1% of the sample. Traumatic dental injury was associated with a high impact on oral health-related quality of life [OR = 1.61 (95% CI: 1.08-2.39)] and overjet >3 mm [OR = 5.42 (95% CI: 3.66-8.02)]. However, no statistically significant associations were found between TDI and socioeconomic status. CONCLUSIONS: Prevalence of traumatic dental injury was high among the children who participated in the study, and it was associated with a high impact on oral health-related quality of life as well as overjet >3 mm.

Prevalence and risk factors associated with traumatic dental injury among 12-year-old schoolchildren in Montes Claros, MG, Brazil.

The scope of this study was to determine the prevalence of trauma in the permanent dentition of 12-year-old schoolchildren and assess associations with demographic factors such as gender and socioeconomic status and overjet and lip coverage clinical factors. A cross-sectional analysis was conducted using a representative sample of 638 students. Data were gathered by means of clinical examinations and self-administered questionnaires. Descriptive analysis was performed, followed by the use of the chi-square test and Poisson logistic regression model for the determination of significant associations. The prevalence of traumatic dental injury was 34.9%. Falls constituted the main etiological factor (49.7%), and occurred in the home (48.2%). The results of the Poisson regression analysis revealed that accentuated overjet (> 5 mm) remained associated with traumatic dental injury irrespective of the other variables [PR = 1.50 (95% CI: 1.41 to 1.61); p = 0.003]. Moreover, a statistically significant association was found between accentuated overjet and dental trauma. No significant associations were found between TDI and socioeconomic status. These findings highlight the need for prevention strategies and orthodontic correction at the onset of the permanent dentition.

Assessment of the Need for Dental Treatment Resulting From Dental Trauma in 12-Year-Old Brazilian Schoolchildren: A Cross-Sectional Study

Abstract Objective: To identify the need for restorative treatment in 12-year-old Brazilian schoolchildren with dental trauma and its association with clinical and socioeconomic factors. Material and Methods: A cross-sectional population-based study was carried out with sample composed of 588 12-year-old students from the city of Diamantina, Minas Gerais, Brazil. Data were collected from August to November 2016 through clinical examination, adopting the Andreasen classification and semi-structured questionnaire to verify the etiology and location of the accident that resulted in dental trauma. Statistical analysis included the frequency distribution and bi and multivariate analysis, with 5% significance level. Results: The presence of 219 traumatized teeth in 176 students was observed (29.9%). The main lesion was enamel fracture (41.4%), followed by enamel and dentin fracture (39.4%). The presence of restorative treatment was observed only in 11.5% of students. Fall (43.5%) was the most frequent etiology, followed by accidents on the streets (35.8%). Need for treatment was present in 53.4% of adolescents. Statistically significant association between males (p=0.010), severe overjet (p<0.0001) and inadequate lip protection (p<0.0001) and presence of dental trauma was observed. Maternal schooling over 8 years of study was statistically associated with need for restorative treatment (OR = 2.047; CI: 1.099-3.813; p=0.023). Conclusion: Prevalence of dental trauma, need for restorative treatment and number of adolescents with no access to restorative treatment in this study were high, point out that the health system is unable to satisfactorily prevent dental trauma and absorb all dental treatment demand resulting from dental trauma.

Is there an association between traumatic dental injury and social capital, binge drinking and socioeconomic indicators among schoolchildren?

OBJECTIVES: Traumatic dental injury is defined as trauma caused by forces on a tooth with variable extent and severity. The aim of the present study was to investigate the prevalence of traumatic dental injury and its association with overjet, lip protection, sex, socioeconomic status, social capital and binge drinking among 12-year-old students. RESEARCH DESIGN AND METHOD: A cross-sectional study was conducted with a sample of 633 12-year-old students. Data were collected through a clinical exam and self-administered questionnaires. Socioeconomic status was determined based on mother's schooling and household income. The Social Capital Questionnaire for Adolescent Students and Alcohol Use Disorders Identification Test (AUDIT-C) were used to measure social capital and binge drinking, respectively. RESULTS: The prevalence of traumatic dental injury was 29.9% (176/588). Traumatic dental injury was more prevalent among male adolescents (p = 0.010), those with overjet greater than 5 mm (p < 0.001) and those with inadequate lip protection (p < 0.001). In the multiple logistic regression analysis, overjet [OR = 3.80 (95% CI: 2.235-6.466), p < 0.0001], inadequate lip protection [OR = 5.585 (95% CI: 3.654-8.535), p < 0.0001] and binge drinking [OR = 1.93 (95% CI: 1.21-3.06), p = 0.005] remained significantly associated with traumatic dental injury. CONCLUSIONS: The present findings suggest that a high level of total social capital and trust are not associated with TDI in adolescents, unlike binge drinking. The effects of social and behavioral factors on TDI are not well elucidated. Therefore, further research involving other populations and a longitudinal design is recommended.

Consumo de drogas ilícitas como fator de risco para traumatismo dentário em adolescentes / Illicit drugs use as risk factor of dental trauma among adolescents

Resumo Traumatismo dentário e consumo de drogas ilícitas podem comprometer gravemente a saúde dos adolescentes e são considerados sérios problemas de saúde pública. Objetivo Investigar a associação do traumatismo dentário com o uso de drogas ilícitas e condição socioeconômica entre adolescentes de 12 anos de idade. Métodos Estudo transversal envolvendo 633 adolescentes de escolas públicas e privadas da cidade de Diamantina, no Estado de Minas Gerais. Os dados foram coletados por meio de exame clínico e questionários. Traumatismo dentário foi avaliado pela classificação de Andreasen, e consumo de drogas ilícitas, pelo instrumento ASSIST (Teste para Triagem do Envolvimento com Álcool, Cigarro e Outras Substâncias). As associações foram testadas pelo teste do qui-quadrado e teste Exato de Fisher (p<0,05). Resultados A presença do traumatismo dentário foi observada em 176 adolescentes (29,9%). A prevalência reportada do uso de maconha foi de 1,5% (9/588), de cocaína, 0,3% (2/588), e de inalantes, 1,7% (10/588). Traumatismo dentário foi mais prevalente entre adolescentes do sexo masculino (p=0,010) que tinham usado maconha (p=0,024) na vida. Conclusão A associação observada entre o uso de drogas ilícitas e o sexo masculino com o traumatismo dentário sugere a necessidade de adoção de políticas voltadas para o controle efetivo dessas condições, principalmente em idade precoce.

Abstract The dental trauma and consumption of illicit drugs can seriously jeopardize adolescents’ health and are considered serious public health problems. Objective To investigate the association between dental trauma and the use of illicit drugs and socioeconomic status among adolescents 12 years of age. Methods Cross-sectional study involving 633 adolescents enrolled in public and private schools of the city Diamantina-MG. Data were collected through self-administered questionnaires and clinical examination. The dental trauma was assessed by Andreasen classification and consumption of illicit drugs was investigated using the ASSIST instrument (Involvement Screening Test for with Alcohol, Cigarette and Other Substances). Associations were tested using the Chi-square test and Fisher's Exact test (p <0.05). Results The presence of dental trauma was observed in 176 adolescents (29.9%). The reported prevalence of marijuana use was 1.5% (9/588), 0.3% cocaine (2/588) and inhalants 1.7% (10/588). Dental trauma was more prevalent among adolescent males (p=0.010) who had used marijuana (p=0.024) in life. Conclusion The observed association between illicit drug use and male with dental trauma suggests the need to adopt policies for the effective control of these conditions especially at an early age.

Prevalence and risk factors associated with traumatic dental injury among 12-year-old schoolchildren in Montes Claros, MG, Brazil / Prevalência e fatores de risco associados ao traumatismo dentário em escolares de 12 anos de idade em Montes Claros, Minas Gerais, Brazil

The scope of this study was to determine the prevalence of trauma in the permanent dentition of 12-year-old schoolchildren and assess associations with demographic factors such as gender and socioeconomic status and overjet and lip coverage clinical factors. A cross-sectional analysis was conducted using a representative sample of 638 students. Data were gathered by means of clinical examinations and self-administered questionnaires. Descriptive analysis was performed, followed by the use of the chi-square test and Poisson logistic regression model for the determination of significant associations. The prevalence of traumatic dental injury was 34.9%. Falls constituted the main etiological factor (49.7%), and occurred in the home (48.2%). The results of the Poisson regression analysis revealed that accentuated overjet (> 5 mm) remained associated with traumatic dental injury irrespective of the other variables [PR = 1.50 (95% CI: 1.41 to 1.61); p = 0.003]. Moreover, a statistically significant association was found between accentuated overjet and dental trauma. No significant associations were found between TDI and socioeconomic status. These findings highlight the need for prevention strategies and orthodontic correction at the onset of the permanent dentition.

Introdução: O objetivo do presente estudo foi determinar a prevalência de traumatismo dentário na dentição permanente em escolares de 12 anos de idade e sua associação com fatores demográficos (gênero e condição socioeconômica) e clínicos (sobressaliência acentuada e proteção labial). Metodologia: Um estudo transversal foi realizado em uma amostra representativa de 638 escolares. Dados foram coletados por exame clínico e questionário autoaplicável. Foram realizadas análises descritivas, seguidas do teste qui-quadrado e modelo de regressão de Poisson para determinar associações. Resultados: A prevalência de traumatismo dentário foi de 34,9%. Queda foi o principal fator etiológico (49,7%). Os resultados da regressão logística de Poisson revelaram que o aumento do overjet (> 5 mm) se manteve associado aos traumatismos dentários de forma independente das demais variáveis [PR = 1.50 (95% CI: 1.41 to 1.61); p = 0.003]. Conclusão: Associação estatisticamente significativa foi observada entre aumento do overjet e presença de traumatismo dentário. Não foi observada associação estatística entre os traumatismos dentários e a condição socioeconômica. Os resultados encontrados sugerem a necessidade de estratégias de prevenção e correção ortodôntica na dentição permanente. .

Estudo exploratório sobre a prevalência de traumatismo dentário e obesidade em escolares de 12 anos de idade em Diamantina, Minas Gerais / Exploratory study on the prevalence of dental injuries and obesity among 12-years-old schoolchildren in Diamantina, Minas Gerais, Brazil

Objetivo: O objetivo foi analisar a prevalência de traumatismo dentário em escolares com 12 anos de idade, na cidade de Diamantina, MG, avaliando ainda a associação com fatores demográficos e clínicos. Materiais e Métodos: A amostra foi composta por 101 escolares (46,5% do sexo masculino e 53,5% do sexo feminino) selecionados de escolas públicas e privadas. O exame clínico foi realizado por um dentista treinado e calibrado adotando a classificação de Andreasen et al. A condição socioeconômica foi investigada por meio do questionário ABA-ABIPEME, renda familiar e escolaridade da mãe. A obesidade foi medida pelo índice de massa corporal (IMC= peso [kg] / altura [m2]), por sexo e idade. Foram realizadas análises de frequência e teste de associação (p<0,05). Resultados: A prevalência de traumatismo dentário foi 33,7%, a principal lesão a fratura de esmalte (57,7%) e o tratamento mais prevalente a restauração estética com compósito (5,9%). A maioriadas crianças apresentou apenas um dente acometido (94,1%), sendo o incisivo central o dente mais afetado. Otraumatismo dentário em 77,8% dos escolares ocorreu há mais de um ano. Houve associação estatisticamentesignificativa entre o sexo masculino Odds Ratio (OR) – 2,54 e Intervalo de Confiança (IC) 95%=1,090-5,951(p=0,029), sobressaliência acentuada OR – 6,648 (IC95%=2,591-7,057) (p=0,001), proteção labial inadequadaOR – 4,977 (IC95%=2,001-12,376) (p<0,0001) e a presença de traumatismo dentário. O traumatismo dentário não esteve estatisticamente associado à classe socioeconômica (p=0,579), escolaridade da mãe (p=0,249) e IMC (p=0,776). Conclusão: A prevalência de traumatismo dentário aos 12 anos foi elevada, estando associada ao gênero e aos fatores clínicos sobressaliência acentuada e proteção labial inadequada, porém semelhantes entre as classes socioeconômicas e padrões nutricionais.

Prevalence of dental trauma and association with alcohol consumption, demographic and clinical factors among 12-year-old schoolchildren: an exploratory study

Objective:To investigate the prevalence of traumatic dental injury (TDI) of the permanent incisors and association with alcohol consumption, socioeconomic status, gender, overjet and lip coverage among 12-year-old schoolchildren in the city of Diamantina,in the state of Minas Gerais, Brazil. Material and Methods:An exploratory cross-sectional study was carried out with a convenience sample of 101 schoolchildren (46.5% males and 53.4% females) selected from public and private schools. The diagnosis of TDI was performed by a dentist who had undergone a training andcalibration exercise using the Andreasen classification. Data analysis involved the determination of frequency distribution and the chi-squared test (p<0.05).Results:The prevalence rates of TDI, alcohol consumption and binge drinking were 33.7%, 37.6% and 24.8%, respectively. The main type of TDI was enamel fracture (53.6%), followed by enamel + dentin fracture without pulp exposure (n=29; 4%). Only 9.8% of the adolescents with TDI underwent subsequent treatment. Significant associations were found between TDI and the male gender (p=0.029), overjet (p<0.0001) and inadequate lip coverage (p<0.0001). No associations were found with socioeconomic status (p=0.579), household income (p=0.776), alcohol consumption (p=0.281) or binge drinking (p=0.207). Conclusion:High prevalence rates of TDI, alcohol consumption and binge drinking were found among the 12-year-olds analyzed. TDI was associated with gender and lip coverage, but no associations were found with socioeconomic status or alcohol consumption

Estudo transversal em escolares de 12 anos de idade sobre a necessidade de tratamento, etiologia e ocorrência de traumatismo dentário em Montes Claros, Brasil / Cross-sectional study on treatment needs, etiology and occurrence of traumatic dental injuries among 12-year old schoolchildren in Montes Claros, Brazil

Objetivo: Avaliar a necessidade de tratamento, etiologia e o local de ocorrência do acidente que resultou em traumatismo dentário nos incisivos permanentes de escolares com 12 anos de idade, na cidade de Montes Claros.Materiais e Métodos: Para cálculo amostral utilizou-se a variabilidade populacional máxima (0,25), com nível de confiança de 95%, Z α /2 = 1,96; erro de estimação de 4%, d = 0,03. O tamanho da amostra mínima calculada foi 546 crianças, sendo acrescido de 10%, totalizando 638 crianças, selecionadas aleatoriamente nas escolas públicas e particulares. Em um primeiro momento foi investigada a prevalência de traumatismo dentário por meio de exames clínicos adotando a classificação Children ́s Dental Health Survey do UK, realizado por um dentista treinado e calibrado (Kappa= 0,87 e 0,96). As crianças foram examinadas naescola sob luz artificial. Após os exames foi aplicado um questionário semi-estruturado direcionado às crianças a fim de investigar o conhecimento da ocorrência de traumatismo dentário, etiologia e local do acidente. Para obtenção dos resultados foi realizada análise descritiva e univariada (teste qui-quadrado). Resultados: Aprevalência de traumatismos dentários foi de 34,9% em 605 exames clínicos realizados (94,8%). O traumatismodentário estava presente em 279 incisivos permanentes. A necessidade de tratamento restaurador foi observadaem 35,8% dentes (n= 100), sendo que 13,97% deles apresentavam tratamento restaurador (n= 39). O principal fator etiológico foi a queda (49,7%) e a maioria dos escolares relatou que o traumatismo dentário havia ocorrido em casa (48,2%).Conclusão: A necessidade de tratamento restaurador devido ao traumatismo dentário foi elevada e o principal fator etiológico foram as quedas ocorridas em casa.