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1.
J Clin Pediatr Dent ; 44(6): 429-435, 2020 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-33378467

RESUMEN

OBJECTIVES: To compare the prevalence of parafunctional habits, erosive tooth wear and occurrence of tooth injuries among children being under the care of Social Welfare Centre and children treated in the Department of Children's Dentistry of the Medical University of Warsaw. STUDY DESIGN: The study contains environmental and medical interviews, record-based analysis and clinical examination. Parafunctional habits were rated on the base of dental interviews and clinical examinations. The occlusal surfaces were evaluated by visual examination using modified tooth wear index (TWI). Tooth injuries were reported from a medical interview labeled using Andreasen classification. The consent of the bioethics committee and guardians of children participated in the study was obtained. RESULTS: The study involved 782 patients, including 404 children from dysfunctional families (average age 11,4 ± 3,7) and 378 from ordinary families-control group (8,53 ± 3,92). In the study group we observed higher prevalence of erosive tooth wear (44,66% vs 18,02% p=0,000), dental trauma (9,4% vs 3,44% p=0,001) and a presence of parafunctional habits (67,8% vs 20,4 % p=0,000). CONCLUSION: The occurrence of parafunctional habits, erosive tooth wear and tooth injuries may be an indicator of domestic violence and a component of maltreated child syndrome.


Asunto(s)
Violencia Doméstica , Erosión de los Dientes , Traumatismos de los Dientes , Desgaste de los Dientes , Adolescente , Niño , Hábitos , Humanos , Prevalencia , Erosión de los Dientes/epidemiología , Erosión de los Dientes/etiología , Traumatismos de los Dientes/epidemiología , Desgaste de los Dientes/epidemiología , Desgaste de los Dientes/etiología
2.
Prog Orthod ; 21(1): 41, 2020 Nov 09.
Artículo en Inglés | MEDLINE | ID: mdl-33164157

RESUMEN

PURPOSE: The aim of this longitudinal prospective study was to evaluate if schoolchildren with large overjet experience a greater risk of traumatic dental injuries (TDI) compared to children with normal or small overjet. METHODS: A sample of children aged 6­13 years was prospectively evaluated after 1 year: from the initial sample, data concerning trauma cases of 1413 children were collected to determine the number and types of injuries, the influence of overjet on the risk of TDI, and the relationships between trauma, age, and gender. RESULTS: The observed prevalence of trauma was higher for boys, with the largest frequency between the ages of 8 to 12 years: 67.9% of all injuries were hard tissue injuries and 32.1% subluxation and luxation injuries. Children with an overjet of 6 mm or more showed a statistically increased risk of getting trauma [RR = 3.37 with CI (1.81; 6.27)]. CONCLUSION: In this prospective study, overjet stood out among variables as the most significant risk factor of TDI: an increased overjet of 6 mm or more had a major impact on the risk of trauma, which would speak in favor of early orthodontic correction of an increased overjet to reduce the prevalence of dental trauma.


Asunto(s)
Traumatismos de los Dientes , Niño , Estudios Transversales , Humanos , Estudios Longitudinales , Masculino , Prevalencia , Estudios Prospectivos , Factores de Riesgo , Traumatismos de los Dientes/epidemiología
3.
Indian J Dent Res ; 31(4): 601-614, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33107464

RESUMEN

Objective: The aim of this systematic review and meta-analysis was to estimate the prevalence of traumatic dental injuries (TDI) in India. The secondary objective was to evaluate the prevalence rate according to the differences in gender, age, regions, type of TDI and risk factors associated with TDI. Methods: The PubMed, LILACS, Web of Science, Cochrane, CINHAL, and Scopus databases, along with the Public Health Electronic Library, TRoPHI and DoPHER were searched from 1st March to 15thApril 2019 without any restriction of language and year of publication. The qualitative synthesis was done regarding the demographics, study methods, cause of trauma, geographic location, increased overjet and inadequate lip coverage. The meta-analysis was undertaken with STATA-14 software (USA). The pooled prevalence of TDI was calculated using data extracted from 48 studies included in qualitative synthesis and meta-analysis. A sub-group meta-analysis was done by extraction of the data for age groups of 6 years and >6 years. Results: The pooled prevalence of TDI in Indian population was 13 cases in 100 individuals. The prevalence of TDI for age groups of ≤6 was 15% (males, 15%; females, 16%) and for >6 years was 12% (males, 13%; females, 8%). The most common cause of TDI was falls, and most frequent location was home. The odds ratio for occurrence of TDI and inadequate lip-coverage was 3.35 and overjet greater than 3 mm was 3.53. Conclusions: The pooled prevalence of TDI was 13% and slightly higher in children less than 6 years of age. Inadequate lip coverage and increased overjet are the risk factors associated with TDI. Heterogeneity was observed among the studies in terms of design, variables recorded, sampling, study methods and statistical methods. Majority of them also suffered from moderate to high risk of bias.


Asunto(s)
Sobremordida , Traumatismos de los Dientes , Accidentes por Caídas , Niño , Femenino , Humanos , India/epidemiología , Masculino , Prevalencia , Traumatismos de los Dientes/epidemiología
4.
Med. oral patol. oral cir. bucal (Internet) ; 25(5): e592-e598, sept. 2020. tab, graf, ilus
Artículo en Inglés | IBECS | ID: ibc-196514

RESUMEN

BACKGROUND: While traumatic dental injuries (TDI) are an increasingly frequent occurrence in everyday dental practice, little research on TDIs has been published in Spain. The aim of this study was to determine the incidence of TDIs in a population in Valencia (Spain) and investigate influential variables. In addition, a protocol for TDI data collection is proposed. MATERIAL AND METHODS: This retrospective study compiled data from patients attending a private dental clinic between January 2003 and December 2014. The data were collected using a specially-elaborated protocol entitled "Emergency care of acute dental trauma". Patients responded to each item, and data was added from case radiographs and photographs. Data were entered in a Microsoft Office Excel spreadsheet and submitted for analysis by SPSS 15.0 software (Chicago, IL) applying 2-way analysis of variance (ANOVA) (p < 0.01). RESULTS: 481 TDIs in 251 patients were examined at a private dental practice in Valencia. The population comprised 62.5% men and 37.5% women, aged 1 to 78 years. The highest frequency of tooth injuries occurred in children aged 9 years or younger. The most frequent injury was non-complicated crown fracture (43.2%). Upper central incisors were the most commonly affected teeth. The most frequent place where TDI was produced was in the street (28.7%), tripping over an immobile object being the most common cause (29%). CONCLUSIONS: Thanks to the protocol elaborated for the purposes of this work, it was possible to compile a large quantity of data on TDI, facilitating future prevention and comparison with other regions. The results obtained concur with those published in the literature


No disponible


Asunto(s)
Humanos , Masculino , Femenino , Lactante , Preescolar , Niño , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Anciano , Traumatismos de los Dientes/epidemiología , Estudios Transversales , Estudios Retrospectivos , Traumatismos de los Dientes/etiología , Incidencia , Análisis de Varianza , Factores de Tiempo , Maloclusión/etiología , España/epidemiología
5.
Dent Traumatol ; 36(5): 505-509, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32450001

RESUMEN

BACKGROUND/AIM: In order to enrich epidemiological knowledge regarding traumatic dental injuries (TDI) in China, and to further improve the treatment, prevention and education of TDI, the aim of this study was to retrospectively analyze the TDI that presented to the emergency dental department at the Stomatological Hospital in Xi'an, China. METHODS: This retrospective study included all first-visit patients who presented with TDI at the Stomatological Hospital affiliated with the Fourth Military Medical University in Xi'an, China, between January 2013 and June 2019. Data were extracted using the terms of diagnosis of TDI from the hospital database. RESULTS: Overall, 965 (606 males and 359 females) files were reviewed. The average age was 22.8 ± 13.4 years. Among the 2059 teeth injured (average of 2.1 teeth per patient), the maxillary incisors (1751; 85.0%) were the most prevalent teeth to present with injuries, while the main types of injuries were concussions (14.8%) enamel-dentin-fractures (14.50%) and enamel-dentin-pulp fractures (14.0%). After initial examination and diagnosis, 4.2% patients refused treatment. CONCLUSIONS: The epidemiological statistics of TDI in Xi'an, China show consistency with other studies from around the world, but they also vary in diagnosis proportion and the choice of treatments. This information may further instruct treatment, prevention and emergency resources distribution to target the high-risk groups.


Asunto(s)
Fracturas de los Dientes , Traumatismos de los Dientes/epidemiología , Adolescente , Adulto , Niño , China/epidemiología , Femenino , Humanos , Incisivo/lesiones , Masculino , Estudios Retrospectivos , Adulto Joven
6.
Artículo en Inglés | MEDLINE | ID: mdl-32326371

RESUMEN

Background: The objective of this study is to evaluate the application of National guidelines for prevention and clinical management of traumatic dental injuries (NGPCMTDI) in developmental age published by the Italian Ministry of Health. Methods: In the present retrospective and multicenter study, 246 patients who underwent dental injury were selected to assess the management of the traumatic event compiled with the protocol provided by the National guidelines. Each health worker involved completed a form related to the dental injury in order to standardize the collected data. Two reference centers have been identified for data collection. Analyses for comparisons between groups were performed using the X2 test for categorical variables or by Fisher exact test as appropriate. Statistical significance was assumed at p < 0.05. Results: Evaluating the distribution by age we concluded that: 27.24% of the enrolled patients were aged 1-5 years, 51.63% 6-10 years, and 19.92% 11-17 years. The dental injuries occurred in 10.16% of the situations at home, 50.81% at school, 28.86% during recreation, and 9.35% at the gym. The deciduous dentition is involved in 34.96% of the traumas while the permanent dentition is involved in 69.51%. Conclusion: From the present study it emerged that the National guidelines are not uniformly applied.


Asunto(s)
Traumatismos de los Dientes , Adolescente , Niño , Preescolar , Dentición Permanente , Guías como Asunto , Humanos , Lactante , Italia/epidemiología , Estudios Retrospectivos , Traumatismos de los Dientes/epidemiología , Traumatismos de los Dientes/prevención & control , Diente Primario
7.
Dent Traumatol ; 36(5): 510-517, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32274898

RESUMEN

BACKGROUND/AIM: Since children spend most of their time in school, some environmental characteristics of the schools may influence the occurrence of traumatic dental injuries (TDI). Therefore, the aim of this cross-sectional study was to assess the prevalence of TDI in 12 years old children in Quito, Ecuador, and its association with some school environmental aspects. MATERIAL AND METHODS: Six calibrated examiners evaluated 998 children from 31 public schools of Quito, to evaluate the occurrence of TDI in anterior teeth. School coordinators answered questionnaires on school physical conditions, promotion of health practices and the occurrence of negative episodes in school. The occlusion and socioeconomic status of the participants were also evaluated. Prevalence of TDI, unadjusted and adjusted by the design effect was calculated. Association between individual and contextual explanatory variables and presence of TDI were evaluated using multilevel Poisson regression analysis (P < .05). RESULTS: TDI prevalence adjusted by design effect was 20.7%. Children studying in schools with patio floor of grass and with access ramps had significantly lower prevalence of TDI than children studying in schools with patio floor of cement and with only stairs, respectively. The prevalence of TDI was also lower in children from schools that offered healthy meals or that had a proper place for oral hygiene. CONCLUSIONS: Schools with adequate physical structures and that promote health practices to their students have a lower prevalence of TDI.


Asunto(s)
Traumatismos de los Dientes/epidemiología , Brasil/epidemiología , Niño , Estudios Transversales , Humanos , Prevalencia , Instituciones Académicas , Encuestas y Cuestionarios
8.
Dent Traumatol ; 36(5): 489-497, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32170848

RESUMEN

BACKGROUND/AIMS: Traumatic dental injuries (TDIs) are considered to be a public dental health problem worldwide. The aim of the current study was to provide the worldwide tendency and perspectives in TDIs in the last two decades via bibliometric analysis. METHODS: ''Tooth injuries'' was searched as the Medical Subject Headings term within PubMed with the date range from 1999 to 2018. Two investigators perused information in the articles according to the inclusion and exclusion criteria. The articles were independently categorized according to the following aspects: (a) annual scholarly output; (b) leading countries or regions; (c) leading journals; (d) productive authors; (e) citations; (f) study design; (f) distribution of topics; and (g) the type of dentition and TDIs. VOSviewer 1.6.7 and Citespace 5.2 were used for analyzing and visualizing bibliometric networks. RESULTS: A total of 2627 articles about traumatic dental injuries were published and indexed in PubMed during the two decades, and the number of publications on traumatic dental injuries was rising in general. The research outputs were mainly concentrated in developed countries and affiliated hospitals of universities. Brazil was the most productive country. The journal Dental Traumatology had the most contributions to the scientific research of traumatic dental injuries. "Case report" was the most frequent type of article (36.50%), followed by cross-sectional studies (19.57%) and case-control studies (13.67%). Most studies focused on the treatment of TDIs (38.94%), especially for avulsion (21.01%), crown fracture (9.71%), and intrusion (5.25%). Permanent teeth (66%) were the dominant dentition. CONCLUSION: There is a lack of high-quality well-designed studies such as cohort studies. The number of publications on prevention and the primary dentition is disproportionate in relation to their significance.


Asunto(s)
Fracturas de los Dientes , Traumatismos de los Dientes/epidemiología , Bibliometría , Brasil , Estudios Transversales , Humanos
9.
Niger J Clin Pract ; 23(1): 84-90, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31929212

RESUMEN

Background: The incidence of traumatic dental injuries is affected by social, environmental, and socioeconomic variables. For this reason, epidemiological studies are an important tool for increasing social consciousness and guiding the necessary precautions about trauma. Objectives: The study aims to analyze the epidemiological and clinical data of traumatic dental injuries in patients attending Department of Pediatric Dentistry, Faculty of Dentistry, Bulent Ecevit University, from around Zonguldak, over a period of 3 years (between January 2014 and January 2017). Materials and Methods: Data obtained from trauma charts were analyzed for age, sex, the time elapsed between injury and referral to the clinic, cause of trauma, number, and type of the teeth, type of the trauma, treatment, and seasonal distribution. Results: In all, 188 patients, including 120 boys and 68 girls with a total of 316 traumatized teeth were evaluated. Most (61.7%) of the patients were 7-12 years old (the remaining 38.3% were 1-6 years old). The main cause of injury in both genders was falling. The most common types of trauma were subluxation in primary teeth and enamel dentin fracture in permanent teeth. In the primary dentition, examination and follow-up were the most applied treatments, whereas in permanent dentition, restorative treatments were the most applied treatments. Conclusion: Early intervention is important for the prognosis of the injured tooth. However, except for severe injuries, the rate of referral to the clinic after trauma was low. Therefore, the level of social awareness and knowledge of trauma should be increased.


Asunto(s)
Dentición Permanente , Fracturas de los Dientes/epidemiología , Traumatismos de los Dientes/epidemiología , Accidentes por Caídas , Adolescente , Niño , Preescolar , Femenino , Humanos , Incidencia , Lactante , Masculino , Estudios Retrospectivos , Diente Primario , Turquia/epidemiología
10.
Dent Traumatol ; 36(1): 33-40, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31355995

RESUMEN

BACKGROUND/AIMS: The importance of external factors such as maternal and home characteristics on traumatic dental injuries needs to be investigated. The aim of this study was to evaluate the association between maternal and home characteristics and dental trauma in preschool children. MATERIAL AND METHODS: This cross-sectional study using a cluster random sample evaluated children between 3 and 4 years of age from Porto Alegre, Brazil. Mothers completed the Brazilian version of the Beck Depression and Anxiety Inventories (BDI and BAI). They answered questions about sociodemographics, maternal behaviors, and home characteristics. Dental trauma was assessed by the Children's Dental Health Survey criteria. Malocclusion and deleterious habits were also assessed. The multinomial logistic regression model was used to investigate the association of exploratory variables with different categories of dental trauma. Odds ratios (OR) and 95% confidence intervals were calculated. RESULTS: A total of 163 pairs of children and mothers agreed to participate (78.4% response rate). The prevalence of dental trauma was 49.8%. Mother's work outside the home, overjet, and anterior crossbite were associated with the occurrence of enamel trauma, while having a younger mother, families having more siblings, and having a mother with university education were associated with increased odds of dentin/pulp trauma. CONCLUSION: Depression and anxiety in the mothers were not associated with dental trauma, while malocclusion characteristics were more relevant for less severe, enamel trauma. Socioeconomic and home environment characteristics played a role in more severe, dentin/pulp trauma.


Asunto(s)
Maloclusión , Sobremordida , Traumatismos de los Dientes , Brasil , Preescolar , Estudios Transversales , Femenino , Humanos , Relaciones Madre-Hijo , Madres/psicología , Prevalencia , Factores de Riesgo , Factores Socioeconómicos , Traumatismos de los Dientes/epidemiología
11.
Dent Traumatol ; 36(1): 25-32, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31359581

RESUMEN

BACKGROUND/AIM: Little is known about adult dental trauma experience at the population level. The aim of this study was to estimate the prevalence and associations of dental injuries in New Zealand (NZ) adults. MATERIALS AND METHOD: Information about dental and orofacial trauma in a representative sample of NZ adults (aged 18-94) was collected in a national oral health survey. As well as self-reported information, the maxillary six anterior teeth were examined for signs of dental trauma. Survey weights were used. RESULTS: Of the 40.9% (95% CI: 37.6, 44.2) who reported previous orofacial trauma, 69.1% (95% CI: 64.3, 73.5), or just over one-quarter of the sample, reported that this included a dental injury. More males than females had experienced orofacial trauma (51.3% [95% CI: 45.8, 56.8] and 31.4% [95% CI: 27.9, 35.1], respectively). The most common injury was a "chipped or broken tooth" (66.6%, 95% CI: 60.6, 72.1). Almost three-quarters had sought treatment. Clinical examination revealed an overall trauma prevalence of 23.4% (95% CI: 21.0, 26.0) with more males than females affected. Some 14.9% (95% CI: 12.8, 17.2) had one injured tooth, while 6.5% (95% CI: 5.2, 8.1) had two injured teeth. The maxillary central incisors were the most frequently affected. Most participants with clinical signs of trauma had only one of the six maxillary teeth affected. The most common clinical dental trauma observation was evidence of "treatment" or an "untreated enamel fracture", and these were more common among males and those aged 35-44 years. CONCLUSION: Traumatic dental injuries constitute an important public health issue. More emphasis on preventing them in the NZ adult population is warranted, and public awareness of State-funded cover for dental injuries may need to be bolstered to enable equitable access for injury care. Overall, a greater emphasis on prevention and the importance of initial care for dental injuries could reduce the individual and societal burden.


Asunto(s)
Fracturas de los Dientes , Traumatismos de los Dientes , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Encuestas de Salud Bucal , Femenino , Humanos , Incisivo , Masculino , Persona de Mediana Edad , Nueva Zelanda/epidemiología , Prevalencia , Traumatismos de los Dientes/epidemiología , Traumatismos de los Dientes/terapia , Adulto Joven
12.
Dent Traumatol ; 36(1): 76-78, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31390477

RESUMEN

Traumatic dental injuries (TDI) have emerged as a significant global public health concern. One major problem which is developing and yet unreported is the incidence of traumatic dental injuries and soft tissue facial trauma due to the inadvertent falling of smartphones on to the face during their use in rest time. This is related to the weight of the smartphones and their excessive use in all parts of the world. This paper aims to highlight this phenomenon as an emerging aetiological factor for dental and facial injuries in children.


Asunto(s)
Traumatismos Faciales , Teléfono Inteligente , Traumatismos de los Dientes , Niño , Traumatismos Faciales/epidemiología , Humanos , Prevalencia , Factores de Riesgo , Traumatismos de los Dientes/epidemiología
13.
Dent Traumatol ; 36(2): 124-140, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31420968

RESUMEN

BACKGROUND/AIM: Combat sports might result in injuries to the face and teeth. However, it is unclear how often they occur and which sports presents the highest rates. The aim of this study was to investigate the prevalence of dentofacial injuries in combat sports participants. MATERIAL AND METHODS: A systematic review was performed. Six main electronic databases and three grey literature databases were searched. Studies were blindly selected by two reviewers based on pre-defined eligibility criteria. Studies that evaluated the prevalence of dentofacial injuries (teeth, alveolar bone, jaw, lips, and/or cheekbones) among combat sports participants were considered eligible. Risk of bias was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. The software r statistics version was used to perform all meta-analyses. Cumulative evidence of the included articles was evaluated using GRADE criteria (Grading of Recommendations Assessment, Development and Evaluation). RESULTS: From 1104 articles found on all databases, 27 were finally included. Eighteen studies were judged at low, seven at moderate, and two at high risk of bias. The following sports were investigated: boxing, capoeira, fencing, jiu-jitsu, judo, karate, kendo, kickboxing, kung fu, muay thai, sumo, taekwondo, wrestling, and wushu. Results from the meta-analysis suggested a dental pooled prevalence of 25.2% (12.3%-40.8%, i2  = 100%) and dentofacial pooled prevalence of 30.3 (18.1%-44.1%, i2  = 100%). Considering the sports' categories individually, jiu-jitsu had the highest pooled prevalence of dentofacial injuries (52.9% [37.9%-67.8%, i2  = 92%]), while judo was the sport with the lowest pooled prevalence (25.0% [7.6%-48.2%, i2  = 98%]). Among Panamerican sports, boxing had the highest prevalence of dental injuries (73.7% [58.7%-86.3%, i2  = 0%]). For dentofacial injuries, the GRADE criteria were considered low. CONCLUSIONS: Overall pooled prevalence of dentofacial injuries in combat sports was approximately 30%. Raising awareness regarding the frequency of these injuries might encourage the use of protective devices and reduce complications related to these incidents.


Asunto(s)
Traumatismos en Atletas/epidemiología , Boxeo , Traumatismos Faciales , Artes Marciales , Traumatismos de los Dientes , Lucha , Traumatismos Faciales/epidemiología , Prevalencia , Traumatismos de los Dientes/epidemiología
14.
Dent Traumatol ; 36(2): 192-197, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31667970

RESUMEN

BACKGROUND/AIM: A previous cross-sectional study found that young adults with depression were more likely to have traumatic dental injuries (TDIs). The aim of this study was to determine the relationship between depressive symptoms during early and middle adolescence, and TDIs at age 15-16 years. METHOD: This study used longitudinal data from phases 1 and 3 of the Research with East London Adolescents Community Health Survey (RELACHS), a school-based survey following a representative, multi-ethnic sample of adolescents attending public schools in East London (England). Information on depressive symptoms was collected using the Short Moods and Feelings Questionnaire (SMFQ) during early (age 11-12 years) and middle adolescence (age 15-16 years). TDIs were identified during clinical examinations in phase 3 when pupils were 15-16 years old. Logistic regression was used to test the association between depressive symptoms at different stages of adolescence and TDIs adjusting for confounders (age, gender, ethnicity, parental employment and overjet). RESULTS: Depressive symptoms were reported by 24% and 32% of adolescents in early and middle adolescence, respectively. Evidence of TDIs was found in 18% of adolescents at age 15-16 years. Adolescents with depressive symptoms, either in early or middle adolescence, had greater odds of experiencing TDIs. However, these estimates were not statistically significant. In regression models adjusted for confounders, the odds of having TDIs were 1.23 (95% CI: 0.77-1.96) and 1.23 (95% CI: 0.76-1.95) among pupils with depressive symptoms in early and middle adolescence, respectively. CONCLUSION: There was no association between depressive symptoms and TDIs in early and middle adolescents.


Asunto(s)
Depresión/epidemiología , Traumatismos de los Dientes/epidemiología , Adolescente , Estudios Transversales , Humanos , Londres/epidemiología , Instituciones Académicas , Adulto Joven
15.
Dent Traumatol ; 36(3): 247-252, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31715061

RESUMEN

BACKGROUND/AIM: Enamel fractures are the most common type of traumatic dental injury (TDI) in children and adolescents. Recognizing the impact of these fractures on oral health-related quality of life (OHRQoL) could contribute to the establishment of treatment protocols. The aim of this study was to assess and quantify the impact of enamel fractures on overall OHRQoL and domain scores in adolescents. MATERIALS AND METHODS: A cross-sectional study was conducted with 775 adolescents aged 11 to 14 years in the city of Santo Ângelo in southern Brazil. Sociodemographic variables were collected from parents/caregivers using a structured questionnaire. The adolescents answered the Child Perceptions Questionnaire (CPQ11-14 ). Physical examinations were performed by an examiner who had undergone training and calibration exercises for the investigation of TDI (Andreasen criteria), dental caries (WHO criteria), and malocclusion (Dental Aesthetic Index). Data analysis involved Poisson regression with robust variance. RESULTS: The prevalence of TDI was 11.9% and enamel fractures accounted for 79.3% of all injuries. In the multivariate analysis, adolescents with enamel fractures had 29% higher CPQ11-14 scores (worse OHRQoL) than those without TDI, even after adjustment for sociodemographic and clinical variables (mean ratio = 1.29; 95% CI: 1.09-1.53; P = .003). Enamel fractures exerted a negative impact on the functional limitation, emotional well-being, and social well-being domains. CONCLUSIONS: Enamel fractures exert a negative impact on the OHRQoL of adolescents, suggesting that subjective measures should be incorporated in the evaluation of patients with this traumatic injury.


Asunto(s)
Caries Dental , Maloclusión , Traumatismos de los Dientes/epidemiología , Adolescente , Brasil/epidemiología , Niño , Estudios Transversales , Esmalte Dental/lesiones , Humanos , Salud Bucal , Calidad de Vida , Encuestas y Cuestionarios
16.
Dent Traumatol ; 36(3): 285-290, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31765062

RESUMEN

BACKGROUND/AIM: Orofacial injuries are a serious problem in field hockey. The aim of this study was to determine the prevalence of orofacial injuries in field hockey players in Catalonia, the frequency of mouthguard use, the types of mouthguards used and the degree of interference with oral function. MATERIAL AND METHODS: In this cross-sectional study, 325 field hockey players (28% women) from all age categories completed a questionnaire about orofacial injuries occurring during their sporting lives, including dental injuries, oral lacerations and episodes of acute temporomandibular disorder (TMD) pain. The questionnaire also asked about the experience of using a mouthguard, the type of mouthguard used and any adverse effects of use. The degree of interference with oral function was compared by type of mouthguard (mouth-formed, custom-made and pre-fabricated mouthguards) using the Kruskal-Wallis test. RESULTS: Half of the players (50.2%) reported at least one orofacial injury during their sporting lives. The mean number of oral lacerations, TMD pain episodes and dental injuries were 1.59, 0.24 and 0.18, respectively. In total, 310 players (95.7%) had tried a mouthguard, and of these 269 (86.8%) and 283 (91.3%) still used a mouthguard habitually during training and competition, respectively. Only 11 players (3.5%) had tried all three types of mouthguards, and 71 players (22.9%) had tried two types of mouthguard. By type, 217 players (70.0%) had tried mouth-formed (boil-and-bite) mouthguards, 156 (50.3%) had tried custom-made mouthguards and 30 (9.7%) had tried pre-fabricated mouthguards. Custom-made mouthguards were rated as more comfortable than the mouth-formed type (P < .05). CONCLUSIONS: The prevalence of orofacial injuries among field hockey players is relatively high. Most players habitually use a mouthguard during training and competition, typically preferring custom-made or a mouth-formed types. Custom-made mouthguards were considered the most comfortable.


Asunto(s)
Traumatismos en Atletas/prevención & control , Hockey , Protectores Bucales , Traumatismos de los Dientes/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Prevalencia , España
17.
Dent Traumatol ; 36(2): 185-191, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31743570

RESUMEN

BACKGROUND/AIMS: No previous epidemiological study has investigated the prevalence and associated factors of traumatic dental injuries (TDIs) among Libyan children. Such information is required for the planning and evaluation of health services. The aim of this study was to assess the prevalence of TDIs and associated factors among 12-year-old schoolchildren in Benghazi, Libya. METHODS: Data for this study were collected as part of a comprehensive, cross-sectional survey investigating oral health status and treatment needs of 12-year-old schoolchildren in Benghazi, Libya, between December 2016 and May 2017. Sociodemographic information was collected through a dental health questionnaire. The children were assessed for oral health status, including TDIs according to modified World Health Organization (WHO) classification criteria, in their classroom by trained and calibrated examiners. Anthropometric measures, lip competence and overjet were all assessed and reported. History of TDIs was sought among those affected. Logistic regression models were applied for TDIs as an outcome variable. The statistical significance for all tests was ≤0.05. RESULTS: Data from 1134 participants were included in this study. TDIs were observed in 10.3% of the sample. Most of these TDIs were enamel fractures only (55.6%) and enamel and dentine fractures (35.9%). "Falling" was the most common cause of TDIs, accounting for 51% of cases. While increased overjet appeared to be associated with higher risk of TDIs (OR: 1.92; 95% CI: 1.29-2.86), being female (OR: 0.34; 95% CI: 0.22-0.53) and overweight (OR: 0.33; 95% CI: 0.13-0.83) were also associated with lower risk of having TDIs. CONCLUSIONS: This survey showed that a considerable proportion (10.3%) of 12-year-old Libyan children had TDIs, with relatively high unmet treatment needs. More efforts are required to develop effective prevention programmes and to enhance the provision of dental treatment of TDIs for Libyan children.


Asunto(s)
Sobremordida , Traumatismos de los Dientes/epidemiología , Niño , Estudios Transversales , Femenino , Humanos , Libia/epidemiología , Prevalencia
18.
Dent Traumatol ; 36(3): 218-236, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31724811

RESUMEN

BACKGROUND/AIMS: Understanding the risk factors for dental injuries is essential to develop prevention strategies. The aim of this study was to perform a systematic review and meta-analysis to determine whether people with special needs (SN) have a higher incidence of traumatic dental injury (TDI). MATERIALS AND METHODS: Electronic searches were performed with no language or date restrictions in the following databases: PubMed, Lilacs, BBO, Scopus, Web of Science, Cochrane Library and Open Gray. According to the PECOS strategy, observational studies that investigated subjects with and without SN and its association with TDI episodes were included. Quality assessment and bias control were carried out according to Fowkes and Fulton guidelines. A meta-analysis was performed by sub-grouping studies according to the type of SN, with the odds ratio (OR) also being calculated (P ≤ .05). The evidence was quality tested using the GRADE approach. RESULTS: After titles and abstracts were examined, and full texts were read, 28 studies were included in the qualitative synthesis and 27 in the meta-analysis. Three studies were classified with high methodological quality and the others had methodological problems. No associations were determined between TDI and autism spectrum disorder, epilepsy and mental disability (OR 1.12 [0.70, 1.78], OR 1.28 [0.13, 12.27] and OR 1.04 [0.20, 5.35], respectively, P > .05). A positive association (P < .05) was found between TDI and hyperactivity disorder, cerebral palsy, 21 trisomy, various conditions of SN and in pooled results (OR 2.67 [1.22, 5.87], OR 1.89 [1.06, 3.37], OR 6.18 [2.24, 17.05], OR 1.69 [1.18, 2.41], OR 1.61 [1.16; 2.22], respectively).The certainty of evidence ranged from very low to low. CONCLUSIONS: In general, people with SN had a higher chance of having TDI with very low certainty of evidence. People with ADHD and cerebral palsy had a higher chance of TDI.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad , Trastorno del Espectro Autista , Parálisis Cerebral , Traumatismos de los Dientes/epidemiología , Humanos , Factores de Riesgo
19.
Clin Pediatr (Phila) ; 58(11-12): 1262-1270, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31179757

RESUMEN

This study investigated characteristics and trends associated with sports- and recreation-related dental injuries among children <18 years old treated in US emergency departments using data from the National Electronic Injury Surveillance System for 2000 to 2017. There were an estimated 198 787 (95% confidence interval = 162 216-235 358) injuries during the study period, averaging 11 044 injuries annually. The rate of dental injuries per 100 000 US population <18 years old fluctuated during the study, starting at 16.9 in 2000 and ending at 13.9 in 2017. Injuries most commonly occurred among males (69.8%) and children 7 to 12 years old (44.6%). Pediatric sports- and recreation-related dental injuries were most commonly associated with bicycles (28.6%), playground equipment (15.3%), and baseball/softball (12.4%). Although emergency department visits for pediatric sports- and recreation-related dental injuries decreased during the study period overall, sports and recreation remain an important source of preventable dental injury, particularly among children 7 to 12 years old.


Asunto(s)
Traumatismos en Atletas/epidemiología , Traumatismos de los Dientes/epidemiología , Adolescente , Factores de Edad , Niño , Servicio de Urgencia en Hospital , Femenino , Humanos , Masculino , Recreación , Estados Unidos/epidemiología
20.
Indian J Pediatr ; 86(11): 1043-1047, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31197645

RESUMEN

Traumatic dental injuries (TDI) or tooth trauma have a global prevalence of 10-15%. These are often the cause of first visit to emergency room. Prognosis of teeth after injury is dependent on type of TDI, emergency treatment and time elapsed till definitive care. The low level of awareness among general public and medical practitioners often leads to delay in seeking treatment which often leads to pain, severe symptoms and poor prognosis. Pediatricians can play a significant role in identification of TDI, health advise, emergency care and referral to dentists. This paper highlights the important features to be noted in children with history of TDI and the key steps which needs to be taken in these situations.


Asunto(s)
Manejo de la Enfermedad , Traumatismos de los Dientes/epidemiología , Niño , Servicios Médicos de Urgencia , Servicio de Urgencia en Hospital , Humanos , Pediatras , Prevalencia , Pronóstico , Traumatismos de los Dientes/clasificación , Traumatismos de los Dientes/diagnóstico por imagen
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