Prevalence of Dental Trauma and Association with Alcohol Consumption, Demographic and Clinical Factors Among 12-Year-Old Schoolchildren: An Exploratory Study

Paula Cristina Pelli Paiva, Haroldo Neves de Paiva, Joel Alves Lamounier, Patrícia Maria Zarzar

Abstract


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 and calibration 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.

Full Text:

PDF

References


Ramos-Jorge J, Paiva SM, Tataounoff J, Pordeus IA, Marques LS, Ramos-Jorge ML. Impact of treated/

untreated traumatic dental injuries on quality of life among Brazilian schoolchildren. Dent Traumatol 2014; 30(1):27-31.

Grimm S, Frazão P, Antunes JL, Castellanos RA, Narvai PC. Dental injury among Brazilian schoolchildren in the state of São Paulo. Dent Traumatol 2004; 20(3):134-8.

Marcenes W, Zabot NE, Traebert J. Socio-economic correlates of traumatic injuries to the permanent incisors in schoolchildren aged 12 years in Blumenau, Brazil. Dent Traumatol 2001; 17(5):222-6.

Soriano EP, Caldas AF, Diniz de Carvalho MV, Amorim Filho HA. Prevalence and risk factors related to traumatic dental injuries in Brazilian schoolchildren. Dent Traumatol 2007; 23(4):232-40.

Glendor U. Aetiology and risk factors related to traumatic dental injuries – a review of the literature. Dent Traumatol 2009; 25(1):19:31.

Nguyen QV, Bezemer PD, Habets L, Prahl-Andersen B. A systematic review of the relationship between overjet size and traumatic dental injuries. Eur J Orthod 1999; 21(5):503–15.

Bauss O, Freitag S, Röhling J, Rahman A. Influence of overjet and lip coverage on the prevalence and severity of incisor trauma. J Orofac Orthop 2008; 69(6):402-10.

O’Mullane DM. Injured permanent incisor teeth: an epidemiological study. J Ir Dent Assoc 1972; 18(4):160-173.

Oliveira Filho PM, Jorge KO, Ferreira EF, Ramos-Jorge ML, Tataounoff J, Zarzar PM. Association between dental trauma and alcohol use among adolescents. Dent Traumatol 2013; 29(5):372-7.

Jorge KO, Oliveira Filho PM, Ferreira EF, Oliveira AC, Vale MP, Zarzar PM. Prevalence and association of dental injuries with socieconomic conditions and alcohol/drug use in adolescents between 15 and 19 years of age. Dent Traumatol 2012; 28(2):136-41.

IBGE-Demographic Census 2010 – District Data for Minas Gerais. [cited 2012 Jun 12 12]. Available from:

Andreasen JO, Andreasen FM, Anderson L. Textbook and color atlas of traumatic injuries to the teeth. 4rd ed. Copenhagen: Munskgaard International Publishers, 2007. 772p.

Lima CT, Freire AC, Silva AP, Teixeira RM, Farrell M, Prince M. Concurrent and construct validity of the audit in an urban Brazilian sample. Alcohol Alcohol 2005; 40(6):584-9.

Reinert DF, Allen JP. The alcohol use disorders identification test: an update of research findings. Alcohol Clin Exp Res 2007; 31:185-99.

Wechsler H, Nelson TF. Binge drinking and the American college student: what's five drinks? Psychol Addict Behav 2001; 15:287-91.

Almeida PM, Wickerhauser H. Finding a better socio-economic status classification system for Brazil. J Marketing Res 1988; 19:240-50.

Sierra VM, Mesquita WA. Vulnerabilidades e fatores de risco na vida de crianças eadolescentes. São Paulo em Perspec 2006; 20:148-55.

World Health Organization. Management of Substance Abuse. The WHO ASSIST Project. Geneva: World Health Organization, 2008. [cited 2012 jun 15 06]

Paiva PCP, Paiva HN, Jorge KO, Oliveira Filho PM. Estudo transversal em escolares de 12 anos de idade sobre a necessidade de tratamento, etiologia e ocorrência de traumatismo dentário em Montes Claros, Brasil. Arq Odontol 2013; 49(1):19-25.

Silveira JLGC, Bana AJ, Arruda JAB. Traumatismos Dentários em Escolares de 12 anos do Município de Blumenau, SC, Brasil. Pesq Bras Odontoped Clin Integr 2010; 10(1):23-26.

Schuch HS, Goettems ML, Correa MB, Torriani DD, Demarco FF. Prevalence and treatment demand after traumatic dental injury in South Brazilian schoolchildren.Dent Traumatol 2013; 29(4):297-302.

Mota LQ, Targino AGR, Lima MGGC, Farias JFG, Silva ALA, Farias FFG. Estudo do Traumatismo Dentário em Escolares do Município de João Pessoa, PB, Brasil. Pesq Bras Odontoped Clin Integr 2011; 11(2):217-22.

Carvalho B, Brito AS, Heimer M, Vieira S, Colares V. Traumatismo Dentário em Adolescentes entre 15 e 19 Anos na Cidade do Recife – PE e Fatores Associados – Estudo Preliminar. Pesq Bras Odontoped Clin Integr 2013; 13(1):95-100.

Martins VM, Sousa RV, Rocha ES, Leite RB, Paiva SM, Granville-Garcia AF. Dental trauma among Brazilian schoolchildren: prevalence, treatment and associated factors.Eur Arch Paediatr Dent 2012; 13(5):232-7.

Traebert J, Claudino D. Epidemiologia do Traumatismo Dentário em Crianças: A Produção Científica Brasileira. Pesq Bras Odontoped Clin Integr 2010; 12(2):263-72.

Adekoya-Sofowora CA, Adesina OA, Nasir WO, Oginni AO, Ugboko VI. Prevalence and causes of fractured permanent incisors in 12-year old suburban Nigerian schoolchildren. Dent Traumatol 2009; 25(3):314-7.

Veire A, Nichols W, Urquiola R, Oueis H. Dental trauma: review of common dental injuries and their management in primary and permanent dentitions. J Mich Dent Assoc 2012; 94(1):41-5.

Rajab LD, Baqain ZH, Ghazaleh SB, Sonbol HN, Hamdan MA. Traumatic dental injuries among 12-year-old schoolchildren in Jordan: prevalence, risk factors and treatment need.Oral Health Prev Dent 2013; 11(2):105-12.

Bendo CB, Vale MP, Figueiredo LD, Pordeus IA, Paiva SM. Social vulnerability and traumatic dental injury among Brazilian schoolchildren: a population-based study. Int J Environ Res Public Health 2012; 9(12):4278-91.

MacArthur GJ, Smith MC, Melotti R, Heron J, Macleod J, Hickman M, Kipping RR, Campbell R, Lewis G. Patterns of alcohol use and multiple risk behaviour by gender during early and late adolescence: the ALSPAC cohort. J Public Health 2012; 34(Suppl 1):20-30.




PBOCI IS A MEMBER OF CROSSREF AND ALL THE CONTENT OF ITS JOURNALS ARE LINKED BY DOIS THROUGH CROSSREF.