Prevalence, Etiology and Treatment Needs of Traumatic Dental Injuries in Schoolchildren aged 12 years at Brasília, Brazil

Maria de Lourdes Vieira Frujeri, José Ângelo Junqueira Frujeri, Ana Cristina Barreto Bezerra, Maria Ilma de Souza Gruppioni Cortes

Abstract


Objective: To investigate the prevalence of dental trauma, its causes, sites and age at the occurrence of injuries and treatment needs related to dental trauma in schoolchildren aged 12 years at Brasília, DF, Brazil. Material and Methods: A cross-sectional, population-based study was conducted on a sample of 1,389 schoolchildren of public and private schools. Two questionnaires were used: one targeted to parents/legal caretakers and the other responded by the schoolchildren. The criteria for classification of trauma used in the Children’s Dental Survey in the United Kingdom were adopted. The examinations were performed by two trained and calibrated examiners (inter and intra-examiner kappa: 0.85 to 1.00). The association between dental trauma and the study variables was evaluated by the chi-square test. Results: A total of 1,445 students were examined, with a response rate of 80.48%. Prevalence of 14.63% (public schools) and 23.40% (private schools) of dental trauma was found. The most common cause of dental trauma was fall (7.87%), followed by collision with objects or persons (5.03%), inadequate use of the teeth (2.33%), sports accidents (2.11%) and car accidents (0.66%). It was observed that 256 students presented injury to at least one tooth, with predominance of enamel fracture (88.67%) followed by discoloration (5.47%), enamel and dentin fracture (3.90%) and tooth loss (1.95 %). The teeth most affected by trauma were the maxillary central incisors. The accidents occurred predominantly at home (44.25%) and at the school (26.99%). Only 28.51% had received treatment for the injuries. Conclusion: Dental trauma in the study population was significant, presenting diverse etiology and expressive treatment needs, indicating the importance of preventive programs to inform the population on the possible complications after trauma, as well as the need to follow-up traumatized teeth to avoid subsequent problems.

Full Text:

PDF

References


Marcenes W, Beiruti N, Tayfour D, Issa S. Epidemiology of traumatic dental injuries to permanent incisors of schoolchildren aged 9 to 12 in Damascus, Syria. Endod Dent Traumatol 1999; 15(3):117-23.

Traebert J, Bittencourt DD, Peres KG, Peres MA, Lacerda JT, Marcenes W. Aetiology and rates of treatment of traumatic dental injuries among 12-year-old school children in a town in southern Brazil. Dent Traumatol 2006;22(4):173-8.

Dang KM, Day PF, Calache H, Tham R, Parashos P. Reporting dental and its inclusion in an injury surveillance system in Victoria, Australia. Aust Dent 2015; 60(1):88-95

Glendor U, Jonsson D, Halling A, Lindqvist K. Direct and indirect costs of dental trauma in Sweden: a 2-year prospective study of children and adolescents. Community Dent Oral Epidemiol 2001; 29(2):150-60.

Cortes MI, Marcenes W, Sheiham A. Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12-14-year-old children. Community Dent Oral Epidemiol 2002; 30(3):193-8.

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

Levin, L, Zadick Y. Education on and prevention of dental trauma: it’s time to act! Dent Traumatol 2012; 28(1):49–54.

Marcenes W, Alessi O, Traebert J. Causes and prevalence of traumatic injuries to the permanent incisors of school-children aged 12 years in Jaragua do Sul, Brazil. Int Dent J 2000; 50(2):87-92.

Patel MC, Sujan SG. The prevalence of traumatic dental injuries to permanent anterior teeth and its relation with predisposing risk factors among 8-13 years school children of Vadodara city: an epidemiological study. J Indian Soc Pedod Prev Dent 2012; 30(2):151-7.

Brasil. SB Brasil, 2010. Available from: http://dab.saude.gov.br/CNSB/sbbrasil/

O'Brien M. Children's Dental Health in the United Kingdom 1993. In: Report of Dental Survey. Office of Population Censuses and Surveys. London: Her Majesty's Stationery Office; 1994.

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.

Naidoo S, Sheiham A, Tsakos G. Traumatic dental injuries of permanent incisors in 11- to 13-year-old South African schoochildren. Dent Traumatol 2009; 25(2):224–8.

Cortes MI, Marcenes W, Sheiham A. Prevalence and correlates of traumatic injuries to the permanent teeth of schoolchildren aged 9-14 years in Belo Horizonte, Brazil. Dent Traumatol 2001; 17(1):22-6.

Traebert J, Peres MA, Balnk V, Boell R, Pietruza JA. Prevalence of traumatic dental injury and associated factors among 12-year old school children in Florianópolis, Brazil. Dent Traumatol 2003; 19(1):15-8.

Cavalcanti AL, Bezerra PK, Alencar CR, Moura C. Traumatic anterior dental injuries in 7- to 12-year-old brazilian children. Dent Traumatol 2009; 25(2):198-202.

Bendo CB. Traumatismo dentário em adolescentes: prevalência, fatores associados e influência na qualidade de vida [dissertação]. Belo Horizonte: Universidade Federal de Minas Gerais; 2009.

Gulinelli JL, Saito CT, Garcia-Junior IR, Panzarini SR, Poi WR, Sonoda CK, Jardim EC, Faverani LP. Occurrence of tooth injuries in patients treated in hospital environment in the region of Araçatuba, Brazil during a 6-year period. Dent Traumatol 2008; 24(6):640-4.

Levene S. Preventing accidents. Practiotioner 1992; 236(1517):776-7.

Souza LJEX, Barroso MGT. Revisão bibliográfica sobre acidentes com crianças. Rev Esc Enf USP 1999; 33(2):107-12.

Mowatt L, McDonald A, Ferron-Boothe D. Paediatric ocular trauma admissions to the University Hospital of the West Indies 2000-2005. West Indian Med J 2012; 61(6):598-604.

Mack KA, Rudd R A, Mickalide AD, Ballesteros MF. Fatal unintentional injuries in the home in the U.S., 2000-2008. Am J Prev Med 2013; 44(3): 39-6.

Krug A. et al. The impact of chil-resistant containers on the incidence of paraffin (Kerosene) ingestion in children. South African Med J 1994; 84(11):730-4.

Yach, D. Paraffin poisoning: patnership the keyto prevention. South African Med. J. 1994;84(11):717-8.

Andersson L. Epidemiology of traumatic dental injuries. J Endod 2013; 39(3 Suppl):S2-5.

Frontera RR, Zanin L, Ambrosano GM, Flório FM. Orofacial trauma in Brazilian basketball players and level of information concerning trauma and mouthguards. Dent Traumatol 2011; 27(3):208-16

O'Malley M, S Evans D, Hewson A, Owens J. Mouthguard use and dental injury in sport: a questionnaire study of national school children in the west of Ireland. J Ir Dent Assoc 2012; 58(4):205-11.

Garbin CA, Guimarães e Queiroz AP, Rovida TA, Garbin AJ. Occurrence of traumatic dental injury in cases of domestic violence. Braz Dent J 2012; 23(1):72-6.

Levin L, Samorodnitzky GR, Schwartz-Arad D, Geiger SB. Dental and oral trauma during childhood and adolescence in Israel: occurrence, causes, and outcomes. Dent Traumatol 2007; 23(6):356-9.

Goodall CA. Dentofacial injuries and domestic abuse. Evid Based Dent 2012; 13(3):86.

Gupta S, Kumar Jindal S, Bansal M, Sinla A. Prevalence of traumatic dental injuries and role of incisal overjet and inadequate lip coverage as risk factors among 4-15 years old government school children in Baddi- Baratiwala Area, Himachal Pradesh, India. Med Oral Patol Oral Cir Bucal 2011;1; 16(7):e 960-5.




PBOCI is a member of CrossRef and all the content of its journals are linked by DOIs through CrossRef.