Risk Factors for Different Types of Traumatic Injuries in Primary Teeth
Keywords:
Child, Tooth, Deciduous, Tooth Injuries, Risk FactorsAbstract
Objective: To evaluate traumatic dental injuries (TDI) in primary teeth and the association of gender and age with different injuries. Material and Methods: Records of patients with TDI in primary teeth were included. The following parameters were registered: gender and age, place of trauma, cause of trauma, affected tissue and tooth, number of injured teeth, type of injury, and gingival and bone damage. A logistic regression analysis was performed to explore the interaction between gender and age on the occurrence of types of injuries (p≤0.05). Results: The total of 721 records were evaluated and 370 records were included, being 61.6% boys and 60.5% children aged 0–3 years old, with 658 primary teeth affected. The support tissue was most affected (496/658), followed by dental tissue (139/658). Enamel/dentine fracture with pulp exposure (n=51) and intrusion (n=131) were the most common injuries of dental and support tissues, respectively. In general, boys suffered more traumas than girls, regardless of the age range. As for concussion, logistic regression confirms that gender and age are also influencers. Girls (OR=1.822, CI = 1.050-3.164, p=0.033) in the 4–6 year age group (OR=2.15, CI = 1.239–3.747, p=0.007) are more likely to have concussions. Children age 4–6 years were less likely to suffer an intrusion (OR=0.496; CI = 0.278– 0.886; p=0.018). Conclusion: Gender and age influence concussion and intrusion in the primary teeth.
References
Andreasen JO, Andreasen FM, Andersson L. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th ed. Copenhagen: Munskgaard; 2007.
Soriano EP, Caldas AF, Carvalho MVD, Amorim-Filho HA. Prevalence and risk factors related to traumatic dental injuries in Brazilian schoolchildren. Dent Traumatol 2007;2 3(4):232-40. https://doi.org/10.1111/j.1600-9657.2005.00426.x
Abanto J, Paiva SM, Raggio DP, Celiberti P, Aldrigui JM, Bonecker M. The impact of dental caries and trauma in children on family quality of life. Community Dent Oral Epidemiol 2012; 40:323-31. https://doi.org/10.1111/j.1600-0528.2012.00672.x
Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol 2011; 39(2):105-14. https://doi.org/10.1111/j.1600-0528.2010.00580.x
Lygidakis NA, Marinou D, Katsaris N. Analysis of dental emergencies presenting to a community paediatric dentistry centre. Int J Paediatric Dent 1998; (8):181-90. https://doi.org/10.1046/j.1365-263x.1998.00079.x
Lenzi MM, Alexandria AK, Ferreira DM, Maia LC. Does trauma in the primary dentition cause sequelae in permanent successors? a systematic review. Dent Traumatol 2015; 31(2):79-88. https://doi.org/10.1111/edt.12149
Cunha RF, Pugliese DMC, Vieira AEM. Oral trauma in Brazilian patients aged 0–3 years. Dent Traumatol 2001; 17(5):210-12. https://doi.org/10.1034/j.1600-9657.2001.170504.x
Viegas CM, Scarpelli AC, Carvalho AC, Ferreira FM, Pordeus IA, Paiva SM. Predisposing factors for traumatic dental injuries in Brazilian preschool children. Eur J Paediatr Dent 2010; 11(2):59-65.
EIKarmi RF, Hamdan MA, Rajab LD, Abu-Ghazaleh SB, Sonbol HN. Prevalence of traumatic dental injuries and associated factors among preschool children in Amman, Jordan. Dent Traumatol 2015; 31(6):487-92. https://doi.org/10.1111/edt.12183
Tello G, Bonini GC, Murakami C, Abanto J, Oliveira LB, Bönecker M. Trends in the prevalence of traumatic crown injuries and associated factors in Brazilian preschool children: 10-year observational data. Dent Traumat 2016; 32:274-80. https://doi.org/10.1111/edt.12255
Kramer PF, Gomes CS, Ferreira SH, Feldens CA, Viana ES. Traumatismo na dentição decídua e fatores associados em pré-escolares do município de Canela/RS. Pesqui Bras Odontopediatria Clin Integr 2009; 9(1):95-100. https://doi.org/10.4034/1519.0501.2009.0091.0016 [In Portuguese].
Kramer PF, Feldens EG, Bruch CM, Ferreira SH, Feldens CA. Clarifying the effect of behavioral and clinical factors on traumatic dental injuries in childhood: a hierarchical approach. Dent Traumatol 2015; 31(3):177-83. https://doi.org/10.1111/edt.12167
Bonini GC, Bönecker M, Braga MM, Mendes FM. Combined effect of anterior malocclusion and inadequate lip coverage on dental trauma in primary teeth. Dent Traumatol 2012; 28(6):437-40. https://doi.org/10.1111/j.1600-9657.2012.01117.x
Viegas CMS, Godoi PFS, Ferreira EF, Zarzar PMPA. Traumatism to the deciduous dentition: prevalence, etiological and predisposition factors. Arq Odontol 2006; 42(4):316-24.
Feldens CA, Kramer PF, Feldens EG. Exploring the profile of articles on traumatic dental injuries in pediatric dental journals. Dent Traumatol 2013; 29(3):172-7. https://doi.org/10.1111/edt.12035
Kramer PF, Onetto J, Flores MT, Borges TS, Feldens CA. Traumatic dental injuries in the primary dentition: a 15- year bibliometric analysis of Dental Traumatology. Dent Traumatol 2016; 32(5):341-6. https://doi.org/10.1111/edt.12262
Robson F, Ramos-Jorge ML, Bendo CB, Vale MP, Paiva SM, Pordeus IA. Prevalence and determining factors of Traumatic injuries to primary teeth in preschool children. Dent Traumatol 2009; 25(1):118-22. https://doi.org/10.1111/j.1600-9657.2008.00725.x
Didem A, Alev A, Itır A, Gonca K. A retrospective study of traumatic dental injuries. Dent Traumatol 2014; 30:154- 61. https://doi.org/10.1111/edt.12057
Jorge KO, Moysés SJ, Ferreira e Ferreira E, Ramos-Jorge ML, de Araújo Zarzar PM. Prevalence and factors associated to dental trauma in infants 1-3 years of age. Dent Traumatol 2009; 25(2):185-9. https://doi.org/10.1111/j.1600-9657.2008.00730.x
Feldens CA, Kramer PF, Vidal SG, Faraco Junior IM, Vítolo MR. Traumatic dental injuries in the first year of life and associated factors in Brazilian infants. J Dent Child 2008; 75(1):7-13.
Wendt FP, Torriani DD, Assunção MCF, Romano AR, Bonow MLM, Costa CT, et al. Traumatic dental injuries in primary dentition: epidemiologic study among preschool children in South Brazil. Dent Traumatol 2010; 26(2):168- 73. https://doi.org/10.1111/j.1600-9657.2009.00852.x
Sousa DL, Neto JJSM, Filho JGB. Prevalência de trauma dental em crianças atendidas na Universidade Federal do Ceará. Rev Odonto Ciênc 2008; 23(4):355-9. [In Portuguese].
Carvalho JC, Vinker F, Declereck D. Maloclusion, dental injuries and dental anomalies in the primary dentition of Belgian children. Int J Paediatr Dent 1998; 8(2):137-41. https://doi.org/10.1046/j.1365-263X.1998.00070.x
Dutra FT, Marinho AM, Godoi PF, Borges CM, Ferreira EF, Zarzar PM. Prevalence of dental trauma and associated factors among 1-to 4-year-old children old children. J Dent Child 2010; 77(3):146-51.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Pesquisa Brasileira em Odontopediatria e Clínica Integrada
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
