Keywords
Tooth injuries
Quality of life
Oral health
How to Cite
Abstract
Dental trauma is a public health problem because of its high prevalence rates and treatment costs and for affecting mainly younger individuals. Aim: This cross-sectional study aimed to investigate the variables associated with dental trauma and its influence on oral health-related quality of life among 7th-grade students of public elementary schools. Methods: The data was collected with semi-structured and self-administered questionnaires and an intraoral clinical examination (n = 204). The variables collected regarded dental trauma, lip coverage, overjet, oral health-related quality of life (Child Perceptions Questionnaire - CPQ11-14 ISF: 8), and sociodemographic profile. Association tests and the Mann-Whitney test were performed at a 5% significance level. Results: Dental trauma occurred in 12.3% of students, 94.6% had adequate lip coverage, and the mean overjet was 2.7 mm (±2.0). Sex was the only variable with a statistically significant association with dental trauma (p = 0.021). There was no statistically significant difference in the CPQ11-14 ISF: 8 score between students with and without dental trauma (p = 0.136). Conclusions: Dental trauma was significantly associated with sex and did not impact the oral health-related quality of life of the students.
References
Andreasen JO, Andreasen FM. Examination of the traumatized patient, wound healing and treatment principles. In: Andreasen JO, Andreasen FM. Essentials of traumatic injuries to the teeth: a step-by-step treatment guide. 2nd ed. Munksgaard, Copenhagen; 2000. p.9-20.
Lopez D, Waidyatillake N, Zaror C, Mariño R. Impact of uncomplicated traumatic dental injuries on the quality of life of children and adolescents: a systematic review and meta-analysis. BMC Oral Health. 2019 Oct;19(1):224. doi: 10.1186/s12903-019-0916-0.
Antunes LAA, Lemos HM, Milani AJ, Guimarães LS, Kuchler EC, Antunes LS. Does traumatic dental injury impact oral health-related to quality of life of children and adolescents? Systematic review and meta-analysis. Int J Dent Hyg. 2020 May;18(2):142-62. doi: 10.1111/idh.12425.
Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis-One billion living people have had traumatic dental injuries. Dent Traumatol. 2018 Apr;34(2):71-86. doi: 10.1111/edt.12389.
Magno MB, Neves AB, Ferreira DM, Pithon MM, Maia LC. The relationship of previous dental trauma with new cases of dental trauma. A systematic review and meta-analysis. Dent Traumatol. 2019 Feb;35(1):3-14. doi: 10.1111/edt.12449.
Brazilian Ministry of Health. [SB Brazil 2010: National Research on Oral Health: main results]. Brasília: Ministry of Health; 2012 [cited 2020 May 10]. Available from: http://189.28.128.100/dab/docs/portaldab/publicacoes/pesquisa_saude_bucal.pdf. Portuguese.
Goettems ML, Torriani DD, Hallal PC, Correa MB, Demarco FF. Dental trauma: prevalence and risk factors in schoolchildren. Community Dent Oral Epidemiol. 2014 Dec;42(6):581-90. doi: 10.1111/cdoe.12113.
Bomfim RA, Herrera DR, De-Carli AD. Oral health-related quality of life and risk factors associated with traumatic dental injuries in Brazilian children: a multilevel approach. Dent Traumatol. 2017 Oct;33(5):358-68. doi: 10.1111/edt.12348.
Feldens CA, Senna RA, Vargas-Ferreira F, Braga VS, Feldens EG, Kramer PF. The effect of enamel fractures on oral health-related quality of life in adolescents. Dent Traumatol. 2020 Jun;36(3):247-52. doi: 10.1111/edt.12526.
Vieira WA, Pecorari VGA, Figueiredo-de-Almeida R, Carvas Júnior N, Vargas-Neto J, Santos ECA, et al. Prevalence of dental trauma in Brazilian children and adolescents: a systematic review and meta-analysis. Cad Saude Publica. 2021 Dec;37(12):e00015920. doi: 10.1590/0102-311X00015920.
Soares TRC, Magno MB, Jural AL, Loureiro JM, Chianca TK, de Andrade Risso P, et al. Risk factors for traumatic dental injuries in the Brazilian population: a critical review. Dent Traumatol. 2018 Dec;34(6):445-54. doi: 10.1111/edt.12439.
Vieira WA, Pecorari VGA, Gabriel PH, Vargas-Neto J, Santos ECA, Gomes BPFA, et al. The association of inadequate lip coverage and malocclusion with dental trauma in Brazilian children and adolescents – A systematic review and meta-analysis. Dent Traumatol. 2022 Feb;38(1):4-19. doi: 10.1111/edt.12707.
Zaleckiene V, Peciuliene V, Brukiene V, Drukteinis S. Traumatic dental injuries: etiology, prevalence and possible outcomes. Stomatologija. 2014;16(1):7-14.
Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J. 2016 Mar;61 Suppl 1:4-20. doi: 10.1111/adj.12395.
El-Kalla IH; Shalan HM; Bakr RA. Impact of dental trauma on quality of life among 11-14 years schoolchildren. Contemp Clin Dent. 2017 Oct-Dec;8(4):538-44. doi: 10.4103/ccd.ccd_428_17.
Silva-Oliveira F, Goursand D, Ferreira RC, Paiva PCP. Paiva HN, Ferreira EF, et al. Traumatic dental injuries in Brazilian children and oral health-related quality of life. Dent Traumatol. 2018 Feb;34(1):28-35. doi: 10.1111/edt.12358.
Brignardello-Petersen R. There seems to be no association between uncomplicated traumatic dental injuries and impact on oral health-related quality of life in children and adolescents. J Am Dent Assoc. 2020 May;151(5):e40. doi: 10.1016/j.adaj.2019.12.004.
Seade Foundation. [Profile of Sao Paulo municipalities]. [cited 2020 Jun 5]. Available from: URL: https://perfil.seade.gov.br/#. Portuguese.
Tamanini JTN, D'ancona CAL, Botega NJ, Rodrigues NNJ. Validation of the Portuguese version of the 'King's Health Questionnaire for urinary incontinent women. Rev Saude Publica. 2003 Apr;37(2):203-11. Portuguese. doi: 10.1590/s0034-89102003000200007.
Cohen, J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, New Jersey: Lawrence Erlbaum Associates; 1988.
Cohen J. A power primer. Psychol Bull. 1992 Jul;112(1):155-9. doi: 10.1037//0033-2909.112.1.155.
Jokovic A, Locker D, Guyatt G. Short forms of the Child Perceptions Questionnaire for 11-14-year-old children (CPQ11-14): development and initial evaluation. Health Qual Life Outcomes. 2006 Jan 19;4:4. doi: 10.1186/1477-7525-4-4.
Torres CS, Paiva SM, Vale MP, Pordeus IA, Ramos-Jorge M, Oliveira AC, et al. Psychometric properties of the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) – short forms. Health Qual Life Outcomes. 2009 May;7:43. doi: 10.1186/1477-7525-7-43.
Traebert J, Almeida ICS, Garghetti C, Marcenes W. Prevalence, treatment needs, and predisposing factors for traumatic injuries to permanent dentition in 11-13-year-old schoolchildren. Cad Saude Publica. 2004 Mar-Apr;20(2):403-10. doi: 10.1590/s0102-311x2004000200007.
Dhand NK, Khatkar MS. Statulator: An online statistical calculator. Sample Size Calculator for Estimating a Single Mean. 2014 [cited 2020 May 10]. Available from: URL: http://statulator.com/SampleSize/ss1M.html.
Marcenes W, Alessi ON, 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 Apr;50(2):87-92. doi: 10.1002/j.1875-595x.2000.tb00804.x.
Traebert J, Peres MA, Blank V, Boell Rda S, Pietruza JA. Prevalence of traumatic dental injury and associated factors among 12-year-old school children in Florianópolis, Brazil. Dent Traumatol. 2003 Feb;19(1):15-8. doi: 10.1034/j.1600-9657.2003.00138.x.
Soriano EP, Caldas Ade F Jr, Diniz de Cravalho MV, Amorim Filho HA. Prevalence and risk factors related to traumatic dental injuries in Brazilian schoolchildren. Dent Traumatol. 2007 Aug;23(4):232-40. doi: 10.1111/j.1600-9657.2005.00426.x.
Paiva PC, de Paiva HN, de Oliveira Filho PM, Cortes MI. Prevalence and risk factors associated with traumatic dental injury among 12-year-old schoolchildren in Montes Claros, MG, Brazil. Cien Saude Colet. 2015 Apr;20(4):1225-33. doi: 10.1590/1413-81232015204.00752014.
Glendor U. Epidemiology of traumatic dental injuries – a 12 year review of the literature. Dent Traumatol. 2008 Dec;24(6):603-11. doi: 10.1111/j.1600-9657.2008.00696.x.
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 Feb;25(1):118-22. doi: 10.1111/j.1600-9657.2008.00725.x.
Tumen EC, Yavuz I, Kaya S, Uysal E, Tumen DS, Ay Y, et al. Prevalence of traumatic dental injuries and associated factors among 8 to 12-yeasr-old schoolchildren in Diyarbakir, Turkey. Niger J Clin Pract. 2017 Oct;20(10):1259-66. doi: 10.4103/1119-3077.219518.
Fonseca RCL, Antunes JLF, Cascaes AM, Bomfim RA. Individual and contextual factors associated with traumatic dental injuries in a population of Brazilian adolescents. Dent Traumatol. 2019 Jun;35(3):171-80. doi: 10.1111/edt.12469.
Arraj GP, Rossi-Fedele G, Dogramaci EJ. The association of overjet size and traumatic dental injuries - a systematic review and meta-analysis. Dent Traumatol. 2019 Oct;35(4-5):217-32. doi: 10.1111/edt.12481.
Damé-Teixeira N, Alves LS, Susin C, Maltz M. Traumatic dental injury among 12-year-old South Brazilian schoolchildren: prevalence, severity, and risk indicators. Dent Traumatol. 2013 Feb;29(1):52-8. doi: 10.1111/j.1600-9657.2012.01124.x.
Frujeri ML, Frujeri JA, Bezerra AC, Cortes MI, Costa ED Jr. Socio-economic indicators and predisposing factors associated with traumatic dental injuries in schoolchildren at Brasília, Brazil: a cross-sectional, population-based study. BMC Oral Health. 2014 Jul;14:91. doi: 10.1186/1472-6831-14-91.
Blokland A, Watt RG, Tsakos G, Heilmann A. Traumatic dental injuries and socioeconomic position – findings from the 'Children's Dental Health Survey 2013. Community Dent Oral Epidemiol. 2016 Dec;44(6):586-91. doi: 10.1111/cdoe.12252.
Freire MCM, Vasconcelos DN, dos Santos Vieira A, Araujo JA, da Silveira Moreira R, de Fátima Nunes M. Association of traumatic dental injuries with individual-, sociodemographic- and school-related factors among schoolchildren in midwest Brazil. Int J Environ Res Public Health. 2014 Sep 22;11(9):9885-96. doi: 10.3390/ijerph110909885.
Basha S, Mohammad RN, Swamy HS, Sexena V. Association between traumatic dental injury, obesity, and socioeconomic status in 6- and 13-year-old schoolchildren. Soc Work Public Health. 2015;30(4):336-44. doi: 10.1080/19371918.2014.1002598.
Mathur MR, Watt RG, Millett CJ, Parmar P, Tsakos G. Determinants of socioeconomic inequalities in traumatic dental injuries among urban indian adolescents. PLoS ONE. 2015 Oct;10(10):e0140860. doi: 10.1371/journal.pone.0140860.
Bilder L, Stepco E, Uncuta D, Machtei E, Sgan-Cohen H, Bilder A, et al. Traumatic dental injuries among adolescents in Republic of Moldova. J Clin Pediatr Dent. 2019;43(4):269-73. doi: 10.17796/1053-4625-43.4.8.
Bratteberg M, Thelen DS, Kloks KS, Bardsen A. Traumatic dental injuries – Prevalence and severity among 16-year-old pupils in western Norway. Dent Traumatol. 2018 Jun;34(3):144-50. doi: 10.1111/edt.12399.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2022 Isabella Silva Catananti; Fabio Cesar Braga de Abreu-e-Lima, Silvio Rocha Corrêa da Silva; Vanessa Pardi; Elaine Pereira da Silva Tagliaferro
Downloads
