Analysis of the Prevalence of Traumatic Dental Injuries in the Primary Dentition: Findings From a Cohort Study Involving 4-Year-Old Children From South Brazil.
Muriel Denisse Rivera López, Mariana Gonzalez Cademartori, Marília Leão Goettems, Flávio Fernando Demarco, Pedro Curi Hallal, Vanessa Polina Pereira da Costa
{"title":"Analysis of the Prevalence of Traumatic Dental Injuries in the Primary Dentition: Findings From a Cohort Study Involving 4-Year-Old Children From South Brazil.","authors":"Muriel Denisse Rivera López, Mariana Gonzalez Cademartori, Marília Leão Goettems, Flávio Fernando Demarco, Pedro Curi Hallal, Vanessa Polina Pereira da Costa","doi":"10.1111/edt.13003","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To identify factors associated with the prevalence of traumatic dental injuries (TDI) in children at 4 years of age.</p><p><strong>Methods: </strong>Participants from the 2015 Pelotas (Brazil) birth cohort were included. Demographic, socioeconomic, behavioral, and environmental data were collected through interviews and physical examinations during cohort follow-up. Dental examination at 4 years of age revealed the presence of TDI. A theoretical model was constructed using a directed acyclic graph (DAG). A descriptive analysis was performed, followed by Poisson regression models relating TDI to each outcome.</p><p><strong>Results: </strong>Data from 3650 4-year-old children were analyzed; the prevalence of dental trauma was 20.2% (95% confidence interval [CI] 18.9%-21.5%). The prevalence of TDI was lower among girls compared with boys, suggesting a protective effect of female sex (relative risk [RR] 0.80 [95% CI: 0.79-0.91]). Increased height for age (RR 1.55 [95% CI: 1.14-2.09]), increased overjet (RR 1.45 [95% CI: 1.2-1.74]), and anterior open bite (RR 1.26 [95% CI: 1.01-1.56]) demonstrated an association with TDI after testing regression models based on DAGs.</p><p><strong>Conclusion: </strong>Male sex, increased height, and increased overjet and open bite were factors predisposing to TDI at 4 years of age. Understanding these factors can contribute to the implementation of targeted prevention strategies for reducing TDI and their potential long-term consequences.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dental Traumatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/edt.13003","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To identify factors associated with the prevalence of traumatic dental injuries (TDI) in children at 4 years of age.
Methods: Participants from the 2015 Pelotas (Brazil) birth cohort were included. Demographic, socioeconomic, behavioral, and environmental data were collected through interviews and physical examinations during cohort follow-up. Dental examination at 4 years of age revealed the presence of TDI. A theoretical model was constructed using a directed acyclic graph (DAG). A descriptive analysis was performed, followed by Poisson regression models relating TDI to each outcome.
Results: Data from 3650 4-year-old children were analyzed; the prevalence of dental trauma was 20.2% (95% confidence interval [CI] 18.9%-21.5%). The prevalence of TDI was lower among girls compared with boys, suggesting a protective effect of female sex (relative risk [RR] 0.80 [95% CI: 0.79-0.91]). Increased height for age (RR 1.55 [95% CI: 1.14-2.09]), increased overjet (RR 1.45 [95% CI: 1.2-1.74]), and anterior open bite (RR 1.26 [95% CI: 1.01-1.56]) demonstrated an association with TDI after testing regression models based on DAGs.
Conclusion: Male sex, increased height, and increased overjet and open bite were factors predisposing to TDI at 4 years of age. Understanding these factors can contribute to the implementation of targeted prevention strategies for reducing TDI and their potential long-term consequences.
期刊介绍:
Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics:
- Epidemiology, Social Aspects, Education, Diagnostics
- Esthetics / Prosthetics/ Restorative
- Evidence Based Traumatology & Study Design
- Oral & Maxillofacial Surgery/Transplant/Implant
- Pediatrics and Orthodontics
- Prevention and Sports Dentistry
- Endodontics and Periodontal Aspects
The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.