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Traumatic dental injury in permanent teeth of young patients attended at the federal U niversity of R io de J aneiro, B razil
Author(s) -
Rodrigues Campos Soares Thais,
Andrade Risso Patrícia,
Cople Maia Lucianne
Publication year - 2014
Publication title -
dental traumatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.82
H-Index - 81
eISSN - 1600-9657
pISSN - 1600-4469
DOI - 10.1111/edt.12087
Subject(s) - medicine , dentistry , logistic regression , dental trauma
Abstract Background/Aim Risk factors for dental trauma, such as gender and age, have not been studied in much detail in the past. So, this study was to determine the frequency of T raumatic dental injuries ( TDI ) and the association of gender and age with the different types of injuries in permanent teeth of patients treated at the D ental T rauma S urveillance C enter, F ederal U niversity of R io de J aneiro, B razil. Material and Methods Data from records of 1022 patients were evaluated, and patients with TDI in permanent teeth were included and descriptively analyzed. The C hi‐squared test and logistic regression were also used ( P ≤ 0.05). Results A total of 352 (34.4%) records from patients (mean age 9.29 ± 1.97) with 676 affected permanent teeth were included in the final sample. Children (55.7%) have a higher frequency of TDI than adolescents (42.9%). Falls (54.3%) was the most common cause, and the street (37.5%) was the most frequent place of occurrence. Enamel and dentin fracture without pulp exposure (69.2%) was the most common TDI for both genders ( P = 0.16). Avulsion (29.2%) was the most frequent injury to supportive tissues for both genders; however, this was more numerous in girls ( P < 0.001). Intrusive luxation was more common in boys ( P = 0.01). According to logistic regression, intrusive luxation affects girls less ( OR = 0.394; IC = 0.178–0.875) than boys, while girls have more chance of suffering from avulsion ( OR = 1.912; IC = 1.197–3.055) and avulsion was less frequent in children ( OR = 0.588; IC = 0.373–0.928). Conclusions Enamel and dentin fractures without pulp exposure and avulsion were the most common TDI . Gender (female) and age (adolescent) were considered risk factors for the occurrence of avulsion. However, male gender was a risk factor for the occurrence of intrusive luxation. So public health policies and educational programs aimed at prevention need to be developed, and the differences among groups should be respected.