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Is dental trauma more prevalent in maltreated children? A comparative Study in Southern Brazil
Author(s) -
SilvaJúnior Ivam Freire,
Drawanz Hartwig Andréia,
Leão Goettems Marília,
Sousa Azevedo Marina
Publication year - 2019
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1111/ipd.12466
Subject(s) - medicine , odds ratio , confidence interval , child abuse , socioeconomic status , logistic regression , dental trauma , poison control , demography , injury prevention , pediatrics , dentistry , environmental health , population , sociology
Background Although a high prevalence of head and neck trauma has been reported in maltreated children and adolescents, most of these studies focused on record‐based analyses, and only a few used control groups. Aim To assess the presence of dental trauma in maltreated children in comparison with children without a history of maltreatment. Design A cross‐sectional study with 68 maltreated children and 204 age, sex‐, and school‐matched control participants was conducted in Pelotas, a Southern Brazilian city. Socioeconomic and demographic data were collected. Clinical examinations were performed to evaluate dental trauma (O'Brien Index) and dental caries ( WHO criteria). Fisher's exact and chi‐squared tests were used for intergroup comparisons of socioeconomic and clinical variables. Multivariate logistic regression analyses were conducted to obtain adjusted odds ratios ( OR ). Results The prevalence of dental trauma was 23.53% (n = 16) among maltreated children and 14.22% (n = 29) in the comparative group. After adjustment, the occurrence of dental trauma showed association with child maltreatment, with an OR of 2.14 (95% confidence interval 1.03‐4.44) for maltreated children in comparison with children in the comparative group ( P = 0.04). Conclusions Maltreated children presented with more dental trauma than those with no history of maltreatment.