Tuesday, May 23, 2017

Dental Trauma: Prevalence And Risk Factors In Schoolchildren

Department of Pediatric Dentistry
Lutheran Medical Center

Resident’s Name: Albert Yamoah                                                                                                            Date: 5/23/17           
Article Title: Dental Trauma: Prevalence And Risk Factors In Schoolchildren
Author(s): Goettems ML, Torriani DD, Hallal PC, Correa MB, Demarco FF
Journal: Community Dentistry and  Oral Epidemiology
Date: 2014
Major Topic: Evaluating dental trauma prevalence of traumatic injury to permanent incisors in 8-12 yo to test associations between dental trauma and nutritional status and physical activity level, with adjustments for demographic, behavioral, and psychosocial variables.
Type of Article: Cross-sectional study
Main Purpose: To determine the prevalence of traumatic injury to the permanent incisors in 8-12yo children and look for associations between dental trauma and nutritional status along with physical activity levels
Key Points: The pronounced increase in the prevalence of dental trauma with age highlights the need to establish preventive strategies among schoolchildren. The risk of dental injury was increased in overweight/obese boys and children with histories of dental trauma in early childhood, confirming the existence of accident-prone children
·   Purpose of the study
o To determine the prevalence of traumatic injury to the permanent incisors in 8-12yo children and look for associations between dental trauma and nutritional status along with physical activity levels.
·   Methods
o Two-stage cluster sampling was used to select 1210 children in 20 public and private school in Pelotas, Brazil.
o Dental trauma was assessed using the O’Brien criteria.
o Parents provided information on socioeconomic characteristics and their children’s history of trauma in early childhood via questionnaire.
o Children were interviewed to obtain demographic and psychosocial info and assess physical activity level.
·   Results:
o The prevalence of dental trauma was 12.6% in the entire sample.
o Prevalence increased in age from 7.2% at 8 to 21.5% at 12. 
o TDI was more prevalent in boys (prevalence ratio 0.71), older children (prevalence ratio 3.57), inadequate lip coverage (PR 2.03), and those with history of trauma in primary dentition (PR 2.60).
o Dental trauma was more prevalent in overweight/obese boys, not girls (PR 1.65).
o No significant associations found with socioeconomic, psychosocial, physical activity level or school retention.
·   Conclusion
o The pronounced increase in the prevalence of dental trauma with age highlights the need to establish preventive strategies among schoolchildren.
o The risk of dental injury was increased in overweight/obese boys and children with histories of dental trauma in early childhood, confirming the existence of accident-prone children
o One of the most interesting findings of this study is the greater chance of having dental trauma in the permanent dentition among children who experienced dental trauma in the first years of their lives, as reported by parents.
o Previous studies have suggested that some children are accident-prone and suffer from multiple episodes of dental trauma.
o This study suggests that accident-prone children may be identified even earlier: when they sustain trauma in the primary dentition, in early years of life.
Remarks:
1.
Assessment of Article: 
Level of Evidence/Comments: Level III Cross-Sectional Study.
           





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