Traumatic Dental Injuries and their Association with Demographics and Other Predisposing Risk Factors in School Children Aged between 8-13 Years: A Descriptive, Cross-Sectional Study

Author:

Bellamkonda Pavani1,Varghese Eby2,Alasabi Asim Nasser3,Alshehri Nasser Mohammed4,Bhandary Srikala5,Krishnan Ramesh6,Babu Suresh J7,Swarnalatha C7,Nayyar Abhishek S.8

Affiliation:

1. Department of Public Health Dentistry, Sathyabama Dental College and Hospital, Chennai, Tamil Nadu, India

2. Department of Paediatric Dentistry, Manipal University College Malaysia, Jalan Batu Hampar, Bukit Baru, Melaka, Malaysia

3. Dental Department, Armed Forces Hospital- Southern Region, Khamis Mushayt, Kingdom of Saudi Arabia

4. Department of Endodontics, Armed Forces Hospital- Southern Region, Khamis Mushayt, Kingdom of Saudi Arabia

5. Department of Paediatric and Preventive Dentistry, NITTE (Deemed to be University), AB Shetty Memorial Institute of Dental Sciences, Mangaluru, Karnataka, India

6. Department of Paediatric and Preventive Dentistry, Vinayaka Mission’s Sankarachariyar Dental College, Vinayaka Mission’s Research Foundation (Deemed to be University) Salem, Tamil Nadu, India

7. Department of Preventive Dental Sciences, Division of Periodontology, College of Dentistry, University of Ha’il, Ha’il, Kingdom of Saudi Arabia

8. Department of Oral Medicine and Radiology, Saraswati Dhanwantari Dental College and Hospital and Post-Graduate Research Institute, Parbhani, Maharashtra, India

Abstract

Background: Traumatic dental injuries are most commonly seen in school age children. This not only affects physical, but, also, the psychological and social well-being of a child. The aim of the present study was to assess the prevalence of traumatic dental injuries in school children aged between 8 and 13 years and their association with the demographics and other predisposing risk factors. Materials and Methods: The present study was conducted as a cross-sectional study design on 1500 school children aged between 8 and 13 years. Apart from clinical examination, all the participants were asked to complete a questionnaire related to the injuries sustained. Statistical analysis was conducted using Statistical Package for Social Sciences (SPSS) version 21.0 (IBM, Chicago). Pearson’s Chi-square (Χ²) test was used for categorical data analysis and distribution to determine the association between categorical variables, while P < 0.05 was considered statistically significant. Results: The prevalence of traumatic dental injuries in the present study was calculated at 9.7%. Also, the occurrence of such injuries was found to be higher in the age group of 8–11 years with 10 years being the peak age of incidence for sustaining such injuries. Again, crown fracture involving enamel was found to be the most common type of injury sustained, while proclination observed in relation to upper anterior teeth, and incompetent lips were found to be the independent, significant risk predictors associated with the frequency and severity of such injuries. Conclusions: The results obtained in the present study suggested a high prevalence of traumatic dental injuries in school children aged between 8 and 13 years highlighting the need for conducting educational programs, for increasing knowledge and awareness of parents, school children and school faculty in this regard to save the affected child patients from the more dreaded sequelae including complete loss of tooth structure, and social and emotional trauma.

Publisher

Medknow

Reference36 articles.

1. Textbook and Colour Atlas of Traumatic Injuries to the Teeth;Andreasen,1994

2. Craniomaxillofacial trauma in children: A review of 3,385 cases with 6,060 injuries in 10 years;Gassner;J Oral Maxillofac Surg,2004

3. Etiology and pathogenesis of traumatic dental injuries: A clinical study of 1,298 cases;Andreasen;Scand J Dent Res,1970

4. Traumatic dental injuries in children presenting for treatment at the Department of Pediatric Dentistry, Faculty of Dentistry, University of Jordan, 1997–2000;Rajab;Dent Traumatol,2003

5. Traumatized permanent teeth in Brazilian children assisted at the Federal University of Santa Catarina, Brazil;Rocha;Dent Traumatol,2001

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