The effect of enamel fractures on oral health-related quality of life in adolescents.

Autor: Feldens CA; Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil., Senna RA; Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil., Vargas-Ferreira F; Department of Social and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Braga VS; Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil., Feldens EG; Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil., Kramer PF; Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.
Jazyk: angličtina
Zdroj: Dental traumatology : official publication of International Association for Dental Traumatology [Dent Traumatol] 2020 Jun; Vol. 36 (3), pp. 247-252. Date of Electronic Publication: 2019 Nov 28.
DOI: 10.1111/edt.12526
Abstrakt: Background/aim: Enamel fractures are the most common type of traumatic dental injury (TDI) in children and adolescents. Recognizing the impact of these fractures on oral health-related quality of life (OHRQoL) could contribute to the establishment of treatment protocols. The aim of this study was to assess and quantify the impact of enamel fractures on overall OHRQoL and domain scores in adolescents.
Materials and Methods: A cross-sectional study was conducted with 775 adolescents aged 11 to 14 years in the city of Santo Ângelo in southern Brazil. Sociodemographic variables were collected from parents/caregivers using a structured questionnaire. The adolescents answered the Child Perceptions Questionnaire (CPQ 11-14 ). Physical examinations were performed by an examiner who had undergone training and calibration exercises for the investigation of TDI (Andreasen criteria), dental caries (WHO criteria), and malocclusion (Dental Aesthetic Index). Data analysis involved Poisson regression with robust variance.
Results: The prevalence of TDI was 11.9% and enamel fractures accounted for 79.3% of all injuries. In the multivariate analysis, adolescents with enamel fractures had 29% higher CPQ 11-14 scores (worse OHRQoL) than those without TDI, even after adjustment for sociodemographic and clinical variables (mean ratio = 1.29; 95% CI: 1.09-1.53; P = .003). Enamel fractures exerted a negative impact on the functional limitation, emotional well-being, and social well-being domains.
Conclusions: Enamel fractures exert a negative impact on the OHRQoL of adolescents, suggesting that subjective measures should be incorporated in the evaluation of patients with this traumatic injury.
(© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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