Does dental trauma in the primary dentition increases the likelihood of trauma in the permanent dentition? A longitudinal study
Autor: | Ana Regina Romano, Catiara Terra da Costa, Maria Laura Menezes Bonow, Marília Leão Goettems, Letícia Coutinho Brancher |
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Rok vydání: | 2016 |
Předmět: |
Male
medicine.medical_specialty Longitudinal study Multivariate analysis Dentistry 03 medical and health sciences 0302 clinical medicine stomatognathic system Risk Factors Epidemiology Occlusion medicine Humans Longitudinal Studies Tooth Deciduous Child General Dentistry Permanent teeth 030505 public health Dental trauma Dentition business.industry Infant Tooth Injuries 030206 dentistry Odds ratio medicine.disease Dentition Permanent stomatognathic diseases Child Preschool Accident Proneness Female 0305 other medical science business Brazil |
Zdroj: | Clinical oral investigations. 21(8) |
ISSN: | 1436-3771 |
Popis: | The aim of this longitudinal study was to assess the likelihood of children suffering traumatic dental injuries in the permanent dentition subsequent to traumatic dental injuries in their primary dentition. A longitudinal study was conducted in Pelotas, Brazil. Children were assessed in 2007, when they were aged 2–5 years, and in 2013, at which time, they were aged 8–11 years. Data collection included interviews with parents and clinical oral examination for dental trauma and occlusion. The classification proposed by Andreasen and Andreasen was used, and crown discoloration and fistula were added to this criterion in order to assess pulp involvement. Child/parent report was used to aid in the diagnosis of both treated and untreated injuries. As a limitation, no radiographs were taken. Descriptive, univariate, and multivariate logistic regression analyses were performed. A total of 110 children were included. Dental trauma frequency in the primary dentition was 38.2% and that in the permanent dentition was 30.9%. In the multivariate analyses, children with dental trauma in the primary dentition showed a higher likelihood of suffering dental trauma in the permanent dentition [odds ratio (OR) 2.97, 95% confidence interval (CI) 1.01–8.91, P = 0.05]. Individuals with previous trauma in the primary dentition are prone to further trauma in the permanent dentition. The history of dental trauma may be used to predict dental trauma in the permanent dentition and to establish preventive measures. Behavioral characteristics may be related to the risk of a child suffering injuries. The results suggested that some children are accident-prone. |
Databáze: | OpenAIRE |
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