Family environment and traumatic dental injuries in adolescents

et al. 2020

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Background/aim Studies on the association between socio‐economic circumstances and traumatic dental injuries (TDIs) are cross‐sectional and inconclusive. The aim of this study was to investigate the association between cumulative socio‐economic disadvantage and TDIs among adolescents. Method Data from 668 participants in the East London Adolescents Community Health Survey (RELACHS) were analysed. Family socio‐economic indicators (parental employment, car ownership and eligibility for free school meals) were collected when participants were in grades 7 (11‐12 years), 9 (13‐14 years) and 11 (15‐16 years). The number of periods (RELACHS waves) adolescents lived in socio‐economic disadvantage was counted for each socio‐economic measure, ranging from 0 (never in disadvantage) to 3 (always in disadvantage). Adolescents were dentally examined for TDIs at age 15‐16 years. The association between each measure of cumulative socio‐economic disadvantage and TDIs was tested in logistic regression models adjusting for demographic factors. Results Significant positive linear trends in the prevalence of TDIs were observed by the number of periods of parental unemployment and being without a family car, but not by eligibility for free school meals. Adolescents whose parents were always unemployed had 2.06 (95% CI: 1.12‐3.80) greater odds of having TDIs than those whose parents were never unemployed. Similarly, adolescents from families that never owned a car had 2.17 (95% CI: 1.26‐3.74) greater odds of having TDIs than those that always had a family car. Conclusion Cumulative socio‐economic disadvantage during adolescence was associated with greater odds of having TDIs.

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Cumulative socio‐economic disadvantage and traumatic dental injuries during adolescence

Mira

Marcenes²,

et al. 2020

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“…Lip coverage was recorded as adequate if there was lip contact at resting position . Overjet was recorded as increased if it was >6 mm . This cut‐off point was based on prior research by one of the authors and has been supported by a recent systematic review on overjet and TDI …”

Section: Methodsmentioning

confidence: 99%

“…Visual assessment of TDIs was done 20 Overjet was recorded as increased if it was >6 mm. 21 This cut-off point was based on prior research by one of the authors 11,22 and has been supported by a recent systematic review on overjet and TDI. 23 Depressive symptoms at two stages of adolescence (ie when pupils were 11-12 and 15-16 years old, respectively) were the exposure measures.…”

Section: Relachs Was Approved By the East London And The City Localmentioning

confidence: 98%

Depressive symptoms and traumatic dental injuries among adolescents

Randhawa

Marcenes

et al. 2019

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Background/Aim A previous cross‐sectional study found that young adults with depression were more likely to have traumatic dental injuries (TDIs). The aim of this study was to determine the relationship between depressive symptoms during early and middle adolescence, and TDIs at age 15‐16 years. Method This study used longitudinal data from phases 1 and 3 of the Research with East London Adolescents Community Health Survey (RELACHS), a school‐based survey following a representative, multi‐ethnic sample of adolescents attending public schools in East London (England). Information on depressive symptoms was collected using the Short Moods and Feelings Questionnaire (SMFQ) during early (age 11‐12 years) and middle adolescence (age 15‐16 years). TDIs were identified during clinical examinations in phase 3 when pupils were 15‐16 years old. Logistic regression was used to test the association between depressive symptoms at different stages of adolescence and TDIs adjusting for confounders (age, gender, ethnicity, parental employment and overjet). Results Depressive symptoms were reported by 24% and 32% of adolescents in early and middle adolescence, respectively. Evidence of TDIs was found in 18% of adolescents at age 15‐16 years. Adolescents with depressive symptoms, either in early or middle adolescence, had greater odds of experiencing TDIs. However, these estimates were not statistically significant. In regression models adjusted for confounders, the odds of having TDIs were 1.23 (95% CI: 0.77‐1.96) and 1.23 (95% CI: 0.76‐1.95) among pupils with depressive symptoms in early and middle adolescence, respectively. Conclusion There was no association between depressive symptoms and TDIs in early and middle adolescents.

“…Lip coverage was considered inadequate if there was no contact between the lips at resting position. 21,22 An overjet of 6 mm or more was recorded as increased. 23,24 All analyses were carried out in Stata version 16 (StataCorp LP).…”

Section: F I G U R E 1 Graphical Representation Of the Hypothesized R...mentioning

confidence: 99%

Troublesome behaviour and traumatic dental injuries during adolescence

Kambal

Marcenes²,

et al. 2022

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Background/Aim: Troublesome behaviour can lead to bodily injuries among young people, although a link with traumatic dental injuries (TDIs) remains unclear. The aim of this study was to evaluate the longitudinal association between troublesome behaviour and TDIs during adolescence.Methods: This study analysed data from phases 2 and 3 of the Research with East London Adolescents Community Health Survey (RELACHS), a longitudinal study of public secondary schools in East London. Troublesome behaviour in the past 12 months was measured with 8 items (told lies to get things from others, started fight, bullied or threatened people, stayed late outside, stole valuable things, ran away from home, played truant from school and intentionally destroyed someone else's property) from the Development and Well-Being Assessment (DAWBA), when participants were 13-14 years old (Phase 2). Adolescents were dentally examined for TDIs when they were 15-16 years old (Phase 3). The association between troublesome behaviour and TDIs was tested in logistic regression models adjusting for sociodemographic characteristics and oral clinical factors.Results: Forty-three per cent of adolescents reported one or more troublesome behaviours at age 13-14 years, and 16% had evidence of TDIs by age 15-16 years.Adolescents who answered 'perhaps' and 'definitely' to any troublesome behaviour item had, respectively, 1.37 (95% CI: 0.62-3.00) and 1.50 (95% CI: 0.69-3.30) greater odds of having TDIs than those who answered 'no' after adjustment for confounders. Of the 8 behaviours assessed, having run away from home, bullied or threatened people, often told lies, and stolen valuable things were associated with having TDIs. Conclusion:This study among adolescents shows that reporting troublesome behaviour was associated with TDIs two years later. Given the wide confidence intervals for these associations, the present findings require confirmation from further longitudinal studies.