Incidence and causes of dental trauma in children living in the county of Värmland, Sweden

Lexomboon, Duangjai; Carlson, Christina V.; Andersson, Ragnar; Bültzingslöwen, Inger von; Mensah, Tita

doi:10.1111/edt.12218

Cited by 22 publications

(26 citation statements)

References 31 publications

(46 reference statements)

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“…The majority of TDIs occurred at home and at school during a physical activity that lead to fall, as demonstrated in this study; 63.1% of dental trauma occurred due to a fall followed by a collision with an object or person. Our results were consistent with the literature that reported the most common cause of injury was a fall and the home being the commonest place [ 18 , 31 ]; however, some studies concluded that TDIs occur most common in a field/playground or outdoors [ 27 , 32 ].…”

Section: Discussionsupporting

confidence: 92%

Prevalence of Anterior Dental Trauma and Its Associated Factors among Preschool Children Aged 3–5 Years in Khartoum City, Sudan

Sulieman

Awooda

2018

International Journal of Dentistry

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Background Traumatic dental injury (TDI) is a challenging public health problem. Its incidence and prevalence vary within countries, states, and different social groups. Aim The purpose of this study was to determine the prevalence of traumatic dental injuries in primary incisors among 3–5-year-old Sudanese preschool children and associated factors such as age, sex, and size of overjet and anterior open bite. Materials and Methods Descriptive cross-sectional study was carried out among 600 preschool children (3–5 years old) selected by multistage cluster technique from preschools located in Khartoum city, Sudan. The data regarding age, sex, causes, and treatment of TDI were collected from the mothers through structured interview questionnaire. Children were examined in an upright position, using mouth mirror and torch. A single examiner assessed the type of trauma, the tooth involved, and overbite/overjet. The data were analyzed statistically through descriptive analysis, and the chi-square test was used to compare between different variables with P < 0.05. Results The prevalence of traumatic dental injuries (TDIs) was 18.5%. Enamel fractures were the most common type (74.8%), followed by enamel and dentin (11.7%). The maxillary central incisors were the most commonly affected teeth, and the home was most common place for TDI. The prevalence rate was 45% in boys and 55% in girls with a statistically significant difference (P=0.02). Conclusions The prevalence of traumatic dental injuries to the primary anterior teeth among the Sudanese preschool children was relatively high (18.5%). Factors such as overjet size, overbite size, and lip competency were not significantly correlated with dental trauma among the studied population.

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Section: Discussionsupporting

confidence: 92%

Prevalence of Anterior Dental Trauma and Its Associated Factors among Preschool Children Aged 3–5 Years in Khartoum City, Sudan

Sulieman

Awooda

2018

International Journal of Dentistry

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“…This study found out that TDI is more prevalent in males than in females. Similar results have been reported from studies across the world [18,19,21]. This underscores the fact that outdoor activities/ travel and sports are promoted more among males rather than females, more so in India.…”

Section: Discussionsupporting

confidence: 87%

Epidemiology of Traumatic Dental Injuries Among Adults in an Indian Sub-Population

Ramachandran

Khan

Baskaradoss

2019

Preprint

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Background The etiology, presentation and management of traumatic dental injuries (TDI’s) varies significantly between the adult and the younger population. Most epidemiological studies on TDI’s have focused on the pediatric age group. This study aims to report and compare the distributions of TDI’s among adults in a sub-population in India. Methods This prospective observational study was performed on 1562 consecutively selected patients (1218 Males and 344 females) from a University dental hospital in India, between July 2014 to June 2018. The clinical examinations were performed by a single trained and calibrated Endodontist. Only TDI’s to anterior teeth were recorded (canine to canine in the maxilla and mandible) and classified using a modified version of the WHO’s classification. Intraoral periapical and panoramic radiographs were also taken for all the subjects. Result A total of 1562 patients aged between 20 and 73 years, with a mean age of 36 years were examined during the study period. The total number of teeth with TDI’s were 3044. Males (78%) clearly outnumbered the females (22%) in all the age groups. The most common type of injury occurring in both the genders is uncomplicated crown fracture. Avulsion injuries are more likely to be seen by a dentist within 1hour post-trauma. About two third of the TDI’s were caused by road traffic accidents (RTA) followed by falls in about 20% of the patients. Conclusion Uncomplicated crown fracture was the most commonly observed type of TDI and RTA’s were the primary cause of TDI.

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“…6 An Australian study found an incidence rate of 20 TDI per 1000 individuals per year in children aged 6-12 years. 7 Two large Swedish studies extended over several years reported incidence rates of 19 to 29 events per 1000 individuals per year, 8 and an annual incidence rate of 28%, 9 respectively. Thus, although TDI prevalence and incidence are generally high worldwide, they may vary considerably.…”

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confidence: 99%

World traumatic dental injury prevalence and incidence, a meta‐analysis—One billion living people have had traumatic dental injuries

Petti¹,

Glendor

Andersson

2018

Dental Traumatology

422

329

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Traumatic dental injuries (TDIs) account for a considerable proportion of bodily injuries. Nevertheless, global TDI frequency is unknown, probably because TDI diagnosis is not standardized. This study estimated world TDI frequency. A literature search (publication years 1996-2016) was aimed at covering as many countries, communities, ethnic groups as possible, thus achieving high generalizability. In particular, non-specific keywords, no language restrictions, and large databanks were used. Observational studies reporting proportions of individuals with at least one TDI (prevalence) and who developed TDI (incidence rate) were considered. Prevalence rates to permanent dentition, primary dentition and in 12-year-olds, incidence rate to any tooth for any age, male-to-female prevalence ratio (PR) in 12-year-olds, with 95% confidence intervals (95 CIs), were extracted/calculated. Study quality, Z-score distribution, funnel plot symmetry analysis, between-study heterogeneity, sensitivity, and subgroup analyses were performed. Selected primary studies were 102 (permanent dentition; 268 755 individuals; median age, 13.8 years), 46 (primary dentition; 59 436 individuals; median age, 3.4 years), 42 (12-year-olds; 33 829 individuals), 11 (incidence rate; 233 480 person-years; median age, 7.8 years), and 31 (PR; 16 003 males, 16 006 females). World TDI frequency resulted as follows: permanent dentition prevalence 15.2% (95 CI, 13.0%-17.4%); primary dentition prevalence 22.7% (95 CI, 17.3%-28.7%); 12-year-olds prevalence 18.1% (95 CI, 15.3%-21.0%); incidence rate, 2.82 (95 CI, 2.28%-3.42%) per 100 person-years; PR, 1.43 (95 CI, 1.34%-1.52%). Differences between WHO Regions were found. This study shows that more than one billion living people have had TDI. TDI is a neglected condition which could rank fifth if it was included in the list of the world's most frequent acute/chronic diseases and injuries.

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Incidence and causes of dental trauma in children living in the county of Värmland, Sweden

Abstract: The incidence rate for dental trauma has not decreased in the past 20 years, and there is an indication that parents and teachers should be more aware of the risks of dental trauma at leisure times and at school as well as during sports and exercise.

Cited by 22 publications

References 31 publications

Prevalence of Anterior Dental Trauma and Its Associated Factors among Preschool Children Aged 3–5 Years in Khartoum City, Sudan

Prevalence of Anterior Dental Trauma and Its Associated Factors among Preschool Children Aged 3–5 Years in Khartoum City, Sudan

Epidemiology of Traumatic Dental Injuries Among Adults in an Indian Sub-Population

World traumatic dental injury prevalence and incidence, a meta‐analysis—One billion living people have had traumatic dental injuries

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