Non-accidental collision followed by dental trauma: associated factors

Abstract

The aim of the present cross-sectional survey was to assess factors associated with non-accidental collision followed by dental trauma among adolescents in the city of Diamantina, Brazil. A total of 387 students from 12 to 15 years of age (mean = 14 SD = 0.9) were randomly selected. The study was carried out in two stages. Firstly, data were collected through dental examinations of permanent incisors. Secondly, a thorough interview was held with 85 adolescents who exhibited dental trauma in the dental examinations. The interview consisted of a detailed description of the incident and physical environment in which it occurred. Descriptive analysis and the chi-square test (P < 0.05) were performed. The prevalence of dental injury was 22% (n = 85). Dental trauma was more prevalent in boys (P = 0.001) and individuals with overjet >3 mm (P = 0.007) and inadequate lip coverage (P = 0.013). Analysis of the event revealed that 22.3% of the cases of dental trauma occurred because of non-accidental collision. Non-accidental collision followed by injury occurred mainly at school (P < 0.001) and in an environment with a concrete, tiled or ceramic floor (P = 0.001). No statistically significant associations were found between non-accidental collision and gender, age or mother's schooling. It was concluded that the non-accidental collisions happened especially at school and in indoor environments with a concrete, tiled or ceramic floor.

Influence of clinical and socioeconomic indicators on dental trauma in preschool children

“…This variable is recognized in the literature as associated with TDI in both the primary dentition 6,11 and the permanent dentition, 26 since the absence of lip seal exposes the incisors, making these teeth more prone to fracturing during an impact. Thus, the adoption of preventive measures is recommended, such as the use of protective equipment during the practice of sports and recreational activities.…”

“…27 Children with accentuated overjet had a greater frequency of TDI. 16,26 However, caution should be exercised when comparing investigations that address the influence of overjet, because different cutoff points are employed. Whereas some researchers consider accentuated overjet to be > 3 mm, 11,28 others use > 5 mm as the cutoff point.…”

Estudo transversal em escolares de 12 anos de idade sobre a necessidade de tratamento, etiologia e ocorrência de traumatismo dentário em Montes Claros, brasil.

“…As causas do traumatismo dentário são amplamente conhecidas, sendo as principais quedas, colisões contra objetos ou pessoas, acidentes automobilísticos, práticas esportivas e violência 3,5,8,[11][12][13][14][15][16][17][18][19][20][21] . A maioria dos estudos de frequência que avaliaram as causas do traumatismo dentário apontou a queda como o principal fator etiológico [13][14][15][16][17] .…”

“…Vale ressaltar que traumatismos causados por queda devido a empurrões ou brincadeiras agressivas são consequências de atos de violência 18 . Fatores clínicos como: proteção labial inadequada 5,7,[16][17]22 e overjet aumentado [4][5]7,[11][12][16][17]22 ; determinantes sócio-econômicos 4,9,12,14,22 e comportamentais 20 foram apontados como predisponentes para traumatismo dentário tornando as crianças mais propensas a terem seus dentes anteriores fraturados. Andreasen e Andreasen 19 salientaram que o local onde ocorreram os acidentes variou nos diferentes países.…”

“…Glendor 12 em revisão de literatura sugere que os fatores ambientais e comportamentais, condição sócio-econômica e arquitetura dos parques e escolas teriam um importante papel na etiologia dos traumatismos dentário, superando até mesmo os fatores clínicos como tamanho do overjet e tipo de proteção labial. O local de maior ocorrência de traumatismo dentário observado em estudos prévios foi na escola, em casa, na rua ou no trânsito 20,22 . O município de Montes Claros, não apresenta dados sobre traumatismos dentários.…”