Prevalence and risk factors for traumatic dental injuries in adolescent children attending special needs schools in India: a comparative study

Kumar, Sandeep; Dixit, Gaurav

doi:10.1515/ijamh-2015-0114

Cited by 9 publications

(36 citation statements)

References 15 publications

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“…In the quality of measurements and outcomes, some studies showed major problems and minor problems in validity . No problems were found in six studies and two studies for reproducibility and blindness topics, respectively. For quality control, major problems and minor problems were found.…”

Section: Resultsmentioning

confidence: 94%

“…In the study sample representative section, some studies showed major problems for the source of sample and minor problems in sampling method . No problems in sample size were found in six studies, and some studies showed major problems in entry criteria's/exclusions …”

Section: Resultsmentioning

confidence: 98%

“…No problems were found in six studies and two studies for reproducibility and blindness topics, respectively. For quality control, major problems and minor problems were found. Also, all studies showed some problems in the confounding factors section.…”

Section: Resultsmentioning

confidence: 98%

“…Data from records and reports of those responsible were also used as a diagnostic criteria. The prevalence of TDI in patients with SN varied from 4.13% to 68.2% . For the control group, the prevalence of trauma ranged from 1.7% to 44.7% …”

Section: Resultsmentioning

confidence: 99%

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The relationship between special needs and dental trauma. A systematic review and meta‐analysis

Silveira

Magno

Soares

2019

Dental Traumatology

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Background/Aims: Understanding the risk factors for dental injuries is essential to develop prevention strategies. The aim of this study was to perform a systematic review and meta-analysis to determine whether people with special needs (SN) have a higher incidence of traumatic dental injury (TDI). Materials and methods:Electronic searches were performed with no language or date restrictions in the following databases: PubMed, Lilacs, BBO, Scopus, Web of Science, Cochrane Library and Open Gray. According to the PECOS strategy, observational studies that investigated subjects with and without SN and its association with TDI episodes were included. Quality assessment and bias control were carried out according to Fowkes and Fulton guidelines. A meta-analysis was performed by sub-grouping studies according to the type of SN, with the odds ratio (OR) also being calculated (P ≤ .05). The evidence was quality tested using the GRADE approach.Results: After titles and abstracts were examined, and full texts were read, 28 studies were included in the qualitative synthesis and 27 in the meta-analysis. Three studies were classified with high methodological quality and the others had methodological problems. No associations were determined between TDI and autism spectrum disorder, epilepsy and mental disability (OR 1.12 [0.70, 1.78], OR 1.28 [0.13, 12.27] and OR 1.04 [0.20, 5.35], respectively, P > .05). A positive association (P < .05) was found between TDI and hyperactivity disorder, cerebral palsy, 21 trisomy, various conditions of SN and in pooled results (OR 2.67 [1.22, 5.87], OR 1.89 [1.06, 3.37], OR 6.18 [2.24, 17.05], OR 1.69 [1.18, 2.41], OR 1.61 [1.16; 2.22], respectively).The certainty of evidence ranged from very low to low. Conclusions: In general, people with SN had a higher chance of having TDI with very low certainty of evidence. People with ADHD and cerebral palsy had a higher chance of TDI. K E Y W O R D S disabled persons, systematic review, tooth injuries | 219 SILVEIRA Et AL.

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Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

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The relationship between special needs and dental trauma. A systematic review and meta‐analysis

Silveira

Magno

Soares

2019

Dental Traumatology

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“…2,3 Conditions which affect the coordination, balance, responsiveness and safety reflexes can contribute to increased incidence of TDI. [4][5][6] Conditions affecting neural and/or muscular coordination such as epilepsy, cerebral palsy, autism and attention deficit hyperactivity disorders are known to increase susceptibility to injuries. [7][8][9][10] Visual and hearing impairments and developmental disabilities may also affect the ability of an individual to assess the risk of injury.…”

Section: Introductionmentioning

confidence: 99%

Risk factors associated with traumatic dental injuries in individuals with special healthcare needs—A systematic review and meta‐analysis

Devi K.,

Tewari,

O'Connell

et al. 2023

Dental Traumatology

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Background/AimIndividuals with special healthcare needs (SHCN) are more likely to sustain traumatic dental injuries (TDIs) due to distinct risk factors. The aim of this review was to assess various risk factors associated with TDIs in individuals with SHCN.Materials and MethodsThe protocol was designed according to the recommendations of the Cochrane‐handbook, Joanna Briggs Institute, and the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines and registered in PROSPERO (CRD42022357422). A comprehensive search was performed in PubMed, LILACS, Web of Science, EMBASE and Scopus using a pre‐defined strategy without any limitation of language and year of publication. It was last updated on 25 April 2023. Studies addressing the TDIs in individuals with SHCN were included. Data extraction and analyses were performed, risk of bias (ROB) assessment was done using the Joanna Briggs Institute's critical appraisal tool, and a meta‐analysis was performed using random‐effects model.ResultsA total of 21 studies were included in the review. They were categorized according to the target disease/condition: cerebral palsy (n = 5), ADHD and autism spectrum disorders (n = 5), visually impaired (n = 4), and multiple disorders (n = 7). The studies showed variability in the design and methods; however, 17 out of 21 studies showed moderate to low ROB. Increased overjet and lip incompetence were the main risk factors reported in the studies. The commonest injuries were observed to be enamel and enamel and dentine fractures.ConclusionThe overall pooled prevalence of TDI in individuals with special healthcare needs was 23.16% with 20.98% in males and 27.06% in females. Overjet >3 mm and inadequate lip coverage were found to be associated with a higher risk of TDI in all the categories of individuals with special healthcare needs except ADHD and ASD. Falls at home in cerebral palsy, falls while walking and self‐harm in ADHD and ASD, falls at home and collision in visual impairment, and unspecified falls in multiple disorders could be identified as the most common cause of TDI.

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Epidemiology of Traumatic Dental Injuries in Children and Adolescents - A Review

Hegde¹,

Sodhi²

2021

jemds

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BACKGROUND Every child is prone to traumatic injuries, the impact of these injuries is directly related to the intensity, force and direction from which the trauma is inflicted. Trauma to the oral cavity is rather more common in children and adolescents as compared to the adult population. Since dental trauma is unanticipated, instantaneous and accidental, it often needs immediate and emergency management, depending on the severity of the injury. Thus, it is tremendously important to understand the patterns of incidence, prevalence, aetiology and risk factors associated with traumatic dental injuries. This article aims to review the epidemiology, incidence, prevalence, aetiology, risk factors and current trends of traumatic dental injuries in children and adolescents. The aetiologic factors vary among countries and within different age groups. The risk of sustaining traumatic dental injuries is generally dependent on several elements like age, circumstance, geography, behaviour and culture. Changing lifestyle especially related to urbanisation has led to amplification in the prevalence of dental trauma. The emergence of new trends in the modern society has led to creation of newer patterns and risk factors for the same. Traumatic dental injuries are linked to biological, social, financial and psychological factors. This article provides an overview on the epidemiology of traumatic dental injuries. This topic is of public health importance. This review is important to understand the underlying risk factors in order to reduce the prevalence and incidence of dental trauma. Educating the public regarding this will reduce the incidence of dental trauma. KEY WORDS Dental Trauma, Aetiology, Risk Factors, Epidemiology, Prevalence, Prevention, Paediatric Dentistry

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Prevalence and risk factors for traumatic dental injuries in adolescent children attending special needs schools in India: a comparative study

Abstract: TDIs were more prevalent in children attending special needs schools. An overjet more than 3 mm emerged as the strongest risk predictor. Effective policies need to be drafted to treat the injuries and correct the malocclusion.

Cited by 9 publications

References 15 publications

The relationship between special needs and dental trauma. A systematic review and meta‐analysis

The relationship between special needs and dental trauma. A systematic review and meta‐analysis

Risk factors associated with traumatic dental injuries in individuals with special healthcare needs—A systematic review and meta‐analysis

Epidemiology of Traumatic Dental Injuries in Children and Adolescents - A Review

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