The effect of enamel fractures on oral health‐related quality of life in adolescents

Feldens, Carlos Alberto; Senna, Rita Azevedo; Vargas‐Ferreira, Fabiana; Braga, Vanessa Simas; Kramer, Paulo Floriani

doi:10.1111/edt.12526

Cited by 13 publications

(20 citation statements)

References 28 publications

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“…This result corroborates study carried out in Biguaçu, Brazil [19]. Lower maternal schooling was associated with worse quality of life related to oral health in adolescents, living in urban areas [32] and in rural areas [33]. Some authors suggest the need for female presence in the labor market, which would culminate in the delegation of childcare to third parties [34].…”

Section: Discussionsupporting

confidence: 87%

Assessment of the Need for Dental Treatment Resulting From Dental Trauma in 12-Year-Old Brazilian Schoolchildren: A Cross-Sectional Study

Paiva,

Araújo,

Silva

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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To identify the need for restorative treatment in 12-year-old Brazilian schoolchildren with dental trauma and its association with clinical and socioeconomic factors. Material and Methods: A crosssectional population-based study was carried out with sample composed of 588 12-year-old students from the city of Diamantina, Minas Gerais, Brazil. Data were collected from August to November 2016 through clinical examination, adopting the Andreasen classification and semi-structured questionnaire to verify the etiology and location of the accident that resulted in dental trauma. Statistical analysis included the frequency distribution and bi and multivariate analysis, with 5% significance level. Results: The presence of 219 traumatized teeth in 176 students was observed (29.9%). The main lesion was enamel fracture (41.4%), followed by enamel and dentin fracture (39.4%). The presence of restorative treatment was observed only in 11.5% of students. Fall (43.5%) was the most frequent etiology, followed by accidents on the streets (35.8%). Need for treatment was present in 53.4% of adolescents. Statistically significant association between males (p=0.010), severe overjet (p<0.0001) and inadequate lip protection (p<0.0001) and presence of dental trauma was observed. Maternal schooling over 8 years of study was statistically associated with need for restorative treatment (OR = 2.047; CI: 1.099-3.813; p=0.023). Conclusion: Prevalence of dental trauma, need for restorative treatment and number of adolescents with no access to restorative treatment in this study were high, point out that the health system is unable to satisfactorily prevent dental trauma and absorb all dental treatment demand resulting from dental trauma.

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Section: Discussionsupporting

confidence: 87%

Assessment of the Need for Dental Treatment Resulting From Dental Trauma in 12-Year-Old Brazilian Schoolchildren: A Cross-Sectional Study

Paiva,

Araújo,

Silva

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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“…A possible explanation for these findings may be that younger children are less concerned with aesthetics. In studies carried out with older children (12 to 14yearolds), the association between TDI and OHRQoL is clearer, mainly affecting social and emotional well‐being domains and the functional aspects 32‐35 . It reinforces the notion that the older the child, the greater the concern with aesthetic aspects.…”

Section: Discussionmentioning

confidence: 57%

Traumatic dental injury and oral health–related quality of life among 15 to 19 year old adolescents from Santa Maria, Brazil

Comim

Nora

Knorst

et al. 2020

Dental Traumatology

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Background/Aims: The literature is scarce on the association between traumatic dental injuries (TDI) and oral health-related quality of life (OHRQoL) among adolescents, and there is no study assessing this relationship using clinical criteria for the assessment of TDI in this age group. The aim of this study was to assess the association between TDI and OHRQoL among 15 to 19yearold adolescents from Santa Maria, Brazil. Materials and Methods: A population-based cross-sectional study was conducted including a representative sample of 1197 15 to 19yearold adolescents attending 31 public and private schools. The Oral Health Impact Profile-14 (OHIP-14) was used to evaluate the OHRQoL, and clinical examinations were performed to diagnose TDI based on the O'Brien classification. Demographic information, socioeconomic status, and clinical characteristics (caries experience, malocclusion, and gingivitis) were also collected as adjusting variables. Multilevel Poisson regression models were used to assess the association between TDI and OHRQoL. Rate ratios (RR) and 95% confidence intervals (95% CI) were estimated. Results: The overall prevalence of TDI was 17%, mild trauma was 12%, and severe trauma was 5%. In the adjusted models, adolescents with TDI had poorer OHRQoL than those without TDI (RR = 1.10; 95% CI = 1.05-1.16). This negative effect was related to the psychological disability domain (RR = 1.16; 95% CI = 1.02-1.32), to the social disability domain (RR = 1.34; 95% CI = 1.13-1.59), and to the handicap domain

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“…This is consistent with the suggestion that despite restoration, the consequences of TDI may not be eliminated but only minimized 2 . Enamel fractures exert a negative impact on OHRQoL independently of demographic, socioeconomic, and clinical characteristics 22 …”

Section: Discussionmentioning

confidence: 99%

Impact of dental treatment and the severity of traumatic dental injuries on the quality of life of Brazilian schoolchildren

Silva

Ribeiro

Almeida

et al. 2021

Dental Traumatology

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Background/Aims Traumatic dental injuries (TDI) are most prevalent during adolescence and infancy, and they have an important impact on the oral health‐related quality of life (OHRQoL). The aim of this study was to assess the effect of dental treatment and the severity of TDI on the OHRQoL of schoolchildren in public schools in Brazil. Materials and Methods This cross‐sectional study evaluated schoolchildren aged 11 to 14 years in Brasilia, Brazil. The criteria used for the examinations were TDI—O’Brien criteria; Dental caries—DMFT criteria; and malocclusion—the Dental Aesthetic Index. The impact of oral health on the children's quality of life was assessed with the Child Perceptions Questionnaire (CPQ11–14) that was completed by the children while on the school premises. Socio‐demographic information was also collected from the parents. Statistical analysis was performed using non‐parametric and association tests, as well as linear regression. Results A total of 20.2% of the students had some TDI in their permanent anterior teeth; 20% of traumatized teeth were treated, and 80% were not treated. Sorting by severity, 75.1% of the schoolchildren had a TDI involving only the enamel, and 24.9% had a TDI extending beyond the enamel. Significant differences were observed between the severity of a TDI and the total scores of CPQ11–14 (Kruskal–Wallis; p = 0.0026), emotional well‐being (p = 0.0006), and social well‐being (p = 0.0001) when the group with TDI extending beyond the enamel was compared with the other groups (control and with TDI involving only the enamel), even after adjustment for socio‐demographic and clinical variables. For oral symptoms and functional limitation, no differences were observed among the groups. Conclusions Dental trauma and fractures extending beyond the enamel, treated or not, have a negative impact on the OHRQoL of schoolchildren, suggesting effects on self‐perception and in the social and emotional spheres.

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The effect of enamel fractures on oral health‐related quality of life in adolescents

Cited by 13 publications

References 28 publications

Assessment of the Need for Dental Treatment Resulting From Dental Trauma in 12-Year-Old Brazilian Schoolchildren: A Cross-Sectional Study

Assessment of the Need for Dental Treatment Resulting From Dental Trauma in 12-Year-Old Brazilian Schoolchildren: A Cross-Sectional Study

Traumatic dental injury and oral health–related quality of life among 15 to 19 year old adolescents from Santa Maria, Brazil

Impact of dental treatment and the severity of traumatic dental injuries on the quality of life of Brazilian schoolchildren

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