Traumatic dental injuries in preschool-age children: Prevalence and risk factors

被引:20
|
作者
Born, Catherine D. [1 ]
Jackson, Tate H. [1 ]
Koroluk, Lorne D. [1 ,2 ]
Divaris, Kimon [2 ,3 ]
机构
[1] Univ N Carolina, Dept Orthodont, Sch Dent, Chapel Hill, NC 27515 USA
[2] Univ N Carolina, Dept Pediat Dent, Sch Dent, CB 7450,228 Brauer Hall, Chapel Hill, NC 27599 USA
[3] Univ N Carolina, Dept Epidemiol, Gillings Sch Global Publ Hlth, Chapel Hill, NC 27515 USA
来源
基金
美国国家卫生研究院;
关键词
children; clinical predictors; risk; trauma; PRIMARY DENTITION; LIP COVERAGE; MALOCCLUSION;
D O I
10.1002/cre2.165
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This study examined the prevalence, socio-demographic correlates, and clinical predictors of traumatic dental injuries (TDIs) in the primary dentition among a community-based sample of preschool-age children. The sample comprised 1,546 preschool-age children (mean age 49 [range: 24-71] months) in North Carolina public preschools, enrolled in a population-based investigation among young children and their parents in North Carolina. Information on socio-demographic, extraoral, and intraoral characteristics was collected and analyzed with bivariate and multivariate methods, including logistic regression modeling and marginal effects estimation. The prevalence of dental trauma was 47% and 8% of TDI cases were "severe" (pulp exposure, tooth displacement, discolored or necrotic tooth, or tooth loss). In bivariate analyses, overjet and lip incompetence were significantly associated with TDI. Overjet remained positively associated with severe trauma in multivariate analysis, OR = 1.4, 95% confidence interval (CI) [1.2, 1.6], corresponding to an absolute 1.3%, 95% CI [0.7, 1.8], increase in the likelihood of severe trauma, per millimeter of overjet. Children with increased overjet (>3 mm) were 3.8, 95% CI [2.0, 7.4], times as likely to have experienced severe TDI compared with those with <= 3 mm. Overjet is a strong risk factor for TDIs in the primary dentition. Incorporating and operationalizing this information may help TDI prevention and related anticipatory guidance for families of preschool-age children.
引用
收藏
页码:151 / 159
页数:9
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