Abstract
Purpose
To describe the prevalence and the variables associated with TDIs in schoolchildren aged 8 to 14 years in Estância Velha city in southern Brazil, placing emphasis on molar incisor hypomineralization.
Methods
Students enrolled in public schools of a medium-sized city in the southern Brazil were selected using cluster random sampling. Clinical examinations assessed molar incisor hypomineralization-MIH (European Academy of Pediatric Dentistry criteria), dental caries (DMFT index), and TDIs (O’Brien’s criteria). Socioeconomic and demographic variables were assessed using a standardized questionnaire. Prevalence ratios were estimated using Poisson regression (p < 0.05).
Results
513 students (54.8% female), with a mean age of 11.6 (± 1.9) years, participated in the study. The prevalence of TDIs was 11.3%, with enamel fracture representing 90.4%. The high prevalence of traumatic dental injuries was associated with MIH (PR: 2.22 CI: 1.27; 3.87; p < 0.01) and overjet > 3 mm (PR: 2.03 CI 1.19; 3.45; p < 0.01).
Conclusion
The sample of schoolchildren from southern Brazil had a low prevalence of traumatic dental injuries. Molar incisor hypomineralization and increased overjet were associated with the higher prevalence of traumatic dental injuries.
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References
Azami-Aghdash S, Ebadifard Azar F, Pournaghi Azar F, Rezapour A, Moradi-Joo M, Moosavi A, et al. Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis. Med J Islam Repub Iran. 2015;29(1):591–6.
Bani-hani TG, Olegário IC, Connell ACO. The cost of dental trauma management: a one-year prospective study in children. Dent Traumatol. 2020;36(5):526–32.
Batista K, Thiruvenkatachari B, Harrison J, O’Brien K. Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children. Cochrane Database Syst Rev. 2018. https://doi.org/10.1111/edt.12561.
Carvalho B, Almeida H, de Andrade ES, S, Zarzar P, Vieira SCM, Heimer MV, et al. Prevalence of dental trauma in 1485 Brazilian adolescents aged between 15 and 19 years old and associated factors. Oral Health Prev Dent. 2020;18(4):707–12. https://doi.org/10.3290/j.ohpd.a45100.
Damé-Teixeira N, Alves LS, Susin C, Maltz M. Traumatic dental injury among 12-year-old south Brazilian schoolchildren: prevalence, severity, and risk indicators. Dent Traumatol. 2013;29(1):52–8. https://doi.org/10.1111/j.1600-9657.2012.01124.x.
do Freire MCM, Vasconcelos DN, dos Vieira A S, Araújo JA, de Moreira RSilveira S, de Nunes M F. Association of traumatic dental injuries with individual, sociodemographic and school-related factors among schoolchildren in Midwest Brazil. Int J Environ Res Public Health. 2014;11(9):9885–96. https://doi.org/10.3390/ijerph110909885.
Elhennawy K, Manton DJ, Crombie F, Zaslansky P, Radlanski RJ, Jost-Brinkmann PG, et al. Structural, mechanical and chemical evaluation of molar-incisor hypomineralization-affected enamel: a systematic review. Arch Oral Biol Elsevier Ltd. 2017. https://doi.org/10.1016/j.archoralbio.2017.08.008.
Farias L, Laureano ICC, Fernandes LHF, Forte FDS, Vargas-ferreira F, de Alencar CRB, et al. Presence of molar-incisor hypomineralization is associated with dental caries in Brazilian schoolchildren. Braz Oral Res. 2021;35(13):1–10. https://doi.org/10.1590/1807-3107.
Flores MT, Onetto JE. How does orofacial trauma in children affect the develo** dentition? Long-term treatment and associated complications. Dent Traumatol. 2019;35(6):312–23. https://doi.org/10.1111/edt.12496.
Fragelli C, Barbosa TS, Bussaneli DG, Restrepo M, Cordeiro RCL, Santos-Pinto L. Aesthetic perception in children with molar incisor hypomineralization. Eur Arch Paediatr Dent. 2021;22(2):227–34. https://doi.org/10.1007/s40368-020-00541-x.
Grossi JDA, Cabral RN, Leal SC. Caries experience in children with and without molar-incisor hypomineralisation: a case–control study. Caries Res. 2017;51(4):419–24. https://doi.org/10.1159/000477099.
Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Wiley Online Libr. Blackwell Publishing. 2016. https://onlinelibrary.wiley.com/doi/full/https://doi.org/10.1111/adj.12395. Accessed 30 Apr 2021
Lexomboon D, Carlson C, Andersson R, von Bultzingslowen I, Mensah T. Incidence and causes of dental trauma in children living in the county of Värmland Sweden. Dent Traumatol. 2016;32(1):58–64. https://doi.org/10.1111/edt.12218.
Lygidakis NA, Garot E, Somani C, Taylor GD, Rouas P, Wong FSL. Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH) an updated European academy of paediatric dentistry policy document. Eur Arch Paediatr Dent. 2022;23(1):3–21. https://doi.org/10.1007/s40368-021-00668-5.
Magno MB, Nadelman P, de Leite KL, F, Ferreira DM, Pithon MM, Maia LC,. Associations and risk factors for dental trauma: a systematic review of systematic reviews. Community Dent Oral Epidemiol. 2020;48(6):447–63. https://doi.org/10.1111/cdoe.12574.
Martins VM, Sousa RV, Rocha ES, Leite RB, Paiva SM, Granville-Garcia AF. Dental trauma among Brazilian schoolchildren: prevalence, treatment and associated factors. Eur Arch Paediatr Dent. 2012;13(5):232–7. https://doi.org/10.1007/BF03262876.
Milani AJ, Assaf AV, Antunes LS, Antunes LAA. Evaluation of the impact of a dental trauma care program on oral health-related quality of life of children and their families. Dent Traumatol. 2021;37(4):568–75. https://doi.org/10.1111/edt.12663.
Pesquisa Nacional de Saúde Bucal. Ministério da Saúde. Ouvidoria do SUS 136 Biblioteca Virtual em Saúde do Ministério da Saúde Resultados Principais. 2012.
Neves AB, Americano GCA, Soares DV, Soviero VM. Breakdown of demarcated opacities related to molar-incisor hypomineralization: a longitudinal study. Clin Oral Investig. 2019;23(2):611–5.
Patnana AK, Chugh A, Chugh VK, Kumar P, Vanga NRV, Singh S. The prevalence of traumatic dental injuries in primary teeth: a systematic review and meta-analysis. Dent Traumatol. 2021;37(3):383–99. https://doi.org/10.1111/edt.12640.
Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis—one billion living people have had traumatic dental injuries. Dent Traumatol. 2018;34(2):71–86. https://doi.org/10.1111/edt.12389.
Piovesan C, Ábella C, Ardenghi TM. Child oral health-related quality of life and ublicati. Oral Heal Prev Dent. 2011;9(4):405–11. https://doi.org/10.1590/0103-6440202003871.
Raposo F, De Carvalho Rodrigues AC, Lia ÉN, Leal SC. Prevalence of hypersensitivity in teeth affected by molar-incisor hypomineralization (MIH). Caries Res. 2019;53(4):424–30. https://doi.org/10.1159/000495848.
Sigurdsson A. Evidence-based review of prevention of dental injuries. J Endod Elsevier Ltd. 2013;39(3):88–93.
Soares TRC, da Fidalgo TKS, Quirino AS, Ferreira DMTP, Chianca TK, de Risso PA, et al. Is caries a risk factor for dental trauma? A systematic review and meta-analysis. Dent Traumatol. 2017. https://doi.org/10.1111/edt.12295.
Soriano EP, Caldas ADF, De CarvalhoAmorim Filho MVDHAD. Prevalence and risk factors related to traumatic dental injuries in Brazilian schoolchildren. Dent Traumatol. 2007;23(4):232–40.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61:344–9.
World Health Organization. WHO_Europe_Nutrition—Body mass index—BMI. World Heal. Organ. 2018.
World Health Organization. Oral Health Surveys—Basic Methods 5th edition. WHO. 2013.
Zhao D, Dong B, Yu D, Ren Q, Sun Y. The prevalence of molar incisor hypomineralization: evidence from 70 studies. Int J Paediatr Dent. 2018;28(2):170–9. https://doi.org/10.1111/ipd.12323.
Acknowledgements
This study was financed in part by Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (FAPERGS) through the granting of a research project grant, process number 20/2551-0000315-9.
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Juliana Balbinot Hilgert conceived the idea. Fernando Neves Hugo, Bárbara Werle Stefanello, Andressa da Silva Arduim, and Laura Izabel Lampert Bonzanini collected the data. Bárbara Werle Stefanello, Andressa da Silva Arduim, Laura Izabel Lampert Bonzanini and Luciano Casagrande performed the data analysis. Bárbara Werle Stefanello, Andressa da Silva Arduim, Laura Izabel Lampert Bonzanini, Tathiane Larissa Lenzi, Juliana Balbinot Hilgert, Fernando Neves Hugo and Luciano Casagrande drafted and/or critically revised the work.
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The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Sul (n° 2.632.694).
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da Silva Arduim, A., Stefanello, B.W., Bonzanini, L.I.L. et al. Traumatic dental injuries and molar incisor hypomineralization: a cross-sectional study of schoolchildren from southern Brazil. Eur Arch Paediatr Dent (2024). https://doi.org/10.1007/s40368-024-00918-2
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DOI: https://doi.org/10.1007/s40368-024-00918-2