Predisposing factors for traumatic dental injury in primary teeth and seeking of post-trauma care.
The aim of the present study was to investigate predisposing factors for traumatic dental injury (TDI) in the primary dentition and seeking of dental care after the occurrence of TDI. A randomized population-based cross-sectional study was carried out with 814 children aged 3 to 5 years enrolled at public and private preschools in the city of Campina Grande, PB, Brazil. Parents were asked to fill out a questionnaire on demographic data and the child's history of TDI. TDI was evaluated by clinical examinations performed by three previously calibrated dentists (Kappa: 0.85 to 0.90). Bivariate and multivariate Poisson regression models were constructed for TDI and the parent-reported search for dental care (α=0.05). The prevalence of TDI was 34.6%. The most common type of TDI was enamel fracture (55.0%). The central incisors were the most frequently affected teeth (87.5%). Predictors for TDI in the primary dentition were household income >U$312.50 (PR: 1.355; 95% CI: 1.050-1.724) and overjet >2 mm (PR: 1.539; 95% CI: 1.219-1.942). The predictor for seeking dental care following TDI was parent's age >30 years (PR: 1.753; 95% CI: 1.039-2.960). Household income and overjet were associated with TDI. Among children having suffered TDI, parent's age is a crucial determinant for seeking dental care.
Graduate Program in Dentistry, UEPB - State University of Paraiba, Campina GrandePB, Brazil.
Maria Betânia Lins Dantas
MB
Siqueira
Graduate Program in Dentistry, UEPB - State University of Paraiba, Campina GrandePB, Brazil.
Monalisa Cesarino
MC
Gomes
Department of Pediatric and Orthodontic Dentistry, UFMG - Federal University of Minas Gerais, Belo HorizonteMG, Brazil.
Ana Cristina
AC
Oliveira
Department of Pediatric and Orthodontic Dentistry, UFMG - Federal University of Minas Gerais, Belo HorizonteMG, Brazil.
Carolina Castro
CC
Martins
Graduate Program in Dentistry, UEPB - State University of Paraiba, Campina GrandePB, Brazil.
Ana Flávia
AF
Granville-Garcia
Department of Pediatric and Orthodontic Dentistry, UFMG - Federal University of Minas Gerais, Belo HorizonteMG, Brazil.
Saul Martins
SM
Paiva
D001938:Brazil / Q000453:epidemiology; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D015995:Prevalence; D012307:Risk Factors; D011795:Surveys and Questionnaires; D018677:Tooth Injuries / Q000453:epidemiology* / Q000628:therapy*; D014094:Tooth, Deciduous / Q000293:injuries*