title: Prediction factors for failure to seek treatment following traumatic dental injuries to primary teeth.
abstract: The objective of this study was to evaluate prediction factors for failure to seek treatment following a traumatic dental injury (TDI) to primary teeth among preschool children in the city of Campina Grande, Brazil. A cross-sectional study was carried out involving 277 children 3 to 5 years of age, with TDI, enrolled in public and private preschools. Parents filled out a form addressing demographic data and whether or not they had sought treatment. Clinical examinations were performed by three dentists who had undergone a calibration exercise (Kappa: 0.85 to 0.90) for the evaluation of TDI. Bivariate and multivariate Poisson regression models were constructed (α=5%). Enamel fracture was the most prevalent type of TDI (48.7%) and the upper central incisors were the most affected teeth (88.4%). The frequency of seeking dental treatment was low (9.7%). The following variables were associated with failure to seek treatment following TDI: a household income greater than one minimum wage (PR=1.170; 95%CI 1.018-1.341), parents/caregivers' perception of a child's oral health as poor (PR=1.100; 95%CI 1.026-1.176), and the non-perception of TDI by parents/caregivers (PR=1.250; 95%CI 1.142-1.360). In the present study, the frequency of seeking treatment following TDI was low, and parents/caregivers with a higher income, a poor perception of their child's oral health and a lack of awareness regarding the trauma were more likely to fail to seek treatment following TDI to primary teeth.
authors.affiliation: Department of Pediatrics, School of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil.
authors.forename: Ramon Targino
authors.initials: RT
authors.lastname: Firmino
authors.affiliation: Department of Pediatrics, School of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil.
authors.forename: Maria Betânia Lins Dantas
authors.initials: MB
authors.lastname: Siqueira
authors.affiliation: Department of Pediatric Dentistry, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil.
authors.forename: Raquel Gonçalves
authors.initials: RG
authors.lastname: Vieira-Andrade
authors.affiliation: Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Genara Brum
authors.initials: GB
authors.lastname: Gomes
authors.affiliation: Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Carolina Castro
authors.initials: CC
authors.lastname: Martins
authors.affiliation: Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Saul Martins
authors.initials: SM
authors.lastname: Paiva
authors.affiliation: Department of Pediatrics, School of Dentistry, Universidade Estadual da Paraíba, Campina Grande, PB, Brazil.
authors.forename: Ana Flávia
authors.initials: AF
authors.lastname: Granville-Garcia
mesh_terms: D017677:Age Distribution; D001938:Brazil / Q000453:epidemiology; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003743:Dental Enamel / Q000293:injuries; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010290:Parents; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D016012:Poisson Distribution; D012307:Risk Factors; D017678:Sex Distribution; D012959:Socioeconomic Factors; D018677:Tooth Injuries / Q000453:epidemiology* / Q000628:therapy*; D014094:Tooth, Deciduous / Q000293:injuries*