Pediatric Dentistry, Federal University of Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil.
Dent Traumatol. 2011 Dec;27(6):442-5. doi: 10.1111/j.1600-9657.2011.01027.x. Epub 2011 Jul 26.
The aim of the present cross-sectional survey was to assess factors associated with non-accidental collision followed by dental trauma among adolescents in the city of Diamantina, Brazil. A total of 387 students from 12 to 15 years of age (mean = 14 SD = 0.9) were randomly selected. The study was carried out in two stages. Firstly, data were collected through dental examinations of permanent incisors. Secondly, a thorough interview was held with 85 adolescents who exhibited dental trauma in the dental examinations. The interview consisted of a detailed description of the incident and physical environment in which it occurred. Descriptive analysis and the chi-square test (P < 0.05) were performed. The prevalence of dental injury was 22% (n = 85). Dental trauma was more prevalent in boys (P = 0.001) and individuals with overjet >3 mm (P = 0.007) and inadequate lip coverage (P = 0.013). Analysis of the event revealed that 22.3% of the cases of dental trauma occurred because of non-accidental collision. Non-accidental collision followed by injury occurred mainly at school (P < 0.001) and in an environment with a concrete, tiled or ceramic floor (P = 0.001). No statistically significant associations were found between non-accidental collision and gender, age or mother's schooling. It was concluded that the non-accidental collisions happened especially at school and in indoor environments with a concrete, tiled or ceramic floor.
本横断面研究的目的是评估巴西迪曼蒂纳市青少年非意外碰撞后伴发牙外伤的相关因素。共随机抽取了 387 名 12 至 15 岁的学生(平均年龄 = 14,标准差 = 0.9)。研究分两个阶段进行。首先,通过对恒牙切牙进行口腔检查收集数据。其次,对 85 名在口腔检查中出现牙外伤的青少年进行了详细的访谈。访谈包括对事件的详细描述和发生的物理环境。采用描述性分析和卡方检验(P < 0.05)。牙损伤的患病率为 22%(n = 85)。牙外伤在男孩中更为常见(P = 0.001),且存在覆盖超过 3mm(P = 0.007)和唇覆盖不足(P = 0.013)的个体更为常见。对事件的分析表明,22.3%的牙外伤是由于非意外碰撞所致。非意外碰撞后受伤主要发生在学校(P < 0.001)和铺有混凝土、瓷砖或陶瓷地板的环境中(P = 0.001)。非意外碰撞与性别、年龄或母亲受教育程度之间未发现统计学显著关联。研究得出结论,非意外碰撞尤其发生在学校和铺有混凝土、瓷砖或陶瓷地板的室内环境中。