Ferreira Meire Coelho, Batista Anne Margareth, Ferreira Fernanda de Oliveira, Ramos-Jorge Maria Letícia, Marques Leandro Silva
Dentistry Department, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil.
Dent Traumatol. 2014 Feb;30(1):15-21. doi: 10.1111/edt.12047. Epub 2013 May 15.
BACKGROUND/AIM: Facial trauma is among the most common types of injury. The aim of the present study was to assess the prevalence and pattern of oral-maxillofacial trauma stemming from interpersonal physical violence (IPV) and determine whether IPV is factor associated with oral-maxillofacial trauma.
A retrospective analysis was conducted of 790 complete patient charts for data on the type of IPV for the gender, area of residence (urban or rural), age and type of trauma. Statistical analysis involved the chi-squared test (P < 0.05), univariate/multivariate Poisson, and logistic regression (P < 0.20). Type of oral-maxillofacial trauma was the dependent variable. Socio-demographic status and type of IPV were the independent variables.
One hundred forty (17.7%) individuals had oral-maxillofacial injuries stemming from IPV [80 (10.1%) due to urban violence (UV) and 42 (5.3%) due to domestic violence (DV)]. DV was more prevalent among females (69%), and UV was more prevalent among males (67.5%). The most common types of trauma were facial contusion and laceration, dental concussion, and mandibular fracture. Age and UV were explanatory factors for mandibular fracture. Females from rural areas and who suffered DV were more likely to exhibit facial contusion and dental concussion.
Interpersonal physical violence was identified as a factor associated with oral-maxillofacial trauma, specifically mandibular fracture, facial contusion, and dental concussion.
背景/目的：面部创伤是最常见的损伤类型之一。本研究的目的是评估人际身体暴力（IPV）导致的口腔颌面创伤的患病率和模式，并确定IPV是否为与口腔颌面创伤相关的因素。
对790份完整的患者病历进行回顾性分析，以获取有关IPV类型、性别、居住地区（城市或农村）、年龄和创伤类型的数据。统计分析包括卡方检验（P<0.05）、单变量/多变量泊松分析和逻辑回归（P<0.20）。口腔颌面创伤类型为因变量。社会人口统计学状况和IPV类型为自变量。
140例（17.7%）个体有IPV导致的口腔颌面损伤[80例（10.1%）因城市暴力（UV），42例（5.3%）因家庭暴力（DV）]。DV在女性中更常见（69%），UV在男性中更常见（67.5%）。最常见的创伤类型是面部挫伤和撕裂伤、牙震荡和下颌骨骨折。年龄和UV是下颌骨骨折的解释因素。来自农村地区且遭受DV的女性更易出现面部挫伤和牙震荡。
人际身体暴力被确定为与口腔颌面创伤相关的因素，特别是下颌骨骨折、面部挫伤和牙震荡。
