Paiva Paula C P, Paiva Haroldo N, Oliveira Filho Paulo M, Lamounier Joel A, Ferreira Raquel C, Ferreira Efigênia F, Zarzar Patrícia M
Department of Child and Adolescent Health, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Department of Dentistry, School of Dentistry, Federal University of the Jequitinonha and Mucuri Valleys, Diamantina, Brazil.
Int J Paediatr Dent. 2015 Jul;25(4):239-47. doi: 10.1111/ipd.12135. Epub 2014 Sep 16.
To determine the prevalence of traumatic dental injuries and its association with binge drinking among 12-year-old schoolchildren.
A cross-sectional study was carried out involving 588 students from a medium-sized city in Brazil. Data were collected through a clinical examination and self-administered questionnaires. Andreasen's classification was used for the determination of traumatic dental injuries. The consumption of alcoholic beverages and binge drinking were evaluated using the Alcohol Use Disorders Identification Test--Consumption. Socio-economic status, overjet, and inadequate lip seal were also analysed. Associations were tested using the multivariate logistic regression analysis.
The prevalence rates of traumatic dental injuries, alcohol consumption in one's lifetime, and binge drinking were 29.9%, 45.6%, and 23.1%, respectively. The prevalence of traumatic dental injuries was significantly higher among those who engaged in binge drinking (PR = 1.410; 95% CI: 1.133-1.754) and even higher among those with inadequate lip protection and accentuated overjet (PR = 3.288; 95% CI: 2.391-4.522 and PR = 1.838; 95% CI: 1.470-2.298, respectively).
A higher prevalence rate of traumatic dental injuries was found among 12-year-olds who engaged in binge drinking. The high rate of alcohol intake among adolescents is worrisome considering the vulnerability of this population due to the intense transformations that occur in the transition from childhood to adulthood.
确定12岁学童牙齿外伤的患病率及其与暴饮的关联。
开展了一项横断面研究，涉及来自巴西一个中等城市的588名学生。通过临床检查和自填问卷收集数据。采用安氏分类法确定牙齿外伤情况。使用酒精使用障碍识别测试——消费版评估酒精饮料消费和暴饮情况。还分析了社会经济状况、覆盖、唇部封闭不全情况。采用多因素逻辑回归分析检验关联性。
牙齿外伤、终生饮酒和暴饮的患病率分别为29.9%、45.6%和23.1%。暴饮者牙齿外伤的患病率显著更高（PR = 1.410；95%CI：1.133 - 1.754），唇部保护不足和覆盖过大者的患病率甚至更高（PR分别为3.288；95%CI：2.391 - 4.522和PR = 1.838；95%CI：1.470 - 2.298）。
在暴饮的12岁儿童中发现牙齿外伤的患病率更高。考虑到青少年群体在从童年向成年过渡过程中发生的剧烈变化而具有的脆弱性，青少年高酒精摄入量令人担忧。
