Goyal Nikita, Singh Simarpreet, Mathur Anmol, Makkar Diljot Kaur, Aggarwal Vikram Pal, Sharma Anshika, Kaur Puneet
Postgraduate Student, Department of Public Health Dentistry, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India.
Head, Department of Public Health Dentistry, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India.
J Clin Diagn Res. 2017 Aug;11(8):ZC106-ZC110. doi: 10.7860/JCDR/2017/27496.10510. Epub 2017 Aug 1.
Adolescents are mostly injured during sport activities, traffic accidents and some forms of violence which may lead to traumatic injuries. Traumatic injuries not only pose a health risk worldwide but are also regarded among serious social problems. Poor oral health has been related to poor social relationships that affect the ability to learn and grow which may lead to reduced self-esteem.
This study was conducted to compare self-esteem of adolescents with and without anterior Traumatic Dental Injury (TDI).
A population based comparative study was conducted among 10 to 17 years old adolescents from November 2014 to January 2016. The study sample comprised of 424 controls and 212 cases with 2:1 control-to-case ratio that were selected by four examiners along with a gold standard examiner. TDI was recorded using Ellis classification and self-esteem was recorded using Rosenberg's Self-Esteem Scale (RSES). For comparing self-esteem of cases and controls according to RSES questions, t-test is used. Odds ratio (OR) was utilized to assess and compare the self-esteem according to high and low esteem in cases and controls.
Ellis Class I, Ellis Class II and Ellis Class III fractures were observed in 53.3%, 33.49% and 13.20% of cases, respectively. The maxillary arch was the most affected (72.48%) and on the hierarchy of causes, this study found that on most occasions dental injuries were caused by sports (40.09%). The total mean score of RSES in cases (23.16) and in controls (24.43) was also statistically significant (p<0.001).
Improving oral health in schools may contribute considerably to increase the self-esteem of adolescents in a positive direction and help them in becoming socially competent adults.
青少年大多在体育活动、交通事故及某些暴力形式中受伤，这些可能导致创伤性损伤。创伤性损伤不仅在全球范围内构成健康风险，也是严重的社会问题之一。口腔健康不佳与不良的社会关系有关，而不良社会关系会影响学习和成长能力，进而可能导致自尊降低。
本研究旨在比较有和无前庭创伤性牙损伤（TDI）的青少年的自尊情况。
2014年11月至2016年1月，在10至17岁的青少年中进行了一项基于人群的比较研究。研究样本包括424名对照和212例病例，对照与病例的比例为2:1，由四名检查人员和一名金标准检查人员进行选择。使用埃利斯分类法记录TDI，使用罗森伯格自尊量表（RSES）记录自尊情况。为根据RSES问题比较病例和对照的自尊情况，使用了t检验。优势比（OR）用于评估和比较病例和对照中高自尊和低自尊情况下的自尊情况。
分别在53.3%、33.49%和13.20%的病例中观察到埃利斯I类、II类和III类骨折。上颌弓受影响最大（72.48%），在病因层次上，本研究发现大多数情况下牙损伤是由运动引起的（40.09%）。病例组（平均23.16分）和对照组（平均24.43分）的RSES总平均分也具有统计学意义（p<0.001）。
改善学校中的口腔健康可能会在很大程度上有助于朝着积极方向提高青少年的自尊，并帮助他们成为有社交能力的成年人。
