From the Department of Community Dentistry, Faculty of Dentistry, Taif University, Taif, Saudi Arabia.
From the Department of Pediatric Dentistry, Faculty of Dentistry, Taif University, Taif, Saudi Arabia.
Ann Saudi Med. 2021 Jan-Feb;41(1):51-58. doi: 10.5144/0256-4947.2021.51. Epub 2021 Feb 4.
Special needs children are at a higher risk of dental trauma because of neurological, physical, mental, and behavioral impairments. They are also at higher risk of developing obesity due to the side effects of medication.
Assess the association between traumatic dental injuries (TDIs) and obesity in children with special health care needs.
Analytical cross-sectional study.
Schools for special needs children.
Special needs children with a diagnosis of TDI according to the Andreasen criteria were included in the study. Data on the disability status were obtained from a national demographic survey in 2016. Demographic and dental variables were measured for analysis. Multivariable logistic regression was used to analyse any relationship between TDI prevalence and obesity.
Relationship of body mass index (BMI) to TDI prevalence.
350 (131 boys and 219 girls) special needs children with a median (interquartile range) age of 12.0 (2.0) years.
Eighty-one (23.1%) children presented with TDIs. The mean (standard deviation) BMI for the entire study population was 24.7 (7.8). Children with obesity had a 30.3% TDI prevalence compared normal-weight children (20.6%) (=.035), but BMI category was not statistically significant in the regression analysis (=.541), which showed that children with an overjet of >3 mm were 4.82 times (CI: 2.55-9.09, =.001) more likely to have TDI than children with an overjet of ≤3 mm. Those with inadequate lip coverage were 2.85 times (CI: 1.49-5.44, =.002) more likely to have TDI. Children with cerebral palsy were 3.18 times (CI: 1.89-11.32, =.024) more likely to have TDI than children with other disabilities.
The study showed a significant association between TDI prevalence and increased overjet, inadequate lip coverage, and cerebral palsy. The prevalence of TDI among obese special needs children was statistically significant according to bivariate analysis, but not in a multivariate analysis that adjusted for other variables.
Causal relationship cannot be established with cross-sectional study.
None.
特殊需求儿童由于神经、身体、精神和行为障碍，患牙科创伤的风险更高。他们也因药物的副作用而更容易肥胖。
评估特殊保健需求儿童的创伤性牙损伤（TDI）与肥胖之间的关联。
分析性横断面研究。
特殊需求儿童学校。
根据 Andreasen 标准诊断为 TDI 的特殊需求儿童被纳入研究。残疾状况的数据来自 2016 年的全国人口普查。测量人口统计学和牙科变量进行分析。多变量逻辑回归用于分析 TDI 患病率与肥胖之间的任何关系。
体重指数（BMI）与 TDI 患病率的关系。
350 名（131 名男孩和 219 名女孩）特殊需求儿童，中位（四分位距）年龄为 12.0（2.0）岁。
81 名（23.1%）儿童患有 TDI。整个研究人群的平均（标准差）BMI 为 24.7（7.8）。肥胖儿童的 TDI 患病率为 30.3%，而正常体重儿童为 20.6%（=0.035），但 BMI 类别在回归分析中无统计学意义（=0.541），表明超过射距（>3mm）的儿童发生 TDI 的可能性是射距（≤3mm）的儿童的 4.82 倍（CI：2.55-9.09，=0.001）。唇覆盖不足的儿童发生 TDI 的可能性是唇覆盖不足的儿童的 2.85 倍（CI：1.49-5.44，=0.002）。脑瘫儿童发生 TDI 的可能性是其他残疾儿童的 3.18 倍（CI：1.89-11.32，=0.024）。
研究表明 TDI 患病率与上颌前突、唇覆盖不足和脑瘫之间存在显著关联。根据双变量分析，肥胖特殊需求儿童的 TDI 患病率具有统计学意义，但在调整其他变量的多变量分析中则不然。
横断面研究不能建立因果关系。
无。
