Paiva Haroldo Neves de, Guimarães Mariana Oliveira, Filho Paulo Messias de Oliveira, Ferreira Raquel Conceição, Zarzar Patrícia Maria, Paiva Paula Cristina Pelli
Department of Dentistry, School of Dentistry, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Brazil.
Department of Child and Adolescent Oral Health, Faculty of Dentistry, Federal University of Minas Gerais - UFMG, Belo Horizonte, Brazil.
Int J Paediatr Dent. 2025 Jan;35(1):194-200. doi: 10.1111/ipd.13221. Epub 2024 Jun 5.
Binge drinking has been linked to traumatic dental injury (TDI). Once drunk, adolescents are more prone to accidents, which may result in orofacial injury.
This study evaluated the possible association of binge drinking with a number of traumatised teeth in a population of 12-year-old Brazilian adolescents in 2013 and 2015.
This study was longitudinal, carried out with 588 adolescents at two moments, 2013 and 2015. TDI, overjet and lip protection were assessed by calibrated examiners. Binge drinking data were collected through the Alcohol Use Disorders Identification Test. Sociodemographic indicators were obtained through a questionnaire answered by the parents/guardians. The Poisson regression model with a random effects intercept was estimated.
A higher prevalence of traumatised teeth was observed among adolescents who binge drink (IRR = 1.37; 95% CI: 1.05-1.80; p < .05). The prevalence was also significantly higher among adolescents in this age range with a ≥ 3-mm overjet and those with inadequate lip protection (IRR = 1.99; 95% CI: 1.44-2.76; p < .001 and IRR = 3.41; 95% CI: 2.57-4.53; p < .001, respectively).
A greater number of traumatised teeth were found among adolescents who reported binge drinking and had severe overjet and inadequate lip coverage.
暴饮与创伤性牙损伤（TDI）有关。青少年一旦喝醉，更容易发生事故，这可能导致口腔颌面部损伤。
本研究评估了2013年和2015年巴西12岁青少年人群中暴饮与多颗外伤牙之间的可能关联。
本研究为纵向研究，于2013年和2015年分两个阶段对588名青少年进行。由经过校准的检查人员评估创伤性牙损伤、覆盖超 过3mm和唇部保护情况。通过酒精使用障碍识别测试收集暴饮数据。社会人口统计学指标通过家长/监护人回答的问卷获得。估计了具有随机效应截距的泊松回归模型。
在暴饮的青少年中观察到更高的外伤牙患病率（发病率比[IRR]=1.37；95%置信区间[CI]：1.05-1.80；P<0.05）。在该年龄范围内覆盖超过3mm的青少年和唇部保护不足的青少年中，患病率也显著更高（IRR分别为1.99；95%CI：1.44-2.76；P<0.001和IRR=3.41；95%CI：2.57-4.53；P<0.001）。
在报告有暴饮行为、覆盖严重超过正常范围和唇部覆盖不足的青少年中发现了更多的外伤牙。
