Oliveira Nathália Thaíse de Jesus, Santos-Silva Patrícia, Fernandes Izabella Barbosa, Assunção Cristiane Meira, Ferreira Fernanda de Morais, Zarzar Patrícia Maria, Vieira-Andrade Raquel Gonçalves
Universidade de São Paulo - USP, School of Dentistry of Ribeirão Preto, Department of Pediatric Dentistry, Ribeirão Preto, SP, Brazil.
Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Child and Adolescent's Oral Health, Belo Horizonte, MG, Brazil.
Braz Oral Res. 2025 Sep 8;39:e093. doi: 10.1590/1807-3107bor-2025.vol39.093. eCollection 2025.
Understanding recurrent injuries in the deciduous dentition and possible associated factors could help in the control and prevention of such episodes in children. The aim of the present study was to investigate the frequency of recurrent injuries in the deciduous dentition and associated factors. A retrospective cross-sectional study was conducted involving 517 children aged between six months and six years treated at the Clinic for Traumatic Dental Injuries in the Deciduous Dentition of the School of Dentistry of the Universidade Federal de Minas Gerais. Data were collected from dental records with information on sociodemographic and clinical characteristics. Data analysis involved descriptive statistics, chi-square test, and bivariate and multivariate Poisson regression analyses (p < 0.05; 95%CI). The prevalence of recurrent tooth injuries in the deciduous dentition was 17.2% (n = 89). Children aged between four and six years (PR = 1.917; 95%CI: 1.055-3.484; p = 0.033), those with inadequate lip protection (PR = 1.790; 95%CI: 1.085-2.953; p = 0.023), those with uncomplicated crown and crown-root fractures (PR = 1.856; 95%CI: 1.224-2.816; p = 0.004), and those with complicated crown and crown-root fractures (PR = 1.818; 95%CI: 1.021-3.239; p = 0.042) had a greater frequency of repeated tooth injuries compared to children without these characteristics. In the present study, older age, inadequate lip coverage, and the occurrence of complicated and uncomplicated crown and crown-root fractures were associated with repeated injuries in the deciduous teeth.
了解乳牙列中的复发性损伤及其可能的相关因素有助于控制和预防儿童的此类情况。本研究的目的是调查乳牙列中复发性损伤的频率及其相关因素。开展了一项回顾性横断面研究,涉及517名年龄在6个月至6岁之间、在米纳斯吉拉斯联邦大学牙科学院乳牙列创伤性牙损伤诊所接受治疗的儿童。从牙科记录中收集有关社会人口统计学和临床特征的信息。数据分析包括描述性统计、卡方检验以及双变量和多变量泊松回归分析(p<0.05;95%置信区间)。乳牙列中复发性牙损伤的患病率为17.2%(n = 89)。4至6岁的儿童(PR = 1.917;95%置信区间:1.055 - 3.484;p = 0.033)、唇部保护不足的儿童(PR = 1.790;
95%置信区间:1.085 - 2.953;p = 0.023)、发生简单冠折和冠根折的儿童(PR = 1.856;95%置信区间:1.224 - 2.816;p = 0.004)以及发生复杂冠折和冠根折的儿童(PR = 1.818;95%置信区间:1.021 - 3.239;p = 0.042)与没有这些特征的儿童相比,重复牙损伤的频率更高。在本研究中,年龄较大、唇部覆盖不足以及发生复杂和简单的冠折和冠根折与乳牙列中的重复损伤有关。