CODS - Journal of Dentistry

Register      Login

VOLUME 13 , ISSUE 2 ( July-December, 2021 ) > List of Articles

ORIGINAL RESEARCH

Prevalence of Traumatic Dental Injuries to the Anterior Teeth and Associated Factors among 3–5 Years Old Preschool Children in Bhavnagar, Gujarat, India

Shital Kiran, Hetal Majeethia, Vinay Mulchandani, Shalin Shah, Jani M Upendrabhai, Aum Joshi

Keywords : Avulsion, Children, Trauma, Wound and injuries

Citation Information : Kiran S, Majeethia H, Mulchandani V, Shah S, Upendrabhai JM, Joshi A. Prevalence of Traumatic Dental Injuries to the Anterior Teeth and Associated Factors among 3–5 Years Old Preschool Children in Bhavnagar, Gujarat, India. CODS J Dent 2021; 13 (2):40-46.

DOI: 10.5005/jp-journals-10063-0119

License: CC BY-NC 4.0

Published Online: 01-06-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Background: Other than dental caries, a traumatic dental injury (TDI) is a common trait in youngsters. Dentists face a dilemma when dealing with children who have suffered anterior tooth damage and their worried parents. Only a few research on the frequency of TDIs among preschool children have been undertaken in India. This study aimed to determine the prevalence of TDI in Bhavnagar and the factors that contribute to it. Materials and methods: In Bhavnagar, Gujarat, India, a cross-sectional study of preschool children aged 3–5 years was undertaken. A single trained examiner screened 1,375 childrens for TDI of the primary anterior teeth. TDIs were assessed and recorded using Andreasen's visual criteria for tooth discoloration and dislocation. Parents of TDI-positive children were asked to complete a proprietary questionnaire about their children's demographics, socioeconomic status, and tooth injury specifics. The prevalence of TDI was correlated with the data supplied by the parents using the Chi-square test. Results: The prevalence of traumatic TDI to anterior teeth and related variables was 12.29%. There was a statistically significant link between gender and the prevalence of TDI (p = 0.049). Enamel fracture was found in 61.3% of cases, while pulp damage was found in 31.5% of cases. The relationship between preschool children's age, gender, zone, and socioeconomic status and the number of teeth involved was shown to be statistically negligible. Conclusion: Dental trauma was common in children aged 3–5 years old, with a prevalence rate of 12.29%. The primary maxillary left central incisor was the most injured tooth. The mandibular left lateral incisors were the teeth that were least broken. Males had a higher rate of enamel fracture, whereas females had a more considerable prevalence of pulpal injury.


HTML PDF Share
  1. Andreasen JO, Andreasen FM, Andreason L. Traumatic Injuries to the Teeth. 4th ed. Denmark: Blackwell Publishing Ltd; 2007.
  2. Andreasen JO. Etiology and pathogenesis of traumatic dental injuries. A clinical study of 1,298 cases. Scand J Dent Res 78(4):329–342. DOI: 10.1111/j.1600-0722.1970.tb02080.x
  3. Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1(5):235–239. DOI: 10.1016/s0300-9785(72)80042-5
  4. Andreasen JO. Traumatic Injuries of the Teeth. 2nd ed. Philadelphia: W.B. Saunders Co; 1981.
  5. Bijella MF, Yared FN, Bijella VT, et al. Occurrence of primary incisor traumatism in Brazilian children: a house-by-house survey. ASDC J Dent Child 1990;57(6):424–427.
  6. Aldrigui JM, Jabbar NS, Bonecker M, et al. Trends and associated factors in prevalence of dental trauma in Latin America and Caribbean: a systematic review and meta-analysis. Community Dent Oral Epidemiol 2014;42(1):30–42. DOI: 10.1111/cdoe.12053
  7. Cardoso M, de Carvalho Rocha MJ. Traumatized primary teeth in children assisted at the Federal University of Santa Catarina, Brazil. Dent Traumatol 2002;18(3):129–133. DOI: 10.1034/j.1600-9657.2002.00030.x
  8. Ferreira JM, Fernandes de Andrade EM, Katz CR, et al. Prevalence of dental trauma in deciduous teeth of Brazilian children. Dent Traumatol 2009;25(2):219–223. DOI: 10.1111/j.1600-9657.2008.00754.x
  9. Beltrao EM, Cavalcanti AL, Albuquerque SS, et al. Prevalence of dental trauma children aged 1–3 years in Joao Pessoa (Brazil). Eur Arch Paediatr Dent 2007;8(3):141–143. DOI: 10.1007/BF03262583
  10. Bhayya DP, Shyagali TR. Traumatic injuries in the primary teeth of 4- to 6-year-old school children in Gulbarga city, India. A prevalence study. Oral Health Dent Manag 2013;12(1):17–23.
  11. Rai SB, Munshi AK. Traumatic injuries to the anterior teeth among South Kanara school children – a prevalence study. J Indian Soc Pedod Prev Dent 1998;16(2):44–51.
  12. Shekhar MG, Mohan R. Traumatic dental injuries to primary incisors and the terminal or occlusal plane relationship in Indian preschool children. Community Dent Health 2011;28(1):104–106.
  13. Chalissery VP, Marwah N, Jafer M, et al. Prevalence of anterior dental trauma and its associated factors among children aged 3–5 years in Jaipur City, India–a cross sectional study. J Int Soc Prevent Community Dent 2016;6(Suppl 1):S35–S40. DOI: 10.4103/2231-0762.181165
  14. Saleem SM. Modified Kuppuswamy socioeconomic scale updated for the year 2019. Indian J Forensic Community Med 2019;6(1):1–3. DOI: 10.18231/2394-6776.2019.0001
  15. Nik-Hussein NN. Traumatic injuries to anterior teeth among school children in Malaysia. Dent Traumatol 2001;17(4):149–152. DOI: 10.1034/j.1600-9657.2001.170402.x
  16. Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Aust Dent J 2000; 45(1):2–9. DOI: 10.1111/j.1834-7819.2000.tb00234.x
  17. Glendor U. Aetiology and risk factors related to traumatic dental injuries – a review of the literature. Dent Traumatol 2009; 25(1):19–31. DOI: 10.1111/j.1600-9657.2008.00694.x
  18. Feldens CA, Kramer PF, Ferreira SH, et al. Exploring factors associated with traumatic dental injuries in preschool children: a poisson regression analysis. Dent Traumatol 2010;26(2):143–148. DOI: 10.1111/j.1600-9657.2009.00858.x
  19. Piovesan C, Guedes RS, Casagrande L, et al. Socioeconomic and clinical factors associated with traumatic dental injuries in Brazilian preschool children. Braz Oral Res 2012;26(5):464–470. DOI: 10.1590/s1806-83242012000500014
  20. Goettems ML, Azevedo MS, Correa MB, et al. Dental trauma occurrence and occlusal characteristics in Brazilian preschool children. Pediatr Dent 2012;34(2):104–107. DOI: 10.1590/1807-3107
  21. Bonini GC, Bönecker M, Braga MM, et al. Combined effect of anterior malocclusion and inadequate lip coverage on dental trauma in primary teeth. Dent Traumatol 2012;28(6):437–40. DOI: 10.1111/j.1600-9657.2012.01117.x
  22. Ngan P, Fields HW. Open bite: a review of etiology and management. Pediatr Dent 1997; 19(2):91–98.
  23. Kohler L, Holst K. Malocclusion and sucking habits of four-year-old children. Acta Paediat Scand 1973; 62(4):373–379. DOI: 10.1111/j.1651-2227.1973.tb08122.x
  24. Adair SM, Milano M, Lorenzo I, Russell C. Effects of current and former pacifier use on the dentition of 24- to 59-month-old children. Pediatr Dent 1995;17:437–444.
  25. Vejdani J, Fathollah SP, Leyli EK. Prevalence of traumatic injuries to the anterior primary teeth in preschool children in Rasht, Guilan, 2012. J Dentomaxillofac Radiol Pathol Surg 2014;10(4):23–28. DOI: 10.18869/acadpub.3dj.2.4.23
  26. Corrêa-Faria P, Martins CC, Bönecker M, et al. Clinical factors and socio-demographic characteristics associated with dental trauma in children: a systematic review and meta-analysis. Dent Traumatol 2016;32(5):367–378. DOI: 10.1111/edt.12268
  27. Cunha RF, Pugliesi DM, de Mello Vieira AE. Oral trauma in Brazilian patients aged 0–3 years. Dent Traumatol 2001;17(5):210–212. DOI: 10.1034/j.1600-9657.2001.170504.x
  28. Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J 2016;61(Suppl 1):4–20. DOI: 10.1111/adj.12395
  29. do Espírito Santo Jácomo DR, Campos V. Prevalence of sequelae in the permanent anterior teeth after trauma in their predecessors: a longitudinal study of 8 years. Dent Traumatol 2009;25(3):300–304. DOI: 10.1111/j.1600-9657.2009.00764.x
  30. Norton E, O'Connell AC. Traumatic dental injuries and their association with malocclusion in the primary dentition of Irish children. Dent Traumatol 2012;28(1):81–86. DOI: 10.1111/j.1600-9657.2011.01032.x
  31. Choi SC, Park JH, Pae A, et al. Retrospective study on traumatic dental injuries in preschool children at Kyung Hee Dental Hospital, Seoul, South Korea. Dent Traumatol 2010; 26(1): 70–75. DOI: 10.1111/j.1600-9657.2009.00840.x
  32. Yagot KH, Nazhat NY, Kuder SA. Traumatic dental injuries in nursery schoolchildren from Baghdad, Iraq. Community Dent Oral Epidemiol 1988;16(5):292–293. DOI: 10.1111/j.1600-0528.1988.tb01778.x
  33. Tewari N, Mathur VP, Siddiqui I, et al. Prevalence of traumatic dental injuries in India: a systematic review and meta-analysis. Indian J Dent Res 2020;31(4):601–614. DOI: 10.4103/ijdr.ijdr_953_19
  34. Sennhenn-Kirchner S, Jacobs HG. Traumatic injuries to the primary dentition and effects on the permanent successors – a clinical follow-up study. Dent Traumatol 2006;22(5):237–241. DOI: 10.1111/j.1600-9657.2006.00383.x
  35. Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis—one billion living people have had traumatic dental injuries. Dent Traumatol 2018;34(2):71–86. DOI: 10.1111/edt.12389
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.