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Fonseca RCLD, Antunes JLF, Cascaes AM, Bomfim RA. Dent. Traumatol. 2019; ePub(ePub): ePub.


School of Dentistry, Department of Community Health, Federal University of Mato Grosso do Sul (UFMS).


(Copyright © 2019, John Wiley and Sons)






BACKGROUND/AIMS: Traumatic dental injuries (TDIs) stand out as one of the major public health problems worldwide, characterized by a high prevalence in children and adolescents, however, their association with the 15-19 years age group has not been fully described. The aim of this study was to evaluate TDIs in a population of Brazilian adolescents.

METHODS: An association study was performed with 5,558 adolescents attending the São Paulo State Oral Health Survey (SBSP-15). Individual predisposing variables (gender, age, schooling, ethnic, overjet and molar relationship); contextual predisposing (city size and Municipal Human Development Index); Individual enabling (per capita income and type of service used); contextual enabling (number of dentists, family health team coverage and family median income); individual need (satisfaction and perception regarding treatment) and contextual needs (average supervised brushing, number of visits and dental extractions per city), as well as health behaviors were analyzed. Andersen's behavioral model was used for the data analysis. A multilevel logistic regression with fixed effects was performed to calculate the Odds Ratio (OR), with 95% confidence interval (CI).

RESULTS: The prevalence of TDIs in adolescents was 1.42% (95% CI 0.94-2.13). Individual and contextual factors of need, predisposing factors, facilitators and health behaviors were associated with TDIs. In the adjusted analysis, gender (OR = 0.32, 95% CI 0.18-0.53), mean family income (OR = 2.52, 95% CI 1.35-4.69), number of dental visits (OR = 0.40, 95% CI 0.19-0.84) and time of last visit (OR = 2.64, 95% CI 1.46-4.77) remained significant concerning trauma.

CONCLUSION: At least one variable of the individual and contextual predisposing, enabling and need factors (except for individual enabling variables) were associated with dental trauma in Brazilian adolescents aged 15 to 19 years. This information may help with the planning of preventive actions and dental treatment especially in mid-sized and large cities. This article is protected by copyright. All rights reserved.

This article is protected by copyright. All rights reserved.

Language: en


adolescents; dental trauma; oral health


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