Feldens, CA, Day, PF, Borges, TS et al. (2 more authors) (2016) Enamel fracture in the primary dentition has no impact on children's quality of life: implications for clinicians and researchers. Dental Traumatology, 32 (2). pp. 103-109. ISSN 1600-4469
Abstract
Aim The aim of this study was to quantify the impact of traumatic dental injuries (TDI) on oral-health-related quality of life (OHRQoL) of preschool children, when enamel fractures were either included or excluded within the category of TDI. Material and methods An oral health survey was undertaken of preschool children, age 1–5 years attending public nurseries in Canoas, Brazil. Children were examined for TDI, dental caries, and malocclusion. Parents were interviewed on their perception of their child's OHRQoL (Early Childhood Oral Health Impact Scale—ECOHIS) and their sociodemographic background. Multivariable Poisson regression models with robust variance were fitted to assess the impacts of TDI (including and excluding enamel fractures) on OHRQoL. Results A full dataset was collected from 76% of the eligible population. The prevalence of TDI was 13.4% (171/1275). The prevalence of any impact (ECOHIS ≥ 1) was significantly higher in children with crown discoloration (29.7%), enamel/dentin fracture (29.2%), and avulsion (73.3%), compared to children with enamel fracture (16.2%) or without a TDI (15.8%) (P < 0.001). Enamel fractures were the most prevalent TDI (40%) but halved the proportion of children with a reported impact from their TDI. The mean increase in OHRQoL impact for those children with a TDI was 1.59 (95%CI 1.20–2.10) when enamel fracture was included, and 1.86 (95%CI 1.39–2.50) when it was excluded. Conclusion Enamel fractures have no significant impact on young children's quality of life. Including enamel fractures within the diagnosis of TDI increases the prevalence of TDI while reducing the OHRQoL impact of TDI for the primary dentition.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Feldens, C. A., Day, P., Borges, T. S., Feldens, E. G. and Kramer, P. F. (2015), Enamel fracture in the primary dentition has no impact on children's quality of life: implications for clinicians and researchers. Dental Traumatology., which has been published in final form at http://dx.doi.org/10.1111/edt.12222. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
Keywords: | tooth injuries; child; preschool; primary tooth; quality of life |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Paediatric Dentistry (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 28 Sep 2015 15:57 |
Last Modified: | 16 Nov 2016 13:22 |
Published Version: | http://dx.doi.org/10.1111/edt.12222 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/edt.12222 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:90299 |