Risk factors associated with the occurrence of avulsion in the primary incisors: A case–control study

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry Pub Date : 2024-04-04 DOI:10.1111/ipd.13172

Bianca Del Negro, Nuno Vibe Hermann, Eva Lauridsen, Fausto Medeiros Mendes, Marcia Turolla Wanderley

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引用次数: 0

Abstract

Background

Identifying factors associated with the occurrence of primary tooth avulsion is essential to promote prevention strategies.

Aim

To investigate the risk factors associated with primary incisor avulsion and variables associated with post-avulsion sequelae in the permanent successor.

Design

This case–control study comprised 407 children (cases) with primary incisor avulsion and 407 children (controls) with other traumatic dental injuries (TDI). The association between explanatory variables and avulsion was evaluated through logistic regression. Odds ratios (OR) and 95% confidence intervals (95% CI) were calculated. Poisson regression analyses between potential explanatory variables and sequelae were run, from which relative risks (RR) and corresponding 95% CI were estimated.

Results

TDI caused by moderate falls (OR = 2.20; 95% CI = 1.47 to 3.27), affecting lateral incisors (OR = 10.10; 95% CI = 3.89 to 26.54) and the lower arch (OR = 9.54; 95% CI = 3.15 to 28.85), were associated with primary incisor avulsion. Moreover, children with previous severe TDI, anterior open bite, and anterior crossbite had higher odds of primary incisor avulsion. Children who suffered from any primary tooth avulsion (RR = 2.68; 95% CI = 1.82 to 3.95) had a higher risk of sequelae in the permanent successors. The risk for sequelae in the permanent teeth was significantly greater for younger children under age 2 years than for children ages 3 to 5 years.

Conclusion

Risk factors for primary incisor avulsion are related to the severity of the fall, tooth position, history of previous TDI, and malocclusion. Furthermore, avulsion increases the risk of sequelae in the permanent successors.

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与发生主门齿撕脱相关的风险因素：病例对照研究

背景查明与基牙脱落发生相关的因素对于推广预防策略至关重要。目的研究与基牙门牙脱落相关的风险因素以及与恒牙后继脱落后遗症相关的变量。设计这项病例对照研究包括407名基牙门牙脱落的儿童（病例）和407名其他牙外伤（TDI）的儿童（对照）。通过逻辑回归评估了解释变量与牙齿脱落之间的关系。计算了比率（OR）和 95% 置信区间（95% CI）。结果由中度跌倒（OR = 2.20；95% CI = 1.47 至 3.27）、影响侧切牙（OR = 10.10；95% CI = 3.89 至 26.54）和下牙弓（OR = 9.54；95% CI = 3.15 至 28.85）引起的TDI与原切牙脱落有关。此外，曾患有严重TDI、前方开放咬合和前方交叉咬合的儿童发生原切牙脱落的几率更高。发生过任何基牙脱落的儿童（RR = 2.68；95% CI = 1.82 至 3.95），其恒牙继发后遗症的风险较高。2岁以下儿童恒牙后遗症的风险明显高于3至5岁的儿童。结论：原切牙脱落的风险因素与跌倒的严重程度、牙齿位置、既往TDI史和咬合不正有关。此外，牙齿脱落还会增加恒牙后继畸形的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.