Prevalence and Pattern of Traumatic Dental Injuries in Children and Adolescents With Severe to Profound Hearing Impairment: A Hospital-Based Cross-Sectional Study.

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Amritha Rajeswary, Morankar Rahul, Nitesh Tewari, Prem Sagar, Vijay Prakash Mathur, Kalpana Bansal, Ashish Datt Upadhyay
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Abstract

Background/aim: Traumatic Dental Injuries (TDIs) are an emerging public health problem and a realm of research for oral health enthusiasts. Certain populations can be more vulnerable to injuries such as those with a sensory deficit. Nevertheless, literature is scarce, especially for those with hearing impairment. Therefore, the aim of the study was to compare the prevalence and patterns of TDI in children and adolescents with severe-to profound hearing impairments and children without hearing impairments.

Material and methods: Three hundred and ninety participants (195 severe to profound hearing impaired and 195 age and sex-matched controls) between 4 and 18 years were recruited from a tertiary care setting. A single calibrated examiner evaluated TDI for both groups. Among those with TDI, a vestibular function test (VFT) was also performed to assess postural balance. A single examiner from the Department of Otorhinolaryngology evaluated the VFT results.

Results: The overall prevalence of TDI was found to be 12.82% among the severe to profound hearing-impaired individuals, and 11.79% in controls. The majority of participants were aged between 7 and 13 years, in the mixed dentition stage, and were males. Among the cases, the majority had profound hearing loss (≥ 91 dB HL) and bilateral ear involvement. The most common type of TDI was uncomplicated crown fractures. Falls were identified as the most common cause of TDI in both groups. Vestibular dysfunction and loss of postural control were identified in 12 out of 14 patients tested with VFT. A significant association was found between TDI and the dentition type, that is, primary dentition was more affected among the severe to profound hearing impaired as compared to controls (p < 0.05).

Conclusion: There was no significant association between the severity of hearing impairment and the prevalence of dental trauma in children and adolescents with severe to profound hearing impairment. However, hearing-impaired individuals were susceptible to trauma at an early age compared to their healthy counterparts.

儿童和青少年重度至重度听力障碍患者创伤性牙损伤的患病率和模式:一项基于医院的横断面研究
背景/目的:创伤性牙损伤(TDIs)是一个新兴的公共卫生问题,也是口腔健康爱好者的研究领域。某些人群可能更容易受到伤害,比如那些有感觉缺陷的人。然而,文献是稀缺的,尤其是那些有听力障碍的人。因此,本研究的目的是比较重度至重度听力障碍儿童和青少年与无听力障碍儿童的TDI患病率和模式。材料和方法:从三级保健机构招募了390名4至18岁的参与者(195名重度至重度听力受损者和195名年龄和性别匹配的对照组)。两组的TDI均由一名校准的审查员评估。在TDI患者中,还进行了前庭功能测试(VFT)来评估姿势平衡。一位来自耳鼻喉科的审核员对VFT结果进行了评估。结果:重度至重度听障人群TDI患病率为12.82%,对照组为11.79%。大多数参与者年龄在7到13岁之间,处于混合牙列阶段,并且是男性。在这些病例中,大多数有重度听力损失(≥91 dB HL)和双耳受累。最常见的TDI类型是无并发症的冠骨折。在两组中,跌倒被认为是TDI最常见的原因。在14例VFT患者中,有12例发现前庭功能障碍和姿势控制丧失。TDI与牙列类型之间存在显著相关性,即重度至重度听障儿童和青少年的初级牙列比对照组更受影响(p结论:重度至重度听障儿童和青少年的听力损害严重程度与牙外伤患病率之间无显著相关性。然而,与健康的人相比,听力受损的人在很小的时候就容易受到创伤。
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来源期刊
Dental Traumatology
Dental Traumatology 医学-牙科与口腔外科
CiteScore
6.40
自引率
32.00%
发文量
85
审稿时长
6-12 weeks
期刊介绍: Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.
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