Influence of Physical Activity on the Occurrence of Traumatic Dental Injuries in Primary Dentition: A Cohort Study in Southern Brazil.

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

Dental Traumatology Pub Date : 2025-02-19 DOI:10.1111/edt.13045

Muriel Denisse Rivera López, Mariana Gonzalez Cademartori, Marília Leão Goettems, Flávio Fernando Demarco, Pedro Curi Hallal, Vanessa Polina Pereira da Costa

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引用次数: 0

Abstract

Objective: To verify the association between physical activity (PA) and prevalence and severity of traumatic dental injuries (TDIs) in 4-year-old children.

Methods: A cohort study was conducted involving all children born in 2015 in Pelotas, Brazil. During the 4-year follow-up period, mothers answered a questionnaire regarding their child's health and demographic characteristics. All children underwent a clinical examination to assess their oral health, including TDIs, classified as per the United Kingdom Children's Dental Health Survey criteria and Glendor's classification for injury severity. PA levels were measured using an accelerometer and maternal perceptions.

Results: The prevalence of TDI was 14.5% and 85.5% for complicated and uncomplicated TDIs, respectively. The cohort comprised 50.5% boys and 49.5% girls, with a higher TDI prevalence observed in boys (22.4%) than in girls (17.9%) (p = 0.001). Furthermore, boys exhibited more severe TDIs (p < 0.001). No association was observed between PA and the prevalence of TDIs in the overall cohort. However, a trend toward an increase in the severity of complicated trauma (TDI) with higher levels of PA was observed. In particular, children in the higher tertile had a higher proportion of severe TDIs compared to those in the lower PA tertile (relative risk [RR]: 2.42; 95% confidence interval [CI]: 1.34-4.36). Moreover, children whose mothers considered them more active than their counterparts were more likely to have complicated TDIs (RR: 1.52; 95% CI: 1.06-2.20).

Conclusion: We found an association between the severity of TDIs and increased PA. To avoid TDIs, a safer environment for PA should be provided.

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体育活动对初级牙列创伤性牙损伤发生的影响：巴西南部的一项队列研究。

目的：探讨体育锻炼与4岁儿童创伤性牙损伤（TDIs）患病率及严重程度的关系。方法：对2015年在巴西佩洛塔斯出生的所有儿童进行队列研究。在4年的随访期间，母亲们回答了一份关于她们孩子的健康和人口特征的问卷。所有儿童都接受了临床检查，以评估其口腔健康，包括tdi，并根据联合王国儿童牙齿健康调查标准和格伦多损伤严重程度分类进行分类。使用加速度计和母亲感知来测量PA水平。结果：复杂性TDI和非复杂性TDI的患病率分别为14.5%和85.5%。该队列由50.5%的男孩和49.5%的女孩组成，男孩（22.4%）的TDI患病率高于女孩（17.9%）（p = 0.001）。此外，男孩表现出更严重的tdi (p结论：我们发现tdi的严重程度与PA增加之间存在关联。为了避免tdi，应该为PA提供更安全的环境。

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

Dental Traumatology 医学-牙科与口腔外科

CiteScore

6.40

自引率

32.00%

发文量

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.