Document Detail


Social and behavioral risk factors for maxillary incisor trauma in an adolescent Arab population.
MedLine Citation:
PMID:  19811510     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIM: The majority of dental traumas are due to falls or blows during regular activity, personal interaction and play inside or outside the home, suggesting that behaviors associated with certain social conditions are risk factors. Our purpose was to explore that hypothesis. MATERIALS AND METHODS: We examined a population-based sample of 1583 13-14-year-old subjects in a classroom setting. Incisor trauma was scored according to the National Institute of Dental Research index, and overjet was measured to the nearest 0.5 mm. Presence of mesial migration and/or loss of first molars and/or open caries in permanent teeth were recorded and categorized as increased caries experience. Body mass index (BMI) was calculated from standardized measurements of height and weight, as weight in kg height(-1) in m(2). Obesity was scored if BMI exceeded 30. Information on participation in physical activities, family income, and number of siblings was collected through subject and family interview. RESULTS AND CONCLUSIONS: Univariate logistic regression detected reduced trauma risk among subjects of high income families (P = 0.009) and among subjects attending private schools (P = 0.026). Sports and physical activities were more prevalent in boys than in girls (P = 0.000) and associated with trauma in the sample as a whole (P = 0.001), but not separately in boys and girls. No effect was detected of obesity, number of siblings and increased caries experience. Univariate analyzes also detected increased trauma risk in boys (P = 0.000) and in subjects with increasing intervals of overjet (P = 0.000). Following use of multiple regressions with forward selection, only male gender, increasing overjet, and high family income were included in the final prediction model. Our findings suggest that behaviors associated with high family income and private school attendance reduce the risk of incisor trauma among adolescents in Kuwait, and that the gender difference in sports activities is an unlikely explanation for the gender difference in trauma.
Authors:
Jon Artun; Rashed Al-Azemi
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-10-07
Journal Detail:
Title:  Dental traumatology : official publication of International Association for Dental Traumatology     Volume:  25     ISSN:  1600-9657     ISO Abbreviation:  Dent Traumatol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-17     Completed Date:  2010-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101091305     Medline TA:  Dent Traumatol     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  589-93     Citation Subset:  D    
Affiliation:
Department of Developmental and Preventive Sciences, Kuwait University, Jabriya, Kuwait. jon.artun@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Behavior*
Arabs*
Body Height
Body Mass Index
Body Weight
Female
Humans
Incisor / injuries*
Income
Kuwait / epidemiology
Logistic Models
Male
Malocclusion / complications
Maxilla
Prevalence
Risk Factors
Sex Factors
Social Class
Tooth Injuries / epidemiology*,  etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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