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Published on: August 22, 2022
Problem behaviour and traumatic dental injuries in adolescents
Damini Ramchandani1, Wagner Marcenes2, Stephen A Stansfeld3
1Division of Population and Patient Health, King's College London Dental Institute at Guy's, King's College and St. Thomas' Hospitals, London, UK.
Adolescents exhibiting problem behaviors, particularly peer relationship issues, are significantly more likely to experience traumatic dental injuries. This highlights a crucial link between behavior and oral health outcomes in youth.
Area of Science:
- Oral health research
- Adolescent psychology
- Public health
Background:
- Traumatic dental injuries (TDI) are common among children and adolescents.
- Problem behaviors in adolescents can have various negative health consequences.
- Understanding the link between behavior and TDI is crucial for targeted prevention.
Purpose of the Study:
- To investigate the association between problem behavior and traumatic dental injuries (TDI) in 15- to 16-year-old schoolchildren.
- To identify specific behavioral factors contributing to TDI in adolescents.
Main Methods:
- Cross-sectional study of 794 adolescents from the Research with East London Adolescents Community Health Survey (RELACHS).
- Data collected via questionnaires and clinical examinations for TDI, overjet, and lip coverage.
- Problem behavior assessed using the Strength and Difficulties Questionnaire (SDQ).
- Logistic regression models used to analyze the association between problem behavior and TDI, adjusting for confounders.
Main Results:
- Prevalence of TDI was 17%; problem behavior prevalence was 10%.
- Adolescents with problem behavior were 1.87 times more likely to have TDI (adjusted OR).
- Peer problems specifically showed a significant association with TDI (adjusted OR = 1.78).
Conclusions:
- A significant relationship exists between problem behavior and traumatic dental injuries in adolescents.
- Peer relationship problems are a key behavioral factor associated with TDI.
- Findings underscore the importance of addressing behavioral issues in adolescent oral health strategies.
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