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Executive Function as a Risk Factor for Incisor Trauma.

Jillian M Nyquist1, Ceib Phillips2, Margot Stein3

  • 1Private practice Nashville, TN, USA.

Dental Traumatology : Official Publication of International Association for Dental Traumatology
|May 9, 2018
PubMed
Summary
This summary is machine-generated.

Children with Class II dental relationships and specific executive function deficits, like impulsivity and poor emotional control, face a higher risk of incisor trauma.

Keywords:
Executive FunctionRiskTrauma

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Area of Science:

  • Pediatric Dentistry
  • Developmental Psychology
  • Trauma Research

Background:

  • Executive function, the ability to guide behavior towards goals, is crucial for task completion.
  • Incisor trauma is a common dental injury in children.
  • The Behavior Rating Inventory of Executive Function (BRIEF®) Parent Form assesses executive function in children.

Purpose of the Study:

  • To investigate the association between executive function, assessed by the BRIEF® Parent Form, and incisor trauma in children.
  • To identify risk factors for incisor trauma in the mixed dentition stage.

Main Methods:

  • A case-control study comparing children with recent incisor trauma (n=28) to a control group (n=30).
  • Parents completed the BRIEF® Parent Form, and clinical examinations assessed occlusal relationships.
  • Statistical analyses included Fisher Exact and unpaired t-tests to compare groups.

Main Results:

  • The trauma group showed a higher prevalence of Class II dental relationships (p=0.01).
  • Significant differences were found in clinically significant BRIEF® scores for Inhibit (p=0.05), Emotional Control (p=0.02), and Behavioral Regulation Index (p=0.02).
  • No significant differences were observed in global executive function scores, age, gender, or medical history.

Conclusions:

  • Class II dental relationships and engagement in outdoor activities are associated with increased incisor trauma risk.
  • Specific executive dysfunctions, including impulsivity and emotional dysregulation, may elevate the risk of incisor trauma in children.