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Traumatic dental injuries in preschool-age children: Prevalence and risk factors

Catherine D Born1, Tate H Jackson1, Lorne D Koroluk1,2

  • 1Department of Orthodontics, School of Dentistry University of North Carolina-Chapel Hill Chapel Hill North Carolina USA.

Clinical and Experimental Dental Research
|May 4, 2019
PubMed

Insights

Traumatic dental injuries (TDIs) affect nearly half of preschool children, with increased overjet being a significant risk factor for severe injuries. Early identification and guidance can aid prevention efforts.

Area of Science:

  • Pediatric Dentistry
  • Dental Public Health
  • Epidemiology

Background:

  • Traumatic dental injuries (TDIs) are common in primary dentition.
  • Understanding risk factors is crucial for prevention in preschool-aged children.

Purpose of the Study:

  • To determine the prevalence and identify socio-demographic and clinical predictors of TDIs in primary teeth.
  • To investigate the association between overjet and severe TDIs in young children.

Main Methods:

  • A population-based sample of 1,546 preschool children in North Carolina was analyzed.
  • Data collected included socio-demographic information and oral characteristics.
  • Bivariate and multivariate logistic regression analyses were employed.

Main Results:

  • The prevalence of TDIs was 47%, with 8% classified as severe.
  • Increased overjet (>3 mm) was a significant predictor of severe TDIs (OR=3.8).
  • Each millimeter increase in overjet correlated with a 1.3% absolute increase in severe TDI likelihood.

Conclusions:

  • Overjet is a strong, modifiable risk factor for severe TDIs in the primary dentition.
  • Findings support incorporating overjet assessment into anticipatory guidance for parents.
  • Targeted prevention strategies focusing on overjet may reduce TDI incidence and severity.

Keywords:
childrenclinical predictorsrisktrauma

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