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Updated: Oct 7, 2025

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Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
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Troublesome behaviour and traumatic dental injuries during adolescence
Enas Kambal1, Wagner Marcenes2, Stephen A Stansfeld3
1Dental Public Health group, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
Summary
Adolescent troublesome behavior is linked to traumatic dental injuries (TDIs). Further research is needed to confirm this association between behavioral issues and dental health outcomes in young people.
Area of Science:
- Adolescent Health
- Dental Public Health
- Behavioral Science
Background:
- Troublesome behavior in adolescents can lead to physical harm, but its connection to traumatic dental injuries (TDIs) is not well-established.
- This study aimed to investigate the longitudinal relationship between adolescent troublesome behavior and TDIs.
Purpose of the Study:
- To evaluate the longitudinal association between troublesome behavior and traumatic dental injuries (TDIs) during adolescence.
Main Methods:
- Data from the Research with East London Adolescents Community Health Survey (RELACHS) phases 2 and 3 were analyzed.
- Troublesome behavior was assessed at ages 13-14 using 8 items from the Development and Well-Being Assessment (DAWBA).
- TDIs were identified through dental examinations at ages 15-16, with logistic regression models used for analysis.
Main Results:
- 43% of adolescents reported troublesome behavior, and 16% had TDIs.
- Adolescents reporting troublesome behavior had higher odds of TDIs (ORs ranging from 1.37 to 1.50).
- Specific behaviors like running away, bullying, lying, and stealing were associated with TDIs.
Conclusions:
- Adolescent troublesome behavior is longitudinally associated with an increased risk of TDIs.
- The findings suggest a link between behavioral issues and dental trauma in adolescents.
- Further longitudinal studies are recommended to confirm these associations due to wide confidence intervals.
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