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Prevalence and risk factors for traumatic dental injuries in adolescent children attending special needs schools in India: a comparative study

  • Sandeep Kumar EMAIL logo and Garima Dixit
Published/Copyright: April 9, 2016

Abstract

Background:

Traumatic dental injuries (TDIs) are a serious dental health problem affecting adolescents and needs special attention.

Objective:

To determine and compare the prevalence of TDIs in children attending special needs schools and normal school children and identify the risk factors for its occurrence.

Methods:

The study included 150 special needs school children and 300 normal school children in the 12–15 year age group. A questionnaire was prepared that collected information on socio-demographic characteristics of the respondents like age, sex, and details of the injury-event. The clinical examination was carried out using American Dental Association (ADA) type 3 technique following universal precautions.

Results:

The children attending special needs schools showed higher prevalence of TDIs than normal school children. Maxillary central incisors were the most commonly affected teeth. A majority of them showed injuries restricted to enamel fracture only and the most common cause for injury was “falling over”. Logistic regression analysis showed that there was a significantly higher tendency for special needs children, boys, children with an overjet more than 3 mm, and inadequate lip closure to develop injuries.

Conclusion:

TDIs were more prevalent in children attending special needs schools. An overjet more than 3 mm emerged as the strongest risk predictor. Effective policies need to be drafted to treat the injuries and correct the malocclusion.


Corresponding author: Sandeep Kumar, No. 304, Sanskar block, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India, Phone: 8827424626

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Received: 2015-11-28
Accepted: 2016-2-13
Published Online: 2016-4-9

©2017 Walter de Gruyter GmbH, Berlin/Boston

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