International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 15 , ISSUE 5 ( September-October, 2022 ) > List of Articles

ORIGINAL RESEARCH

Anterior Dental Injuries in 8–12-year-old Schoolchildren of Yamunanagar, Northern India: A Districtwide Oral Health Survey

Bakhshish Singh, Inder K Pandit, Neeraj Gugnani, Taranjeet K Bhatia, Monika Gupta, Vaibhav Kumar

Keywords : Dental health, Education, Prevalence, Tooth fracture, Traumatic dental injury

Citation Information : Singh B, Pandit IK, Gugnani N, Bhatia TK, Gupta M, Kumar V. Anterior Dental Injuries in 8–12-year-old Schoolchildren of Yamunanagar, Northern India: A Districtwide Oral Health Survey. Int J Clin Pediatr Dent 2022; 15 (5):584-590.

DOI: 10.5005/jp-journals-10005-2424

License: CC BY-NC 4.0

Published Online: 30-01-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Background/aim: Due to its frequency, early occurrence, and severe adverse effects, if untreated, traumatic dental injury (TDI) is a public dental health issue. The purpose of this study was to investigate the prevalence of dental injuries caused by trauma in the anterior teeth among schoolchildren of Yamunanagar (Haryana), Northern India. Materials and methods: A sample of 11,897 schoolchildren in the age-group of 8–12 years from 36 urban/rural schools was examined for TDI using Ellis and Davey classification. Children with TDI were interviewed using a structured questionnaire and presented with validated motivational videos to educate them about dental trauma, the sequelae of unmet treatment, and to motivate them to undergo treatment. The subjects with trauma were reevaluated after 6 months to assess the percentage of subjects who have undergone treatment after motivation. Result and conclusion: The overall prevalence of children afflicted with TDI was 6.33%. Statistically, a significant difference of p ≤ 0.001 was noted between the percentage of boys (7.29%) and girls (4.8%) experiencing TDI. Maxillary incisors (94.3%) were the most commonly injured teeth. Falls in the playground (37.70%) were the major cause; on reevaluation, only 9.26% of the study population got their traumatized tooth treated. TDI is an existing dental problem. Motivating children at schools was found to be ineffective. There is a need to educate the parents and teachers to take appropriate preventive measures.


PDF Share
  1. Glendor U. Epidemiology of traumatic dental injuries–a 12 year review of the literature. Dent Traumatol 2008;24(6):603–611. DOI: 10.1111/j.1600-9657.2008.00696.x
  2. Stockwell AJ. Incidence of dental trauma in the Western Australian School Dental Service. Community Dent Oral Epidemiol 1988;16(5):294–298. DOI: 10.1111/j.1600-0528.1988.tb01779.x
  3. Cortes MI, Marcenes W, Sheiham A. Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12–14-year-old children. Community Dent Oral Epidemiol 2002;30(3):193–198. DOI: 10.1034/j.1600-0528.2002.300305.x
  4. Thelen DS, Bårdsen A. Traumatic dental injuries in an urban adolescent population in Tirana, Albania. Dental Traumatol 2010;26(5):376–382. DOI: 10.1111/j.1600-9657.2010.00918.x
  5. Goyal A, Gauba K, Chawla HS, et al. Epidemiology of dental caries in Chandigarh school children and trends over the last 25 years. J Indian Soc Pedod Prevent Dent 2007;25(3):115–118. DOI: 10.4103/0970-4388.36559
  6. Traebert J, Peres MA, Blank V, et al. Prevalence of traumatic dental injury and associated factors among 12-year-old school children in Florianopolis, Brazil. Dent Traumatol 2003;19(1):15–18. DOI: 10.1034/j.1600-9657.2003.00138.x
  7. Zuhal K, Semra OEM, Huseyin K. Traumatic injuries of the permanent incisors in children in southern Turkey: a retrospective study. Dent Traumatol 2005;21(1):20–25. DOI: 10.1111/j.1600-9657.2004.00265.x
  8. Granville-Garcia AF, de Menezes VA, de Lira PI. Dental trauma and associated factors in Brazilian preschoolers. Dent Traumatol 2006;22(6):318–322. DOI: 10.1111/j.1600-9657.2005.00390.x
  9. Navabazam A, Farahani SS. Prevalence of traumatic injuries to maxillary permanent teeth in 9-14 year old school children in Yazd, Iran. Dent Traumatol 2009;26(2):154–157. DOI: 10.1111/j.1600-9657.2009.00861.x
  10. World Health Organization. Oral health surveys: basic methods. 4th edition.WHO:Geneva;1997.
  11. Zerman N, Cavalleri G. Traumatic injuries to permanent incisors. Endod Dent Traumatol 1993;9(2):61–64. DOI: 10.1111/j.1600-9657.1993.tb00661.x
  12. Esa R, Razak IA. Traumatised anterior teeth in a sample of 12-13 year-old Malaysia school children. Annals Dent Univ Malaya 1996;3(1):5–9. DOI: 10.22452/adum.vol3no1.2
  13. Nik-Hussein NN. Traumatic injuries to anterior teeth among school children in Malaysia. Dental Traumatol 2001;17(4):149–152. DOI: 10.1034/j.1600-9657.2001.170402.x
  14. Gupta S, Jindal SK, Bansal M, et al. Prevalence of traumatic dental injuries and role of incisal overjet and inadequate lip coverage as risk factors among 4-15 years old government school children in Baddi-Barotiwala area, Himachal Pradesh, India. Med Oral Patol Oral Cir Bucal 2011;16(7):e960–e965. DOI: 10.4317/medoral.17265
  15. Alonge OK, Narendaran S, Willaamson DP. Prevalence of fractured incisal teeth among children in Harris County, Texas. Dent Traumatol 2001;17(5):218–221. DOI: 10.1034/j.1600-9657.2001.170506.x
  16. Rai S, Munshi AK. Traumatic injuries to the anterior teeth among South Kanara school children–a prevalence study. J Indian Soc Pedod Prev Dent 1998;16(2):44–51. PMID: 11813754
  17. Zaragoza AA, Catala M, Colmena ML, et al. Dental trauma in schoolchildren six to twelve years of age. J Dent Child 1998;65(6):492–494. PMID: 9883326
  18. Ingle NA, Baratam N, Charania Z. Prevalence and factors associated with traumatic dental injuries (TDI) to anterior teeth of 11-13 year old school going children of Maduravoyal, Chennai. J Oral Health Community Dent 2010;4(3):55–60. DOI: 10.5005/johcd-4-3-55
  19. Gupta K, Tandon S, Prabhu D. Traumatic injuries to the incisors in children of south Kanara District, a prevalence study. J Indian Soc Pedod Prev Dent 2002;20(3):107–113. PMID: 12435009
  20. Tovo MF, Dos Santos PR, Kramer PF, et al. Prevalence of crown fractures in 8–10 years old schoolchildren in Canoas, Brazil. Dent Traumatol 2004; 20(5):251–254. DOI: 10.1111/j.1600-9657.2004.00253.x
  21. Cavalcanti AL, Bezerra PK, de Alencar CR, et al. Traumatic anterior dental injuries in 7- to 12-year-old Brazilian children. Dental Traumatology 2009;25(2):198–202. DOI: 10.1111/j.1600-9657.2008.00746.x
  22. Directorate of Census. Operations and census officials in Yamunanagar District of Haryana. http://yamunanagar.nic.in/ynr/default.asp. Last assessed on November 30th, 2013.
  23. Marcenes W, Alessi ON, Traebert J. Causes and prevalence of traumatic injuries to the permanent incisors of schoolchildren aged 12 years in Jaragua´ do Sul, Brazil. Int Dent J 2000;50(2):87–92. DOI: 10.1002/j.1875-595x.2000.tb00804.x
  24. Rajab LD. Traumatic dental injuries in children presenting for treatment at the Department of Pediatric Dentistry, University of Jordan, 1997-2000. Dent Traumatol 2003;19(1):6–11. DOI: 10.1034/j.1600-9657.2003.00131.x
  25. Zadik D. A survey of traumatized primary anterior teeth in Jerusalem preschool children. Community Dent Oral Epidemiol 1976;4(4):149–151. DOI: 10.1111/j.1600-0528.1976.tb00973.x
  26. Garcia-Godoy FM. Prevalence and distribution of traumatic injuries to the permanent teeth of Dominican children from private schools. Community Dent Oral Epidemiol 1984;12(2):136–139. DOI: 10.1111/j.1600-0528.1984.tb01426.x
  27. Rocha MJC, Cardoso MJC. Traumatized permanent teeth in Brazilian children assisted at the Federal University of Santa Catarina, Brazil. Dent Traumatol 2001;17(6):245–249. DOI: 10.1034/j.1600-9657.2001.170601.x
  28. Cortes MI, Marcenes W, Sheiham A. Prevalence and correlates of traumatic injuries to the permanent teeth of schoolchildren aged 9–14 years in Belo Horizonte, Brazil. Dent Traumatol 2001;17(1):22–26. DOI: 10.1034/j.1600-9657.2001.170105.x
  29. Saroglu I, Sonmez H. The prevalence of traumatic injuries treated in the pedodontic clinic of Ankara University, Turkey, during 18 months. Dent Traumatol 2002;18(6):299–303. DOI: 10.1034/j.1600-9657.2002.00093.x
  30. Grimm S, Frazao P, Antunes JLF, et al. Dental injury among Brazilian schoolchildren in the state of Sao Paulo. Dent Traumatol 2004;20(3):134–138. DOI: 10.1111/j.1600-4469.2004.00238.x
  31. Soriano EP, Caldas Jr AF, Goes PSA. Risk factors related to traumatic dental injuries in Brazilian schoolchildren. Dent Traumatol 2004;20(5):246–250. DOI: 10.1111/j.1600-9657.2004.00246.x
  32. Marcenes W, Zabot NE, Traebert J. Socio-economic correlates of traumatic injuries to the permanent incisors in schoolchildren aged 12 years in Blumenau, Brazil. Dent Traumatol 2001;17(5):222–226. DOI: 10.1034/j.1600-9657.2001.170507.x
  33. Hamilton FA, Hill FJ, Holloway PJ. An investigation of dento-alveolar trauma and its treatment in an adolescent population. Part 1: the prevalence and incidence of injuries and the extent and adequacy of treatment received. Br Dent J 1997;182(3):91–95. DOI: 10.1038/sj.bdj.4809313
  34. Ellis RG. The classification and treatment of injuries to the teeth of children, 5th edition Chicago: Year Book Medical Publishers 1970;56:199.
  35. Kargul B, Caglar E, Tanboga I. Dental trauma in Turkish children, Istanbul. Dent Traumatol 2003;19(2):72–75. DOI: 10.1034/j.1600-9657.2003.00091.x
  36. Wright G, Bell A, McGlashan G, et al. Dentoalveolar trauma in Glasgow: an audit mechanism and injury. Dent Traumatol 2007;23(4):226–231. DOI: 10.1111/j.1600-9657.2006.00430.x
  37. Ozen B, Cakmak T, Altun C, et al. Prevalence and etiology of dental trauma in children aged 2-15 in the Eastern Black Sea region of Turkey. J Int Dent Med Res 2010;3(3):126–132.
  38. Forsberg CM, Tedestam G. Traumatic injuries to teeth in Swedish children living in an urban area. Swed Dent J 1990;14(3):115–122.
  39. Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Australian Dent J 2000;45(1):2–9. DOI: 10.1111/j.1834-7819.2000.tb00234.x
  40. Diane E Papalia. Textbook of Human Development. Mcgraw Hill Publication, 9th Edition, 2003; Ch-1.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.