Association between the city region and traumatic dental injuries among adolescents from Santa Maria, South Brazil

Abstract This study investigated the association between the city region and traumatic dental injury (TDI) among adolescents from Santa Maria, Rio Grande do Sul, Brazil. A population-based cross-sectional survey was conducted from March to November 2018, which included a representative sample of ado...

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Main Authors: Letícia Donato COMIM, Ângela DALLA NORA, Jessica Klöckner KNORST, Débora Nunes de Oliveira RACKI, Júlio Eduardo do Amaral ZENKNER, Luana Severo ALVES
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2022-10-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100297&tlng=en
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author Letícia Donato COMIM
Ângela DALLA NORA
Jessica Klöckner KNORST
Débora Nunes de Oliveira RACKI
Júlio Eduardo do Amaral ZENKNER
Luana Severo ALVES
author_facet Letícia Donato COMIM
Ângela DALLA NORA
Jessica Klöckner KNORST
Débora Nunes de Oliveira RACKI
Júlio Eduardo do Amaral ZENKNER
Luana Severo ALVES
author_sort Letícia Donato COMIM
collection DOAJ
description Abstract This study investigated the association between the city region and traumatic dental injury (TDI) among adolescents from Santa Maria, Rio Grande do Sul, Brazil. A population-based cross-sectional survey was conducted from March to November 2018, which included a representative sample of adolescents (15-19-year-old) attending public and private high schools. A questionnaire on sociodemographic information was sent to the parents/legal guardians of the selected adolescents. TDI in the upper and lower permanent incisors and canines was recorded based on the O’Brien classification. Environmental variables (sociodemographic and structural characteristics of the neighborhoods) were obtained from official publications. Multilevel Poisson regression models were used, and prevalence ratios (PR) and 95% confidence intervals (CI) were calculated. A total of 1,146 adolescents participated in this study. The overall prevalence of TDI was 17.3%, mild trauma was 12.7%, and severe trauma was 5.8%. Adolescents living in the southern region had a prevalence of TDI of 25.3%, compared with 13.6% in the northern region. After adjusting for important cofactors, adolescents living in the southern region were more likely to have TDI than their counterparts in the northern region (PR, 1.91; 95%CI: 1.18-3.11; p = 0.009). Analyzing the number of environmental risk indicators in different regions, the southern region presented a higher mean and median than all other regions. In conclusion, living in the southern region was associated with a higher prevalence and severity of TDI among adolescents from Santa Maria, southern Brazil. Our findings suggest the role of the environment in the epidemiology of TDI.
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spelling doaj.art-e55605654e3d4a59891ed1fe861a96402022-12-22T04:37:06ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072022-10-013610.1590/1807-3107bor-2022.vol36.0114Association between the city region and traumatic dental injuries among adolescents from Santa Maria, South BrazilLetícia Donato COMIMhttps://orcid.org/0000-0002-9386-4785Ângela DALLA NORAhttps://orcid.org/0000-0001-6053-9591Jessica Klöckner KNORSThttps://orcid.org/0000-0001-7792-8032Débora Nunes de Oliveira RACKIhttps://orcid.org/0000-0002-6613-3717Júlio Eduardo do Amaral ZENKNERhttps://orcid.org/0000-0003-0302-4449Luana Severo ALVEShttps://orcid.org/0000-0003-0110-7929Abstract This study investigated the association between the city region and traumatic dental injury (TDI) among adolescents from Santa Maria, Rio Grande do Sul, Brazil. A population-based cross-sectional survey was conducted from March to November 2018, which included a representative sample of adolescents (15-19-year-old) attending public and private high schools. A questionnaire on sociodemographic information was sent to the parents/legal guardians of the selected adolescents. TDI in the upper and lower permanent incisors and canines was recorded based on the O’Brien classification. Environmental variables (sociodemographic and structural characteristics of the neighborhoods) were obtained from official publications. Multilevel Poisson regression models were used, and prevalence ratios (PR) and 95% confidence intervals (CI) were calculated. A total of 1,146 adolescents participated in this study. The overall prevalence of TDI was 17.3%, mild trauma was 12.7%, and severe trauma was 5.8%. Adolescents living in the southern region had a prevalence of TDI of 25.3%, compared with 13.6% in the northern region. After adjusting for important cofactors, adolescents living in the southern region were more likely to have TDI than their counterparts in the northern region (PR, 1.91; 95%CI: 1.18-3.11; p = 0.009). Analyzing the number of environmental risk indicators in different regions, the southern region presented a higher mean and median than all other regions. In conclusion, living in the southern region was associated with a higher prevalence and severity of TDI among adolescents from Santa Maria, southern Brazil. Our findings suggest the role of the environment in the epidemiology of TDI.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100297&tlng=enTooth InjuriesResidence CharacteristicsSocioeconomic FactorsCross-Sectional StudyEpidemiology
spellingShingle Letícia Donato COMIM
Ângela DALLA NORA
Jessica Klöckner KNORST
Débora Nunes de Oliveira RACKI
Júlio Eduardo do Amaral ZENKNER
Luana Severo ALVES
Association between the city region and traumatic dental injuries among adolescents from Santa Maria, South Brazil
Brazilian Oral Research
Tooth Injuries
Residence Characteristics
Socioeconomic Factors
Cross-Sectional Study
Epidemiology
title Association between the city region and traumatic dental injuries among adolescents from Santa Maria, South Brazil
title_full Association between the city region and traumatic dental injuries among adolescents from Santa Maria, South Brazil
title_fullStr Association between the city region and traumatic dental injuries among adolescents from Santa Maria, South Brazil
title_full_unstemmed Association between the city region and traumatic dental injuries among adolescents from Santa Maria, South Brazil
title_short Association between the city region and traumatic dental injuries among adolescents from Santa Maria, South Brazil
title_sort association between the city region and traumatic dental injuries among adolescents from santa maria south brazil
topic Tooth Injuries
Residence Characteristics
Socioeconomic Factors
Cross-Sectional Study
Epidemiology
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100297&tlng=en
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