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Maternal Stress and Behavioral and Clinical Factors Associated with Dental Trauma in Schoolchildren

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Purpose: The purpose of this study was to evaluate associations between traumatic dental injury (TDI) and maternal stress and demographic, behavioral, and clinical characteristics of schoolchildren.

Methods: A cross-sectional investigation was conducted involving 396 eight- to 11- year-old schoolchildren in the city of Diamantina, Minas Gerais, Brazil. Maternal stress and demographic and behavioral (breastfeeding and non-nutritive sucking habits) factors were evaluated using a questionnaire. Overjet and TDI were recorded by a dentist who underwent training and a calibration exercise. Hierarchically-adjusted Poisson regression models were employed to determine factors associated with TDI.

Results: In the final regression model, the prevalence of TDI was 75 percent higher among schoolchildren who were breastfed for less than six months (prevalence ratio [PR]=1.75; 95% confidence interval [CI]=1.16 to 2.66), 72 percent higher among those who engaged in finger-/thumb-sucking after three years of age (PR=1.72; 95% CI=1.16 to 2.56) and 91 percent among those with overjet greater than three mm (PR=1.91; 95% CI=1.29 to 2.84).

Conclusions: Breastfeeding duration, finger-/thumb-sucking and increased overjet were associated with TDI. These factors were aggravated by maternal stress, but it lost its significance in the multivariate analysis.
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Keywords: BEHAVIORAL; DEMOGRAPHIC; SCHOOLCHILDREN; STRESS; TRAUMATIC DENTAL INJURY

Document Type: Research Article

Affiliations: 1: PhD student, Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, in Minas Gerais, Brazil 2: PhD student, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, in Minas Gerais, Brazil 3: Professor, Department of Pediatric Dentistry, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, in Minas Gerais, Brazil 4: PhD student, professor, Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, in Minas Gerais, Brazil;, Email: [email protected]

Publication date: 01 September 2017

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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