Estudo de prevalência de traumatismos dentários em escolas brasileiras
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Publicado
May 5, 2025
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Resumo
Objetivo: Avaliar a prevalência de traumatismos dentários (TDIs) e as demandas de tratamento entre estudantes do ensino fundamental. Métodos: O estudo envolveu oito escolas do Distrito Federal (Brasil), com 914 alunos de 11 a 14 anos. Um operador calibrado realizou exames clínicos, registrando idade, gênero, dentes afetados, causas, local e tipo do trauma, além do tratamento realizado ou necessário. A classificação de O’Brien identificou os TDIs, e os dados foram analisados quantitativamente. Resultados: A prevalência de TDIs foi de 20,24%. O dente mais afetado foi o incisivo central superior direito (37,1%). A maioria das lesões consistiu em fraturas de esmalte (1,65%), seguidas por fraturas de esmalte e dentina sem exposição pulpar (0,31%). A média de idade no trauma foi 10,3 (± 2,2) anos. Quedas foram a principal causa (36,2%), e a maioria dos acidentes ocorreu em casa (44,3%). TDIs recorrentes foram relatados por 18,4% das crianças. A prevalência foi semelhante entre meninos (20,4%) e meninas (20,0%). Das 185 crianças afetadas, 37 (20%) receberam tratamento, enquanto 148 (80%) não foram tratadas. Conclusão: A prevalência de TDIs na região avaliada foi alta, e os tratamentos mais necessários e realizados foram procedimentos adesivos.
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Como Citar
SilvaR. L. C. da, AlmeidaJ. C. F., RibeiroA. P. D., ZanattaR. F., AraújoP. F., MelloD. B. P. de, SousaS. J. L., RezendeL. V. M. L., & GarciaF. C. P. (2025). Estudo de prevalência de traumatismos dentários em escolas brasileiras. Revista Eletrônica Acervo Saúde, 25(5), e19573. https://doi.org/10.25248/reas.e19573.2025
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Referências
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11. DE LIMA A, et al. Prevalence of dental trauma among preschool children in the city of Guarapuava, Paraná, Brazil. Dent Traumatol, 2013; 29(2): 143-146.
12. DE OLIVEIRA FILHO PM, et al. The prevalence of dental trauma and its association with illicit drug use among adolescents. Dent Traumatol, 2014; 30(2): 122-127.
13. EL-KALLA IH, et al. Impact of dental trauma on quality of life among 11-14 years schoolchildren. Contemporary Clinical Dentistry, 2017; 8(4): 538-544.
14. GLENDOR U, et al. Aetiology and risk factors related to traumatic dental injuries—a review of the literature. Dental Traumatology, 2009; 25(1): 19-31.
15. GLENDOR U, et al. Classification, epidemiology and etiology. In: Andreasen JO, et al. Textbook and Color Atlas of Traumatic Injuries to the Teeth. Oxford: Blackwell Munksgaard, 2007; 4: 228.
16. GRJIBOVSKI A, et al. Oral health status and dental trauma in children in the Republic of Buryatia, Russia: A cross-sectional study. BMC Oral Health, 2016; 16: 10.
17. HARDER T, et al. Some notes on critical appraisal of prevalence studies. Int J Health Policy Manag, 2014; 3(5): 289-290.
18. HUANG Y, et al. The epidemiology of dental trauma and its relationship with the characteristics of school children in Taichung City, Taiwan. Dent Traumatol, 2011; 27(2): 101-105.
19. JORGE KO, et al. Prevalence and association of dental injuries with socioeconomic conditions and alcohol/drug use in adolescents between 15 and 19 years of age. Dent Traumatol, 2012; 28(2): 136-141.
20. KUMAR A, et al. Prevalence of traumatic dental injuries among 12- to 15-year-old schoolchildren in Ambala district, Haryana, India. Oral Health Prev Dent, 2011; 9(3): 301-305.
21. KURT A, et al. Retrospective evaluation of patients admitted to Karadeniz Technical University Pediatric Dentistry clinic due to trauma. Eur Oral Res, 2019; 53(2).
22. LAM R, et al. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J, 2016; 61: 4-20.
23. MAGNO MB, et al. The relationship of previous dental trauma with new cases of dental trauma. Dent Traumatol, 2021; 37(3): 322-336.
24. MARTINS VM, et al. Dental trauma among Brazilian schoolchildren: prevalence, treatment and associated factors. Eur Arch Paediatr Dent, 2012; 13(5): 232-237.
25. NAIDOO S, et al. Traumatic dental injuries of permanent incisors in 11- to 13-year-old South African schoolchildren. Dental Traumatology, 2009; 25(2): 224-228.
26. O’BRIEN K, et al. Factors associated with dental trauma in children aged 11–12 years. Br Dent J, 2013; 214(9): 481–485.
27. OGORDI P, et al. Prevalence of traumatic dental injury to the anterior teeth in children attending paramilitary and nonparamilitary schools in Nigeria. Ann Afr Med, 2019; 18(2): 80.
28. RAJAB LD and ABU AL HUDA D. Impact of treated and untreated traumatic dental injuries on oral health-related quality of life among 12-year-old schoolchildren in Amman. Dental Traumatology: Official Publication of International Association for Dental Traumatology, 2019; 35(3): 153–162.
29. RODRIGUES CST, et al. Traumatic dental injury in permanent teeth of young patients attended at the Federal University of Rio de Janeiro, Brazil. Dent Traumatol, 2014; 30(4): 312–316.
30. SCHUCH HS, et al. Prevalence and treatment demand after traumatic dental injury in South Brazilian schoolchildren. Dent Traumatol, 2013; 29(4): 297–302.
31. SUDHAKAR D, et al. Prevalence of dental trauma among school children in Bengaluru: A cross-sectional study. Indian J Dent Res, 2015; 26(1): 74–79.
32. TAIWO OO and JALO HP. Dental injuries in 12-year-old Nigerian students. Dent Traumatol, 2011; 27(3): 230–234.
33. TEIXEIRA F, et al. Prevalence of traumatic dental injuries in Brazilian children: A systematic review and meta-analysis. Int J Paediatr Dent, 2021; 31(1): 2–13.
34. TÜMEN E, et al. Prevalence of traumatic dental injuries and associated factors among 8 to 12-year-old schoolchildren in Diyarbakir, Turkey. Eur Arch Paediatr Dent, 2017; 18(1): 39–46.
35. ZALECKIENE V, et al. Traumatic dental injuries: etiology, prevalence and possible outcomes. Stomatologija, 2014; 16(1): 7–14.
36. ZHANG H, et al. Investigation of dental trauma in schoolchildren in China: A systematic review and meta-analysis. Dent Traumatol, 2022; 38(1): 2–15.
2. AL-BAJJALI TT, et al. Traumatic dental injuries among 12-year-old Jordanian schoolchildren: an investigation on obesity and other risk factors. BMC Oral Health, 2014; 14(1): 101.
3. ANTUNES LAA, et al. The impact of dental trauma on quality of life of children and adolescents: a critical review and measurement instruments. Ciência & Saúde Coletiva, 2012; 17(12): 3417-3424.
4. BARBOSA NEVES ÉT, et al. Perception of parents and self-reports of children regarding the impact of traumatic dental injury on quality of life. Dental Traumatology, 2017; 33(6): 444-450.
5. BARRIESHI-NUSAIR KM, et al. Traumatic dental injuries in a group of Jordanian school children. Dent Traumatol, 2009; 25(3): 282-286.
6. BAUSS O, et al. Influence of overjet and lip coverage on the prevalence and severity of incisor trauma. J Orofac Orthop, 2008; 69(6): 402-410.
7. BAXEVANOS K, et al. Psychosocial factors and traumatic dental injuries among adolescents. Community Dent Oral Epidemiol, 2017; 45(5): 449-457.
8. BULUT E and GÜÇLÜ ZA. Evaluation of primary teeth affected by dental trauma in patients visiting a university clinic, Part 1: Epidemiology. Clin Oral Investig, 2022; 26(11): 6783-6794.
9. CALDAS JUNIOR AF, et al. A retrospective study of traumatic dental injuries in a Brazilian dental trauma clinic. Dental Traumatology, 2001; 17(6): 250-253.
10. CORRÊA-FARIA P, et al. Absence of an association between socioeconomic indicators and traumatic dental injury: a systematic review and meta-analysis. Dent Traumatol, 2015; 31(4): 255-266.
11. DE LIMA A, et al. Prevalence of dental trauma among preschool children in the city of Guarapuava, Paraná, Brazil. Dent Traumatol, 2013; 29(2): 143-146.
12. DE OLIVEIRA FILHO PM, et al. The prevalence of dental trauma and its association with illicit drug use among adolescents. Dent Traumatol, 2014; 30(2): 122-127.
13. EL-KALLA IH, et al. Impact of dental trauma on quality of life among 11-14 years schoolchildren. Contemporary Clinical Dentistry, 2017; 8(4): 538-544.
14. GLENDOR U, et al. Aetiology and risk factors related to traumatic dental injuries—a review of the literature. Dental Traumatology, 2009; 25(1): 19-31.
15. GLENDOR U, et al. Classification, epidemiology and etiology. In: Andreasen JO, et al. Textbook and Color Atlas of Traumatic Injuries to the Teeth. Oxford: Blackwell Munksgaard, 2007; 4: 228.
16. GRJIBOVSKI A, et al. Oral health status and dental trauma in children in the Republic of Buryatia, Russia: A cross-sectional study. BMC Oral Health, 2016; 16: 10.
17. HARDER T, et al. Some notes on critical appraisal of prevalence studies. Int J Health Policy Manag, 2014; 3(5): 289-290.
18. HUANG Y, et al. The epidemiology of dental trauma and its relationship with the characteristics of school children in Taichung City, Taiwan. Dent Traumatol, 2011; 27(2): 101-105.
19. JORGE KO, et al. Prevalence and association of dental injuries with socioeconomic conditions and alcohol/drug use in adolescents between 15 and 19 years of age. Dent Traumatol, 2012; 28(2): 136-141.
20. KUMAR A, et al. Prevalence of traumatic dental injuries among 12- to 15-year-old schoolchildren in Ambala district, Haryana, India. Oral Health Prev Dent, 2011; 9(3): 301-305.
21. KURT A, et al. Retrospective evaluation of patients admitted to Karadeniz Technical University Pediatric Dentistry clinic due to trauma. Eur Oral Res, 2019; 53(2).
22. LAM R, et al. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J, 2016; 61: 4-20.
23. MAGNO MB, et al. The relationship of previous dental trauma with new cases of dental trauma. Dent Traumatol, 2021; 37(3): 322-336.
24. MARTINS VM, et al. Dental trauma among Brazilian schoolchildren: prevalence, treatment and associated factors. Eur Arch Paediatr Dent, 2012; 13(5): 232-237.
25. NAIDOO S, et al. Traumatic dental injuries of permanent incisors in 11- to 13-year-old South African schoolchildren. Dental Traumatology, 2009; 25(2): 224-228.
26. O’BRIEN K, et al. Factors associated with dental trauma in children aged 11–12 years. Br Dent J, 2013; 214(9): 481–485.
27. OGORDI P, et al. Prevalence of traumatic dental injury to the anterior teeth in children attending paramilitary and nonparamilitary schools in Nigeria. Ann Afr Med, 2019; 18(2): 80.
28. RAJAB LD and ABU AL HUDA D. Impact of treated and untreated traumatic dental injuries on oral health-related quality of life among 12-year-old schoolchildren in Amman. Dental Traumatology: Official Publication of International Association for Dental Traumatology, 2019; 35(3): 153–162.
29. RODRIGUES CST, et al. Traumatic dental injury in permanent teeth of young patients attended at the Federal University of Rio de Janeiro, Brazil. Dent Traumatol, 2014; 30(4): 312–316.
30. SCHUCH HS, et al. Prevalence and treatment demand after traumatic dental injury in South Brazilian schoolchildren. Dent Traumatol, 2013; 29(4): 297–302.
31. SUDHAKAR D, et al. Prevalence of dental trauma among school children in Bengaluru: A cross-sectional study. Indian J Dent Res, 2015; 26(1): 74–79.
32. TAIWO OO and JALO HP. Dental injuries in 12-year-old Nigerian students. Dent Traumatol, 2011; 27(3): 230–234.
33. TEIXEIRA F, et al. Prevalence of traumatic dental injuries in Brazilian children: A systematic review and meta-analysis. Int J Paediatr Dent, 2021; 31(1): 2–13.
34. TÜMEN E, et al. Prevalence of traumatic dental injuries and associated factors among 8 to 12-year-old schoolchildren in Diyarbakir, Turkey. Eur Arch Paediatr Dent, 2017; 18(1): 39–46.
35. ZALECKIENE V, et al. Traumatic dental injuries: etiology, prevalence and possible outcomes. Stomatologija, 2014; 16(1): 7–14.
36. ZHANG H, et al. Investigation of dental trauma in schoolchildren in China: A systematic review and meta-analysis. Dent Traumatol, 2022; 38(1): 2–15.