Factors associated with dental fractures in Brazilian individuals

J Investig Clin Dent. 2018 Nov;9(4):e12348. doi: 10.1111/jicd.12348. Epub 2018 Jul 13.

Abstract

Aim: The aim of the present study was to assess the association of sex, age, group of teeth, and type of accident (exposure) with dental fractures (outcome: enamel-dentine fracture without [EDF] or with pulp exposure [EDPF] and root fracture RF]).

Methods: In total, 1046 patients were selected. Logistic binary regression was used.

Results: The findings showed that EDF has less change of affecting individuals ≤9 years of age than ≥40 years of age (odds ratio [OR]: 0.58, 95% confidence interval [CI]: 0.35-0.95). Violence (OR: 3.07, 95% CI: 1.77-5.31), traffic accidents (OR: 1.50, 95% CI: 1.05-2.13), and sporting accidents (OR: 1.70, 95% CI: 1.19-2.44)] were associated with EDF. Regarding EDPF, the mandibular lateral incisors had a 10 times higher chance of being injured than canines and posterior teeth (OR: 10.43, 95% CI: 1.74-62.4). Those aged ≤9 years (OR: 0.21, 95% CI: 0.07-0.58) and 10-19 years (OR: 0.38, 95% CI: 0.17-0.88) had a significantly lower chance of being affected by RF.

Conclusion: EDF and RF are associated with individuals ≥40 years of age; violence and traffic and sporting accidents are also associated with EDF, and mandibular incisors have a greater chance of being affected by EDPF.

Keywords: dental fracture; dental trauma; enamel-dentine fracture; root fracture; traumatic dental injuries.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Brazil / epidemiology
  • Child
  • Child, Preschool
  • Dental Enamel / injuries
  • Dental Pulp / injuries
  • Dentin / injuries
  • Female
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Sex Factors
  • Tooth Fractures / epidemiology
  • Tooth Fractures / etiology*
  • Tooth Fractures / pathology
  • Young Adult