The effect of enamel fractures on oral health-related quality of life in adolescents

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dc.creatorCarlos Alberto Feldens
dc.creatorRita Azevedo Senna
dc.creatorFabiana Vargas Ferreira
dc.creatorVanessa Simas Braga
dc.creatorEliane Gerson Feldens
dc.creatorPaulo Floriani Kramer
dc.date.accessioned2025-05-29T15:52:40Z
dc.date.accessioned2025-09-09T00:57:48Z
dc.date.available2025-05-29T15:52:40Z
dc.date.issued2020
dc.identifier.doihttps://doi.org/10.1111/edt.12526
dc.identifier.issn1600-9657
dc.identifier.urihttps://hdl.handle.net/1843/82630
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofDental Traumatology
dc.rightsAcesso Restrito
dc.subjectTooth injuries
dc.subjectDevelopmental Defects of Enamel
dc.subjectQuality of life
dc.subjectOral health
dc.subjectAdolescent health
dc.subject.otherAdolescent
dc.subject.otherQuality of life
dc.subject.otherTooth injuries
dc.titleThe effect of enamel fractures on oral health-related quality of life in adolescents
dc.typeArtigo de periódico
local.citation.epage306
local.citation.issue3
local.citation.spage217
local.citation.volume36
local.description.resumoAbstractBackground/Aim: Enamel fractures are the most common type of traumatic dentalinjury (TDI) in children and adolescents. Recognizing the impact of these fractures onoral health-related quality of life (OHRQoL) could contribute to the establishment oftreatment protocols. The aim of this study was to assess and quantify the impact ofenamel fractures on overall OHRQoL and domain scores in adolescents.Materials and Methods: A cross-sectional study was conducted with 775 adolescentsaged 11 to 14 years in the city of Santo Ângelo in southern Brazil. Sociodemographicvariables were collected from parents/caregivers using a structured questionnaire.The adolescents answered the Child Perceptions Questionnaire (CPQ11-14 ). Physicalexaminations were performed by an examiner who had undergone training andcalibration exercises for the investigation of TDI (Andreasen criteria), dental caries(WHO criteria), and malocclusion (Dental Aesthetic Index). Data analysis involvedPoisson regression with robust variance.Results: The prevalence of TDI was 11.9% and enamel fractures accounted for 79.3%of all injuries. In the multivariate analysis, adolescents with enamel fractures had29% higher CPQ11-14 scores (worse OHRQoL) than those without TDI, even afteradjustment for sociodemographic and clinical variables (mean ratio = 1.29; 95% CI:1.09-1.53; P = .003). Enamel fractures exerted a negative impact on the functionallimitation, emotional well-being, and social well-being domains.Conclusions: Enamel fractures exert a negative impact on the OHRQoL of adoles-cents, suggesting that subjective measures should be incorporated in the evaluationof patients with this traumatic injury.
local.identifier.orcidhttps://orcid.org/0000-0002-9783-9309
local.identifier.orcidhttps://orcid.org/0000-0002-0748-9748
local.identifier.orcidhttps://orcid.org/0000-0002-3378-3545
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
local.publisher.initialsUFMG
local.url.externahttps://onlinelibrary.wiley.com/doi/full/10.1111/edt.12526

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