Traumatic dental injuries and its association with social capital, binge drinking and socioeconomic indicators in schoolchildren 12 years old at the city of Diamantina - Minas Gerais: an epidemiological study

Submitted by Nivaldo Melo (nivaldo.melo@ufvjm.edu.br) on 2015-11-24T15:49:30Z No. of bitstreams: 2 haroldo_neves_paiva.pdf: 1039434 bytes, checksum: 68f194144150cff188a3f0339ce8049d (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5)Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-12-01T16:26:06Z (GMT) No. of bitstreams: 2 haroldo_neves_paiva.pdf: 1039434 bytes, checksum: 68f194144150cff188a3f0339ce8049d (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5)Made available in DSpace on 2015-12-01T16:26:06Z (GMT). No. of bitstreams: 2 haroldo_neves_paiva.pdf: 1039434 bytes, checksum: 68f194144150cff188a3f0339ce8049d (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2015O objetivo deste estudo foi investigar a preval?ncia do traumatismo dent?rio e associa??o com fatores cl?nicos: overjet e prote??o labial; demogr?ficos: sexo e condi??o socioecon?mica e fatores comportamentais: capital social e consumo de bebida alco?lica em binge em adolescentes. Estudo transversal foi realizado em um censo de 633 escolares de 12 anos de idade matriculados em escolas p?blicas e privadas da zona urbana da cidade de Diamantina, Minas Gerais. Dados foram coletados por meio de exame cl?nico e pela utiliza??o de question?rios autoaplic?veis. Foi adotada a renda familiar, escolaridade materna para avalia??o da condi??o socioecon?mica; o QCS-AE (Question?rio de Capital Social para Adolescentes Escolares) para medir o capital social e o AUDIT-C (Teste para Identifica??o de Problemas Relacionados ao Uso do ?lcool) para mensurar o consumo em binge de bebida alco?lica. Previamente foi realizado o treinamento e a calibra??o para o diagn?stico do traumatismo dent?rio adotando-se a classifica??o de Andreasen et al. As vari?veis cl?nicas overjet e tipo de prote??o labial foram avaliadas atrav?s de exame. Para obten??o dos resultados foram realizadas an?lise de frequ?ncia e teste de associa??o. As associa??es foram testadas pelo teste qui-quadrado, teste exato de Fisher (p < 0,05) e regress?o log?stica m?ltipla. A preval?ncia de traumatismo dent?rio foi 29,9% e do consumo em binge de bebida alco?lica 22,6%. O traumatismo dent?rio foi mais prevalente entre os adolescentes do sexo masculino (p = 0,010) com overjet acima de 5mm (p < 0,001)e prote??o labial inadequada (p < 0,001). Na an?lise univariada o capital social total (p = 0,039) e a confian?a (p = 0,014) estiveram associados ao traumatismo dent?rio. Os resultados da regress?o log?stica revelaram que o overjet acentuado, a prote??o labial inadequada e o consumo em binge de bebida alco?lica se mantiveram associados ao traumatismo dent?rio [RR = 3,80 (95% IC: 2,13-6,46) p < 0,0001], [RR = 5,58 (95% IC: 3,65-8,53) p < 0,0001] e [RR = 1,928 (95% IC: 1,213-3,063) p = 0,005]. A ado??o de um instrumento especialmente desenvolvido e validado para adolescentes escolares possibilitou a identifica??o dos dom?nios do capital social. A preval?ncia de traumatismo dent?rio aos 12 anos foi elevada e n?o houve associa??o estat?stica com o capital social. Adolescentes do sexo masculino, com overjet acentuado, prote??o labial inadequada e que consumiram bebidas alco?licas em binge tiveram quase duasDisserta??o (Mestrado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2015.ABSTRACT The aim of the present study was to analyze the prevalence of traumatic dental injuries in 12-year-old schoolchildren as well as associations with clinical factors: overjet and lip coverage; demographics: sex and socioeconomic status and behavioral factors: social capital and binge in drinking. A cross-sectional study was carried out involving 633 enrolled in public and private schools in urban areas of city Diamantina, Minas Gerais. Data were collected through a clinical examination and self-administered questionnaires. Socioeconomic data were collected using a questionnaire addressing household income and mother?s schooling, as well as the SCQ-AS (Social Capital Questionnaire for Adolescents Students) to measure social capital and the AUDIT-C (Alcohol Use Disorders Identification Test ? Consumption) to measure the binge in drinking. The classification proposed by Andreasen et al. was used for the determination of traumatic dental injuries. The clinical variables (overjet, lip protection) were determined through a clinical exam performed by an examiner who had undergone a training and calibration exercise. To obtain the results tests of frequency analysis and association were performed. Associations were tested using the chi-square, Fisher exact test (p < 0.05) and multiple logistic regression. The prevalence of dental trauma was 29.9% and the binge in drinking 22.6%. Dental trauma was more prevalent among males (p = 0,010), and those with accentuated overjet (p < 0.001) and with inadequate lip protection (p < 0.001). In univariate analysis, the total social capital (p = 0.039) and confidence (p = 0.014) were associated with dental trauma. The results of multiple logistic regression showed that the accentuated overjet, inadequate lip coverage and binge in drinking remained associated with traumatic dental injuries [RR = 3.80 (95% IC: 2.23-6,46) p < 0.0001], [RR = 5.58 (95% IC: 3.65-8.53) p < 0.0001] e [RR = 1.928 (95% IC: 1.213-3.063) p = 0.005]. The adoption of an instrument specifically developed and validated for schoolchildren 12-year-old allowed to identify several areas of the capital. The prevalence of traumatic dental injury (TDI) was high among the 12-year-old students analyzed. No significant associations were found between traumatic dental injury and socioeconomic status or social capital. Male students with accentuated overjet, inadequate lip coverage and binge in drinking had almost twice as more likely to be affected by traumatic dental trauma