engleski

INJURY REPETITION IN CHILDREN WITH DENTAL TRAUMA: THE ROLE OF HOST FACTORS

Introduction: Traumatic dental injuries (TDI) result from a complex interaction of child with his physical and social environment. Child or host factors play important role in trauma occurrence and can be associated with increased risk for injury repetition. The aim of this study was to examine the association of some host characteristics and repetition of injuries among children with TDI. Methods: The host characteristics were analysed in the sample of 157 patients (103 males and 54 females) with TDI. The sample comprised children with single injury (SI) and with repeated injuries (RI). The Overt Aggression Scale (OAS) was used to assess aggression in children. Results: Males with RI displayed significantly higher aggressive behaviour than males with SI (x2 = 6.36 ; P = 0.012). Males aged 12-17 years with high aggression have 7 times higher risk for injury repetition than males with low aggression (OR = 7.00 ; 95% CI = 1.185 - 41.360). Females with RI in all age groups showed similar level of physical aggression. Males have 2.7 times higher risk for injury repetition than females (OR = 2.721 ; 95% CI = 1.350 – 5.484). Conclusion. Children with RI significantly differ from that with SI with regard of gender, age, and level of aggressive behaviour. The most significant risk factor for injury repetition was a high level of physical aggression in males. The use of OAS in children with TDI could be of help to detect patients with increased risk for injury repetition.

Children; Dental trauma; Injury repetition

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