Mild traumatic dental injuries did not impact the oral health-related quality of life of children aged 8 to 10 years old of low socioeconomic status

  • Danielle Carvalho Oliveira Coutinho
  • Matheus de França Perazzo
  • Paulo Antônio Martins-Júnior
  • Saul Martins Paiva
  • Leandro Silva Marques
  • Maria Letícia Ramos-Jorge
Original Article



This study aimed to assess the impact of mild traumatic dental injury (TDI) on the oral health-related quality of life (OHRQoL) of 8–10-year-old children of low socioeconomic status.

Subject and methods

A total of 111 children aged 8–10 years old with TDIs were randomly selected from public schools. Clinical oral examinations were performed for the diagnosis of TDI following Andreasen’s classification. Experience of dental caries and presence of malocclusion were determined according to WHO and Dental Aesthetic Index (DAI) criteria. The Brazilian version of the Child Perceptions Questionnaire (CPQ8–10) was used to evaluate the OHRQoL. Statistical analysis involved Fisher’s exact test and the Mann–Whitney test.


The prevalence of TDI was 8.1%. Only mild TDIs were found, the most common type being enamel fracture (63.6%). No significant differences were found in any of the CPQ8–10 subscale scores or the total CPQ8–10 scores for children with and without dental trauma (p > 0.05).


The present study suggested that mild TDIs did not have a negative impact on the OHRQoL of children aged 8–10 years old of low socioeconomic status.


Child Dental trauma Pediatric dentistry Quality of life Tooth injuries 



This study was funded by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. Andreasen JO, Andreasen FM, Andersson L (2007) Textbook and color atlas of traumatic injuries to the teeth. Munskgaard, CopenhagenGoogle Scholar
  2. Antunes LAA, Luiz RR, Leão ATT, Maia LC (2012) Initial assessment of responsiveness of the P-CPQ (Brazilian version) to describe the changes in quality of life after treatment for traumatic dental injury. Dent Traumatol 28:256–262. CrossRefPubMedGoogle Scholar
  3. Barbosa Neves ÉT, Perazzo MF, Gomes MC, Martins CC, Paiva SM, Granville-Garcia AF (2017) Perception of parents and self-reports of children regarding the impact of traumatic dental injury on quality of life. Dent Traumatol 33:444–450. CrossRefPubMedGoogle Scholar
  4. Barbosa TS, Tureli MC, Gavião MB (2009) Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health 9:13. CrossRefPubMedPubMedCentralGoogle Scholar
  5. Berger TD, Kenny DJ, Casas MJ, Barrett EJ, Lawrence HP (2009) Effects of severe dentoalveolar trauma on the quality-of-life of children and parents. Dent Traumatol 25:462–469. CrossRefPubMedGoogle Scholar
  6. Borges TS, Vargas-Ferreira F, Kramer PF, Feldens CA (2017) Impact of traumatic dental injuries on oral health-related quality of life of preschool children: a systematic review and meta-analysis. PLoS One 12:e0172235. CrossRefPubMedPubMedCentralGoogle Scholar
  7. Brazilian Institute of Geography and Statistics (2012) First results of the 2010 census.|diamantina|%C3%8Dndice-de-desenvolvimento-humano-municipal-idhm. Accessed 14 Dez 2017
  8. Feldens CA, Day P, Borges TS, Feldens EG, Kramer PF (2016) Enamel fracture in the primary dentition has no impact on children's quality of life: implications for clinicians and researchers. Dent Traumatol 32:103–109. CrossRefPubMedGoogle Scholar
  9. Filstrup SL, Briskie D, da Fonseca M, Lawrence L, Wandera A, Inglehart MR (2003) Early childhood caries and quality of life: child and parent perspectives. Pediatr Dent 25:431–440PubMedGoogle Scholar
  10. Flores MT, Andreasen JO, Bakland LK, Feiglin B, Gutmann JL, Oikarinen K, Ford TR, Sigurdsson A, Trope M, Vann WF Jr (2001) Guidelines for the evaluation and management of traumatic dental injuries. Dent Traumatol 17:49–52CrossRefPubMedGoogle Scholar
  11. Freire-Maia FB, Auad SM, Abreu MH, Sardenberg F, Martins MT, Paiva SM, Pordeus IA, Vale MP (2015) Oral health-related quality of life and traumatic dental injuries in young permanent incisors in Brazilian schoolchildren: a multilevel approach. PLoS One 10:e0135369. CrossRefPubMedPubMedCentralGoogle Scholar
  12. García-Pérez Á, Irigoyen-Camacho ME, Borges-Yáñez SA, Zepeda-Zepeda MA, Bolona-Gallardo I, Maupomé G (2017) Impact of caries and dental fluorosis on oral health-related quality of life: a cross-sectional study in schoolchildren receiving water naturally fluoridated at above-optimal levels. Clin Oral Investig 21:2771–2780. CrossRefPubMedGoogle Scholar
  13. Jenny J, Cons NC (1988) Guidelines for using the DAI: a Supplement to DAI—the Dental Aesthetic Index. College of Dentistry, University of Iowa, Iowa City, IowaGoogle Scholar
  14. Jokovic A, Locker D, Tompson B, Guyatt G (2004) Questionnaire for measuring oral health-related quality of life in eight to 10-year-old children. Pediatr Dent 26:512–518PubMedGoogle Scholar
  15. Kirana PS, Rosen R, Hatzichristou D (2009) Subjective well-being as a determinant of individuals’ responses to symptoms: a biopsychosocial perspective. Int J Clin Pract 63:1435–1445. CrossRefPubMedGoogle Scholar
  16. Kragt L, Dhamo B, Wolvius EB, Ongkosuwito EM (2016) The impact of malocclusions on oral health-related quality of life in children — a systematic review and meta-analysis. Clin Oral Investig 20:1881–1894CrossRefPubMedGoogle Scholar
  17. Martins MT, Sardenberg F, Bendo CB, Abreu MH, Vale MP, Paiva SM, Pordeus IA (2017) Dental caries remains as the main oral condition with the greatest impact on children's quality of life. PLoS One 12:e0185365. CrossRefPubMedPubMedCentralGoogle Scholar
  18. Martins-Júnior PA, Vieira-Andrade RG, Corrêa-Faria P, Oliveira-Ferreira F, Marques LS, Ramos-Jorge ML (2013) Impact of early childhood caries on the oral health-related quality of life of preschool children and their parents. Caries Res 47:211–218. CrossRefPubMedGoogle Scholar
  19. Mota-Veloso I, Soares ME, Alencar BM, Marques LS, Ramos-Jorge ML, Ramos-Jorge J (2016) Impact of untreated dental caries and its clinical consequences on the oral health-related quality of life of schoolchildren aged 8–10 years. Qual Life Res 25:193–199CrossRefPubMedGoogle Scholar
  20. Odoi R, Croucher R, Wong F, Marcenes W (2002) The relationship between problem behaviour and traumatic dental injury amongst children aged 7–15 years old. Commun Dent Oral Epidemiol 30:392–396CrossRefGoogle Scholar
  21. Onoriobe U, Rozier RG, Cantrell J, King RS (2014) Effects of enamel fluorosis and dental caries on quality of life. J Dent Res 93:972–979. CrossRefPubMedPubMedCentralGoogle Scholar
  22. Patel MC, Sujan SG (2012) The prevalence of traumatic dental injuries to permanent anterior teeth and its relation with predisposing risk factors among 8–13 years school children of Vadodara city: an epidemiological study. J Indian Soc Pedod Prev Dent 30:151–157. CrossRefPubMedGoogle Scholar
  23. Peres KG, Barros AJ, Anselmi L, Peres MA, Barros FC (2008) Does malocclusion influence the adolescent’s satisfaction with appearance? A cross-sectional study nested in a Brazilian birth cohort. Community Dent Oral Epidemiol 36:137–143CrossRefPubMedGoogle Scholar
  24. Petersen PE, Kwan S (2004) Evaluation of community-based oral health promotion and oral disease prevention — WHO recommendations for improved evidence in public health practice. Community Dent Health 21:319–329PubMedGoogle Scholar
  25. Phillips C, Beal KNE (2009) Self-concept and the perception of facial appearance in children and adolescents seeking orthodontic treatment. Angle Orthod 79:12–16. CrossRefPubMedPubMedCentralGoogle Scholar
  26. Porritt JM, Rodd HD, Ruth Baker S (2011) Quality of life impacts following childhood dento-alveolar trauma. Dent Traumatol 27:2–9. CrossRefPubMedGoogle Scholar
  27. Programa das Nações Unidas para o Desenvolvimento (PNUD) (2013). Atlas do Desenvolvimento Humano no Brasil 2013. Índice de Desenvolvimento Humano Municipal Brasileiro Brasília: PNUD, Ipea, FJP, 96pp. http://atlasbrasilorgbr/2013/data/rawData/publicacao_atlas_municipal_ptpdf Accessed 30 Jan 2018
  28. Silva-Oliveira F, Goursand D, Ferreira RC, Paiva PCP, Paiva HN, Ferreira EF, Zarzar PM (2017) Traumatic dental injuries in Brazilian children and oral health-related quality of life. Dent Traumatol 34(1):28–35. CrossRefPubMedGoogle Scholar
  29. Thelen DS, Trovik TA, Bårdsen A (2011) Impact of traumatic dental injuries with unmet treatment need on daily life among Albanian adolescents: a case–control study. Dent Traumatol 27:88–94. CrossRefPubMedGoogle Scholar
  30. Traebert J, Peres MA, Blank V, Böell RS, Pietruza JA (2003) Prevalence of traumatic dental injury and associated factors among 12-year-old school children in Florianópolis, Brazil. Dent Traumatol 19:15–22. CrossRefPubMedGoogle Scholar
  31. World Health Organization (1997) Oral health surveys: basic methods. WHO, Geneva, SwitzerlandGoogle Scholar
  32. Zaror C, Martínez-Zapata MJ, Abarca J, Díaz J, Pardo Y, Pont À, Ferrer M (2018) Impact of traumatic dental injuries on quality of life in preschoolers and schoolchildren: a systematic review and meta-analysis. Community Dent Oral Epidemiol 46(1):88–101.

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Danielle Carvalho Oliveira Coutinho
    • 1
  • Matheus de França Perazzo
    • 2
  • Paulo Antônio Martins-Júnior
    • 2
  • Saul Martins Paiva
    • 2
  • Leandro Silva Marques
    • 3
  • Maria Letícia Ramos-Jorge
    • 4
  1. 1.Department of Physiology and Biophysics, Biological Sciences InstituteFederal University of Minas GeraisBelo HorizonteBrazil
  2. 2.Department of Pediatric Dentistry and Orthodontics, Faculty of DentistryFederal University of Minas GeraisBelo HorizonteBrazil
  3. 3.Department of OrthodonticsFederal University of Vales do Jequitinhonha e MucuriDiamantinaBrazil
  4. 4.Department of Pediatric DentistryFederal University of Vales do Jequitinhonha e MucuriDiamantinaBrazil

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