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Prevalence of traumatic crown injuries in German adolescents

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Abstract

Objectives

Although dental trauma and its unfavorable sequelae are considered major public health problems worldwide, the published data on the prevalence of traumatic crown injuries (TCIs) in Germany are lacking. Therefore, the present study assessed the prevalence of TCIs among adolescents in Bavaria, Germany.

Material and methods

Ethical approval and parental consents were obtained, and population-based information from 10- (N = 1158), 12- (N = 416), and 15-year-olds (N = 1302) from two different cohort studies performed in Bavaria (GINIplus/LISA and LAGZ) were examined for the presence of TCIs, dental caries, and restorations. Statistical comparisons were made using Mann-Whitney U test and Wilcoxon signed-rank test.

Results

The prevalence of TCIs was 6.3% in the 10- and 12-year-old children and 14.0% in 15-year-old children, and a higher prevalence was observed in boys than in girls. Most (87.5%) of the traumatized teeth were maxillary incisors. The caries prevalence was low in all three populations.

Conclusion

The prevalence of TCIs in Bavarian adolescents at a low risk for caries was found to be low.

Clinical relevance

Dental trauma is a prevalent event in children and adolescents, and incisors are the most affected teeth. Therefore, dental practitioners should be able to manage the spectrum of traumatic injuries.

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Funding

The Munich arm of the GINIplus/LISA studies was primarily supported by grants from the Federal Ministry for Education, Science, Research and Technology and Helmholtz Zentrum Munich (formerly GSF). The dental investigations were funded by grants from the German Research Foundation (Deutsche Forschungsgemeinschaft, FKZ KU-2518/1-1, KU-2518/1-2, HE-3294/7-1, and HE-3294/7-2). The GABA GmbH, Lörrach, Germany, supported this study by providing oral health care packages for all participating children as incentives. The Bavarian arm of the German epidemiological investigation 2015/ 2016 (17) was supported by Bavarian Workgroup for Oral Health (LAGZ) and the Bavarian Ministry of Education and Religious Affairs.

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Authors and Affiliations

  1. Department of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-Universität München, Poliklinik für Zahnerhaltung und Parodontologie, Goethestraße 70, 80336, Munich, Germany

    Mohamed Eltair, Vinay Pitchika, Toni Lang, Reinhard Hickel & Jan Kühnisch

  2. Department of Endodontics, Faculty of Oral and Dental Medicine, Future University, Cairo, Egypt

    Mohamed Eltair

  3. Unit of Periodontology, Department of Restorative Dentistry, Periodontology, and Endodontology, University Medicine, Ernst Moritz Arndt University of Greifswald, Greifswald, Germany

    Vinay Pitchika

  4. Institute of Epidemiology, Helmholtz Zentrum München - German Research Centre for Environmental Health, Neuherberg, Germany

    Marie Standl

  5. Department of Paediatric Dentistry, Medical Centre for Dentistry, University Medical Center Giessen and Marburg, Campus Giessen, Giessen, Germany

    Norbert Krämer

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  1. Mohamed Eltair
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  2. Vinay Pitchika
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Correspondence to Jan Kühnisch.

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Eltair, M., Pitchika, V., Standl, M. et al. Prevalence of traumatic crown injuries in German adolescents. Clin Oral Invest 24, 867–874 (2020). https://doi.org/10.1007/s00784-019-02974-1

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