World traumatic dental injury prevalence and incidence, a meta-analysis : One billion living people have had traumatic dental injuries

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World traumatic dental injury prevalence and incidence, a meta-analysis : One billion living people have had traumatic dental injuries

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Publication Article, review peer-reviewed scientific
Title World traumatic dental injury prevalence and incidence, a meta-analysis : One billion living people have had traumatic dental injuries
Author Petti, Stefano ; Glendor, Ulf ; Andersson, Lars
Date 2018
English abstract
Traumatic dental injuries (TDIs) account for a considerable proportion of bodily injuries. Nevertheless, global TDI frequency is unknown, probably because TDI diagnosis is not standardized. This study estimated world TDI frequency. A literature search (publication years 1996-2016) was aimed at covering as many countries, communities, ethnic groups as possible, thus achieving high generalizability. In particular, non-specific keywords, no language restrictions, and large databanks were used. Observational studies reporting proportions of individuals with at least one TDI (prevalence) and who developed TDI (incidence rate) were considered. Prevalence rates to permanent dentition, primary dentition and in 12-year-olds, incidence rate to any tooth for any age, male-to-female prevalence ratio (PR) in 12-year-olds, with 95% confidence intervals (95 CIs), were extracted/calculated. Study quality, Z-score distribution, funnel plot symmetry analysis, between-study heterogeneity, sensitivity, and subgroup analyses were performed. Selected primary studies were 102 (permanent dentition; 268755 individuals; median age, 13.8years), 46 (primary dentition; 59436 individuals; median age, 3.4years), 42 (12-year-olds; 33829 individuals), 11 (incidence rate; 233480 person-years; median age, 7.8years), and 31 (PR; 16003 males, 16006 females). World TDI frequency resulted as follows: permanent dentition prevalence 15.2% (95 CI, 13.0%-17.4%); primary dentition prevalence 22.7% (95 CI, 17.3%-28.7%); 12-year-olds prevalence 18.1% (95 CI, 15.3%-21.0%); incidence rate, 2.82 (95 CI, 2.28%-3.42%) per 100 person-years; PR, 1.43 (95 CI, 1.34%-1.52%). Differences between WHO Regions were found. This study shows that more than one billion living people have had TDI. TDI is a neglected condition which could rank fifth if it was included in the list of the world's most frequent acute/chronic diseases and injuries.
DOI https://doi.org/10.1111/edt.12389 (link to publisher's fulltext.)
Publisher Wiley
Host/Issue Dental Traumatology;2
Volume 34
ISSN 1600-4469
Pages 16
Page 71-86
Language eng (iso)
Subject epidemiology
global burden of disease
meta-analysis
traumatic dental injury
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/27249 Permalink to this page
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