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Problem behaviour and traumatic dental injuries in adolescents

Ramchandani, Damini et al.

Dental traumatology. Volume 32:Issue 1 (2016); pp 65-70 -- [John Wiley & Sons Ltd]

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  • Title:
    Problem behaviour and traumatic dental injuries in adolescents
  • Author: Ramchandani, Damini;
    Marcenes, Wagner;
    Stansfeld, Stephen A.;
    Bernabé, Eduardo
  • Found In: Dental traumatology. Volume 32:Issue 1 (2016); pp 65-70
  • Journal Title: Dental traumatology
  • Subjects: Dentistry, Operative--Periodicals; Endodontics--Periodicals; Teeth--Wounds and injuries--Periodicals; Traumatology--Periodicals; Tooth injuries, Adolescent behaviour--Adolescent psychology--social behaviour disorders; Dewey: 617.6
  • Rights: legaldeposit
  • Publication Details: [John Wiley & Sons Ltd]
  • Abstract: Abstract: Aim:

    To explore the relationship between problem behaviour and traumatic dental injuries (TDI) among 15‐ to 16‐year‐old schoolchildren from East London.


    This cross‐sectional study used data from 794 adolescents who participated in phase III of the Research with East London Adolescents Community Health Survey (RELACHS), a school‐based prospective study of a representative sample of adolescents. Participants completed a questionnaire and were clinically examined for TDI, overjet and lip coverage. The Strength and Difficulties Questionnaire (SDQ) was used to assess problem behaviour, which provided a total score and five domain scores (emotional symptoms, conduct problems, hyperactivity, peer problems and pro‐social behaviour). The association between problem behaviour and TDI was assessed in unadjusted and adjusted logistic regression models. Adjusted models controlled for demographic (sex, age and ethnicity), socio‐economic (parental employment) and clinical factors (overjet and lip coverage).


    The prevalence of TDI was 17% and the prevalence of problem behaviour, according to the SDQ, was 10%. In the adjusted model, adolescents with problem behaviour were 1.87 (95% confidence interval: 1.03–3.37) times more likely to have TDI than those without problem behaviour. In subsequent analysis by SDQ domains, it was found that only peer problems were associated with TDI (OR = 1.78, 95% CI: 1.01–3.14), even after adjustment for confounders.


    This study found evidence for a relationship between problem behaviour and TDI among adolescents, which was mainly due to peer relationship problems.

  • Identifier: System Number: LDEAvdc_100028955998.0x000001; Journal ISSN: 1600-4469; 10.1111/edt.12220
  • Publication Date: 2016
  • Physical Description: Electronic
  • Shelfmark(s): ELD Digital store

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