Abstract
We aimed to determine factors related to tooth fracture experience in Korean adolescents. This study used data from the 14th Korea Youth Risk Behavior Survey in 2018, a cross-sectional web-based survey of health-risk behaviors among a representative sample of Korean middle- and high-school students aged 12–17 years. A total of 60,040 participants were selected using a complex sampling design of the survey from 400 middle schools and 400 high schools. They answered a self-administered questionnaire survey in classrooms. Explanatory variables included those pertaining to health-risk behaviors, mental health, and physical exercise. Complex-sample multivariable logistic regression models were applied to identify factors related to tooth fracture experience in the past 12 months. The overall prevalence of dental fracture experience was 11.4%. Risk factors related to tooth fractures in Korean adolescents were unhealthy behaviors such as alcohol and tobacco consumption; mental health problems including stress, depression, and suicidal ideation; and intensive physical exercise. The major risk factor related to tooth fractures was depression. To prevent tooth fractures among adolescents, schools should strengthen mental health education, encourage mouthguard use during intensive physical exercise, and develop school environments to prevent orofacial injuries. Further studies on various risk factors related to tooth fractures are warranted.
Highlights
With advancements in transportation, expansion of living spaces, and greater travel and sporting activity worldwide, trauma risk due to accidents has been increasing [1,2]
The purpose of this study was to analyze risk factors, such as health behaviors, mental health issues, and physical exercise patterns related to tooth fracture among adolescents by using the 14th
The tooth fracture experience rate was 11.4% in all adolescents, 11.8% in males, and 11.1% in females, with the experience rate being higher in males (p = 0.023) and increasing with the fracture grade (p = 0.009) (Table 3)
Summary
Expansion of living spaces, and greater travel and sporting activity worldwide, trauma risk due to accidents has been increasing [1,2]. Adolescence is a period of rapid growth and a very active period with a high incidence of dental trauma. Dental trauma has been reported in 16.4% of children aged 16 years in western Norway [4], 35.0% of those aged 11–13 years in Thailand [5], and 43.8% of 14-year-olds in Newham, London, UK [6]. 2010, the dental trauma experience rate was reported to be 17.7% among 12-year-olds and 19.3% in. Among 14–16-year-olds in Yangsan, Korea, the rate of dental trauma was reported to be 16.8% [9]
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