{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:19:20Z","timestamp":1770815960511,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,1,20]],"date-time":"2019-01-20T00:00:00Z","timestamp":1547942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Aims<\/jats:title><jats:p>Occlusal features may increase the risk of dental trauma. The aim of the present study was to evaluate the association between occlusal characteristics and the occurrence of dental trauma in preschool children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A population\u2010based case\u2010control study was conducted with a representative sample of 200 children 3\u20105 years of age enrolled at private and public preschools in the city of Diamantina, Brazil. The case and control groups were matched for gender, age and type of preschool (public or private) at a ratio of 1:1 (100 cases and 100 controls). Independent variables of interest to the study (occlusal characteristics) and potential confounders (sociodemographic characteristics, sucking habits and lip coverage) were investigated. Intra\u2010examiner and inter\u2010examiner kappa values were higher than 0.80 for all oral conditions evaluated. The <jats:styled-content style=\"fixed-case\">SPSS<\/jats:styled-content> 22.0 program was used to analyse the data. Descriptive and univariate analyses as well as simple and multiple logistic regression analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The occlusal feature most strongly associated with trauma was anterior open bite (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a03.80; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.42\u201010.16). Maxillary anterior crowding (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.14, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.00\u20104.63) and overjet (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.12, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.58\u20102.17) were associated with the occurrence of trauma independently of the confounding variables (sociodemographic characteristics, sucking habits and lip coverage), but these variables lost their significance when adjusted for other types of malocclusion. Anterior open bite remained strongly associated with dental trauma, regardless of confounding variables and other types of malocclusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Anterior open bite was the main variable associated with dental trauma in the preschool children analysed independently of the confounding variables and the presence of other malocclusions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12457","type":"journal-article","created":{"date-parts":[[2018,11,30]],"date-time":"2018-11-30T17:34:06Z","timestamp":1543599246000},"page":"95-100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Association between occlusal characteristics and the occurrence of dental trauma in preschool children: a case\u2010control study"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1932-1213","authenticated-orcid":false,"given":"Ednele Fabyene","family":"Primo\u2010Miranda","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics Dentistry College Universidade Federal dos Vales do Jequitinhonha e Mucuri  Diamantina Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Let\u00edcia","family":"Ramos\u2010Jorge","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics Dentistry College Universidade Federal dos Vales do Jequitinhonha e Mucuri  Diamantina Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rcio Alexandre","family":"Homem","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics Dentistry College Universidade Federal de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D\u00e9bora Souto","family":"de Souza","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics Dentistry College Universidade Federal dos Vales do Jequitinhonha e Mucuri  Diamantina Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda Dias","family":"Stetler","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics Dentistry College Universidade Federal dos Vales do Jequitinhonha e Mucuri  Diamantina Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Ramos\u2010Jorge","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics Dentistry College Universidade Federal de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leandro Silva","family":"Marques","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Orthodontics Dentistry College Universidade Federal dos Vales do Jequitinhonha e Mucuri  Diamantina 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