{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:25:16Z","timestamp":1787963116277,"version":"build-2784847793"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,11,28]],"date-time":"2019-11-28T00:00:00Z","timestamp":1574899200000},"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":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Aim<\/jats:title><jats:p>Enamel fractures are the most common type of traumatic dental injury (TDI) in children and adolescents. Recognizing the impact of these fractures on oral health\u2010related quality of life (OHRQoL) could contribute to the establishment of treatment protocols. The aim of this study was to assess and quantify the impact of enamel fractures on overall OHRQoL and domain scores in adolescents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted with 775 adolescents aged 11 to 14\u00a0years in the city of Santo \u00c2ngelo in southern Brazil. Sociodemographic variables were collected from parents\/caregivers using a structured questionnaire. The adolescents answered the Child Perceptions Questionnaire (CPQ<jats:sub>11\u201014<\/jats:sub>). Physical examinations were performed by an examiner who had undergone training and calibration exercises for the investigation of TDI (Andreasen criteria), dental caries (WHO criteria), and malocclusion (Dental Aesthetic Index). Data analysis involved Poisson regression with robust variance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of TDI was 11.9% and enamel fractures accounted for 79.3% of all injuries. In the multivariate analysis, adolescents with enamel fractures had 29% higher CPQ<jats:sub>11\u201014<\/jats:sub> scores (worse OHRQoL) than those without TDI, even after adjustment for sociodemographic and clinical variables (mean ratio\u00a0=\u00a01.29; 95% CI: 1.09\u20101.53; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.003). Enamel fractures exerted a negative impact on the functional limitation, emotional well\u2010being, and social well\u2010being domains.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Enamel fractures exert a negative impact on the OHRQoL of adolescents, suggesting that subjective measures should be incorporated in the evaluation of patients with this traumatic injury.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12526","type":"journal-article","created":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T20:59:58Z","timestamp":1573592398000},"page":"247-252","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The effect of enamel fractures on oral health\u2010related quality of life in adolescents"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9783-9309","authenticated-orcid":false,"given":"Carlos Alberto","family":"Feldens","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry Universidade Luterana do Brasil Canoas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita Azevedo","family":"Senna","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry Universidade Luterana do Brasil Canoas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabiana","family":"Vargas\u2010Ferreira","sequence":"additional","affiliation":[{"name":"Department of Social and Preventive Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa Simas","family":"Braga","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry Universidade Luterana do Brasil Canoas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0748-9748","authenticated-orcid":false,"given":"Eliane Gerson","family":"Feldens","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry Universidade Luterana do Brasil Canoas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3378-3545","authenticated-orcid":false,"given":"Paulo Floriani","family":"Kramer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry Universidade Luterana do Brasil Canoas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12367"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12227"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0172235"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12333"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12437"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2010.00891.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2008.00749.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12079"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2012.01124.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2011.01103.x"},{"key":"e_1_2_6_12_1","unstructured":"Dental trauma guide: evidence based treatment guide. 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