{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T23:26:15Z","timestamp":1791069975089,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T00:00:00Z","timestamp":1693180800000},"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":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Aim<\/jats:title><jats:p>Individuals with special healthcare needs (SHCN) are more likely to sustain traumatic dental injuries (TDIs) due to distinct risk factors. The aim of this review was to assess various risk factors associated with TDIs in individuals with SHCN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>The protocol was designed according to the recommendations of the Cochrane\u2010handbook, Joanna Briggs Institute, and the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses (PRISMA) guidelines and registered in PROSPERO (CRD42022357422). A comprehensive search was performed in PubMed, LILACS, Web of Science, EMBASE and Scopus using a pre\u2010defined strategy without any limitation of language and year of publication. It was last updated on 25 April 2023. Studies addressing the TDIs in individuals with SHCN were included. Data extraction and analyses were performed, risk of bias (ROB) assessment was done using the Joanna Briggs Institute's critical appraisal tool, and a meta\u2010analysis was performed using random\u2010effects model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 21 studies were included in the review. They were categorized according to the target disease\/condition: cerebral palsy (<jats:italic>n<\/jats:italic>\u2009=\u20095), ADHD and autism spectrum disorders (<jats:italic>n<\/jats:italic>\u2009=\u20095), visually impaired (<jats:italic>n<\/jats:italic>\u2009=\u20094), and multiple disorders (<jats:italic>n<\/jats:italic>\u2009=\u20097). The studies showed variability in the design and methods; however, 17 out of 21 studies showed moderate to low ROB. Increased overjet and lip incompetence were the main risk factors reported in the studies. The commonest injuries were observed to be enamel and enamel and dentine fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The overall pooled prevalence of TDI in individuals with special healthcare needs was 23.16% with 20.98% in males and 27.06% in females. Overjet &gt;3\u2009mm and inadequate lip coverage were found to be associated with a higher risk of TDI in all the categories of individuals with special healthcare needs except ADHD and ASD. Falls at home in cerebral palsy, falls while walking and self\u2010harm in ADHD and ASD, falls at home and collision in visual impairment, and unspecified falls in multiple disorders could be identified as the most common cause of TDI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12882","type":"journal-article","created":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T11:32:00Z","timestamp":1693222320000},"page":"91-110","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Risk factors associated with traumatic dental injuries in individuals with special healthcare needs\u2014A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5614-2911","authenticated-orcid":false,"given":"Pavithra","family":"Devi\u00a0K.","sequence":"first","affiliation":[{"name":"Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6747-5110","authenticated-orcid":false,"given":"Nitesh","family":"Tewari","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1495-3983","authenticated-orcid":false,"given":"Anne","family":"O'Connell","sequence":"additional","affiliation":[{"name":"Paediatric Dentistry, Dublin Dental University Hospital Trinity College (University of Dublin)  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukeshana","family":"Srivastav","sequence":"additional","affiliation":[{"name":"Section of Orthodontics, Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amritha","family":"Rajeswary","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish Dutt","family":"Upadhyay","sequence":"additional","affiliation":[{"name":"Clinical Research Unit All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Partha","family":"Haldar","sequence":"additional","affiliation":[{"name":"Centre of Community Medicine All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2924-8857","authenticated-orcid":false,"given":"Morankar","family":"Rahul","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay Prakash","family":"Mathur","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalpana","family":"Bansal","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12389"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12527"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12334"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-015-0207-7"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2012.00270.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1515\/ijamh-2015-0114"},{"key":"e_1_2_11_8_1","first-page":"13","article-title":"Occurrence of oral trauma in young epileptic patients","volume":"15","author":"Gerreth K","year":"2014","journal-title":"Eur J Paediatr Dent"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2008.00013.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.344.15681"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2005.00317.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-4-1"},{"key":"e_1_2_11_13_1","unstructured":"Joanna Briggs Institute.Checklist for analytical cross sectional studies.2020. 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