{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:25:20Z","timestamp":1787963120048,"version":"build-2784847793"},"reference-count":60,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T00:00:00Z","timestamp":1712620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004916","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado do Amazonas","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004916","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Traumatic dental injuries (TDIs) among children and adolescents have been acknowledged as of public health concern worldwide. The aim of the study was to assess the relationship between contextual and individual characteristics and TDIs in 12\u2010year\u2010old schoolchildren.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A cohort study was conducted with 355 schoolchildren living in deprived communities in the city of Manaus, Brazil. Contextual factors (place of residence and socio\u2010economic indicators) and individual characteristics, including sex, family income, parents\/guardians years of schooling, overjet and open bite (Dental Aesthetic Index), self\u2010esteem (Rosenberg Self\u2010Esteem Scale), sense of coherence (Sense of Coherence Scale), oral health beliefs, social support (Social Support Appraisals) were assessed at baseline. TDIs were measured at baseline and at 2\u2010year follow\u2010up using the O'Brien Index. Data were analysed through confirmatory factor analysis and structural equation modeling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The baseline prevalence of TDIs was 17.6% and the incidence of TDIs at 2\u2010year follow\u2010up was 26.8%. Better psychosocial status had a direct protective effect on the incidence of TDIs (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u2212.184). Better contextual characteristics (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u2212.135) and greater overjet (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u2212.203) were directly associated with poor psychosocial status. Higher schooling of parents\/guardians directly predicted better psychosocial status (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009.154). Psychosocial status mediated the relationship of greater overjet (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009.036), contextual factors (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009.024) and parental\/guardian schooling (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u2212.027) with TDIs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Contextual factors and individual characteristics predicted TDIs. Psychosocial status was a relevant individual attribute in the causal network of TDIs, due to the direct effect on the incidence of TDIs as well as a mediator on the influence of contextual factors, overjet and parents\/guardians schooling on the incidence of TDIs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12955","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T07:39:20Z","timestamp":1712648360000},"page":"546-556","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Contextual and individual factors associated with traumatic dental injuries in deprived 12\u2010year\u2010old schoolchildren: A cohort study"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5964-004X","authenticated-orcid":false,"given":"Emmanuelle de F\u00e1tima Noberto","family":"Bezerra","sequence":"first","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"},{"name":"Oswaldo Cruz Foundation Instituto Le\u00f4nidas e Maria Deane  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4439-0189","authenticated-orcid":false,"given":"Fernando Jos\u00e9","family":"Herkrath","sequence":"additional","affiliation":[{"name":"Oswaldo Cruz Foundation Instituto Le\u00f4nidas e Maria Deane  Manaus Amazonas Brazil"},{"name":"Superior School of Health Sciences State University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6299-4432","authenticated-orcid":false,"given":"Mario Vianna","family":"Vettore","sequence":"additional","affiliation":[{"name":"Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0099-9868","authenticated-orcid":false,"given":"Maria Augusta Bessa","family":"Rebelo","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1426-3015","authenticated-orcid":false,"given":"Adriana Corr\u00eaa","family":"de Queiroz","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7125-9082","authenticated-orcid":false,"given":"Janete Maria","family":"Rebelo\u00a0Vieira","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3581-2952","authenticated-orcid":false,"given":"Juliana Vianna","family":"Pereira","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3283-9302","authenticated-orcid":false,"given":"Mariana Oliveira","family":"da Silva\u00a0Freitas","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2053-5008","authenticated-orcid":false,"given":"Ana Paula Corr\u00eaa","family":"de Queiroz\u00a0Herkrath","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780199679379.001.0001"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12389"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2008.00696.x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12255"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12395"},{"key":"e_1_2_12_7_1","volume-title":"Pesquisa Nacional de Sa\u00fade Bucal: resultados principais","author":"Brasil. 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