{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:01:42Z","timestamp":1785391302985,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"abstract":"ABSTRACT<\/jats:title>\n \n Background\/Aim<\/jats:title>\n To examine the association between parental risk tolerance during play and traumatic dental injuries in children.<\/jats:p>\n <\/jats:sec>\n \n Material and Methods<\/jats:title>\n \n This observational case\u2013control study was conducted at a university paediatric dentistry clinic in T\u00fcrkiye and included 128 children (73 boys and 55 girls) aged 2\u201313\u2009years and their parents. Children were classified into two groups: those with traumatic dental injuries (\n n<\/jats:italic>\n \u2009=\u200964) and those without a history of dental trauma (\n n<\/jats:italic>\n \u2009=\u200964). Data were collected using a structured questionnaire and the Tolerance of Risk in Play Scale. Group comparisons and hierarchical logistic regression analyses were performed.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean Tolerance of Risk in Play Scale total score was significantly higher in the control group than in the trauma group (44.97\u2009\u00b1\u20094.88 vs. 40.77\u2009\u00b1\u20093.54,\n p<\/jats:italic>\n \u2009<\u20090.001). In the final hierarchical logistic regression model, higher total scores were associated with lower odds of belonging to the trauma group (odds ratio\u2009=\u20090.794, 95% confidence interval: 0.698\u20130.903,\n p<\/jats:italic>\n \u2009<\u20090.001). Female sex was associated with lower odds of traumatic dental injury status, whereas second\u2010born children had higher odds than first\u2010born children (\n p<\/jats:italic>\n \u2009<\u20090.05). In unadjusted group comparisons, lower parental educational level and lower household income were more common in the trauma group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Higher parental risk tolerance during play was associated with lower odds of TDI status in children. However, the case\u2013control design does not permit causal interpretation. Parental supervision, appropriate safety practices, and reduction of preventable hazards remain central to TDI prevention, and prospective studies are needed to confirm the observed association.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/edt.70109","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:39:51Z","timestamp":1785389991000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Parental Risk Tolerance During Play and Traumatic Dental Injuries in Children: A Case\u2013Control Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2066-0204","authenticated-orcid":false,"given":"Burcin","family":"Avci","sequence":"first","affiliation":[{"name":"Faculty of Dentistry, Department of Paediatric Dentistry Van Yuzuncu Yil University Van T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2369-2966","authenticated-orcid":false,"given":"Husniye Tugce","family":"Zelcek","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Department of Paediatric Dentistry Van Yuzuncu Yil University Van T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3919-7142","authenticated-orcid":false,"given":"Mervan","family":"Onur","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Department of Paediatric Dentistry Van Yuzuncu Yil University Van T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"issue":"2","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/edt.12389","article-title":"World Traumatic Dental Injury Prevalence and Incidence, a Meta\u2010Analysis\u2014One Billion Living People Have Had Traumatic Dental Injuries","volume":"34","author":"Petti S.","year":"2018","journal-title":"Dental Traumatology"},{"issue":"6","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1111\/j.1600-9657.2008.00696.x","article-title":"Epidemiology of Traumatic Dental Injuries\u2014A 12 Year Review of the Literature","volume":"24","author":"Glendor U.","year":"2008","journal-title":"Dental Traumatology"},{"issue":"1","key":"e_1_2_13_4_1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1111\/cdoe.12333","article-title":"Impact of Traumatic Dental Injuries on Quality of Life in Preschoolers and Schoolchildren: A Systematic Review and Meta\u2010Analysis","volume":"46","author":"Zaror C.","year":"2018","journal-title":"Community Dentistry and Oral Epidemiology"},{"issue":"5","key":"e_1_2_13_5_1","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1111\/edt.12957","article-title":"Evaluation of Pediatric Oral Health\u2010Related Quality of Life Score in Children With Traumatic Dental Avulsion Injury: A Questionnaire\u2010Based Cross\u2010Sectional Survey","volume":"40","author":"Celikel P.","year":"2024","journal-title":"Dental Traumatology"},{"issue":"6","key":"e_1_2_13_6_1","doi-asserted-by":"crossref","first-page":"e75","DOI":"10.1016\/j.tripleo.2011.05.024","article-title":"The Association Between Orthodontic Treatment Need and Maxillary Incisor Trauma, a Retrospective Clinical Study","volume":"112","author":"Borzabadi\u2010Farahani A.","year":"2011","journal-title":"Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics"},{"issue":"5","key":"e_1_2_13_7_1","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1111\/j.1600-9657.2010.00920.x","article-title":"An Investigation Into the Association Between Facial Profile and Maxillary Incisor Trauma, a Clinical Non\u2010Radiographic Study","volume":"26","author":"Borzabadi\u2010Farahani A.","year":"2010","journal-title":"Dental Traumatology"},{"issue":"2","key":"e_1_2_13_8_1","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1177\/147470491100900212","article-title":"Children's Risky Play From an Evolutionary Perspective: The Anti\u2010Phobic Effects of Thrilling Experiences","volume":"9","author":"Sandseter E. 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