{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:49:49Z","timestamp":1791442189823,"version":"4.3.3"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"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 Aim<\/jats:title>\n To evaluate the impact of medium\u2010 and long\u2010term complications of traumatic dental injuries (TDI) on oral health\u2010related quality of life (OHRQoL) in children and adolescents using the Child Oral Impacts on Daily Performances (COIDP) tool.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A hospital\u2010based cross\u2010sectional study was conducted among children aged 8\u201318\u2009years, presenting with medium\u2010 and long\u2010term complications of traumatic injuries to permanent teeth at a tertiary care center. Clinical and radiographic assessments were performed to identify the complications. OHRQoL was assessed using a regionally validated version of the COIDP questionnaire through face\u2010to\u2010face interviews. Impacts across eight daily performance domains were recorded using 13 questions and analyzed descriptively. Associations between specific complications and COIDP domains were evaluated using the Chi\u2010square test, with statistical significance set at\n p<\/jats:italic>\n \u2009<\u20090.05.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 185 participants were included. The most frequent medium\u2010 and long\u2010term complications were periapical radiolucency (90.3%) and pulp necrosis (77.1%), followed by external inflammatory root resorption (69.3%). Symptom\u2010related impacts, particularly awareness of decayed or broken teeth and concerns regarding tooth color, shape, size, or position, were reported by a majority of participants across most complications. Pain\u2010related symptoms were significantly associated with tenderness on percussion and pulp necrosis. Functional impacts were most evident in the domains of eating and relaxing, especially among children with gingival inflammation, periapical pathology, and inflammatory root resorption. Psychosocial domains, emotional wellbeing, and schoolwork were minimally impacted.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Medium\u2010 and long\u2010term complications of TDI are associated with significant impairments in oral health\u2010related quality of life among children and adolescents. Symptom\u2010related impacts and functional limitations, particularly those affecting eating and relaxation, were prominent. The complications that manifested clinically in the form of discoloration, tenderness on percussion, inflammation of labial gingiva, and pulp necrosis, along with the radiographic signs of external inflammatory root resorption and periapical radiolucency, showed associations with the impacts on daily performances.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/edt.70143","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:58:35Z","timestamp":1791439115000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Medium\u2010 and Long\u2010Term Complications of Traumatic Dental Injuries on Oral Health\u2010Related Quality of Life of Children and Adolescents"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6747-5110","authenticated-orcid":false,"given":"Nitesh","family":"Tewari","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"},{"name":"Department of Dental Medicine, Division of Paediatric Dentistry Karolinska Institutet Huddinge Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailja","family":"Srivastava","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\/0000-0002-2710-1894","authenticated-orcid":false,"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"}]},{"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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4503-5234","authenticated-orcid":false,"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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5361-5840","authenticated-orcid":false,"given":"Georgios","family":"Tsilingaridis","sequence":"additional","affiliation":[{"name":"Department of Dental Medicine, Division of Paediatric Dentistry Karolinska Institutet Huddinge Sweden"},{"name":"Center of Pediatric Oral Health Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1034\/j.1600-9657.2002.00079.x","article-title":"Effect of Treatment Delay Upon Pulp and Periodontal Healing of Traumatic Dental Injuries: A Review Article","volume":"18","author":"Andreasen J. 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V.","year":"2016","journal-title":"Australian Dental Journal"},{"issue":"4","key":"e_1_2_12_23_1","first-page":"e429","article-title":"Occurrence and Timing of Complications Following Traumatic Dental Injuries: A Retrospective Study in a Dental Trauma Department","volume":"8","author":"Lin S.","year":"2016","journal-title":"Journal of Clinical and Experimental Dentistry"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.70100"}],"container-title":["Dental Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70143","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/edt.70143","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70143","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:58:39Z","timestamp":1791439119000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/edt.70143"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":23,"alternative-id":["10.1111\/edt.70143"],"URL":"https:\/\/doi.org\/10.1111\/edt.70143","archive":["Portico"],"relation":{},"ISSN":["1600-4469","1600-9657"],"issn-type":[{"value":"1600-4469","type":"print"},{"value":"1600-9657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]},"assertion":[{"value":"2026-04-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"edt.70143"}}