{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T11:16:26Z","timestamp":1760181386607,"version":"build-2065373602"},"reference-count":36,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T00:00:00Z","timestamp":1603670400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["NRF-2018R1A5A2023879"],"award-info":[{"award-number":["NRF-2018R1A5A2023879"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>We aimed to determine factors related to tooth fracture experience in Korean adolescents. This study used data from the 14th Korea Youth Risk Behavior Survey in 2018, a cross-sectional web-based survey of health-risk behaviors among a representative sample of Korean middle- and high-school students aged 12\u201317 years. A total of 60,040 participants were selected using a complex sampling design of the survey from 400 middle schools and 400 high schools. They answered a self-administered questionnaire survey in classrooms. Explanatory variables included those pertaining to health-risk behaviors, mental health, and physical exercise. Complex-sample multivariable logistic regression models were applied to identify factors related to tooth fracture experience in the past 12 months. The overall prevalence of dental fracture experience was 11.4%. Risk factors related to tooth fractures in Korean adolescents were unhealthy behaviors such as alcohol and tobacco consumption; mental health problems including stress, depression, and suicidal ideation; and intensive physical exercise. The major risk factor related to tooth fractures was depression. To prevent tooth fractures among adolescents, schools should strengthen mental health education, encourage mouthguard use during intensive physical exercise, and develop school environments to prevent orofacial injuries. Further studies on various risk factors related to tooth fractures are warranted.<\/jats:p>","DOI":"10.3390\/ijerph17217815","type":"journal-article","created":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T10:38:35Z","timestamp":1603708715000},"page":"7815","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Health-Risk Behavior-, Mental Health-, and Physical Exercise-Related Risk Factors for Tooth Fractures in Korean Adolescents"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3367-5894","authenticated-orcid":false,"given":"Han-Na","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Dental Hygiene, College of Health and Medical Sciences, Cheongju University, Cheongju 28503, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong-Bong","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University, Yangsan 50612, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eun-Joo","family":"Jun","sequence":"additional","affiliation":[{"name":"Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University, Yangsan 50612, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8619-2741","authenticated-orcid":false,"given":"Jin-Bom","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University, Yangsan 50612, Korea"},{"name":"BK21 FOUR Project, School of Dentistry, Pusan National University, Yangsan 50612, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,10,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1680","DOI":"10.1016\/j.joms.2009.03.052","article-title":"Dental Injuries in Association with Facial Fractures","volume":"67","author":"Lieger","year":"2009","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_2","first-page":"55","article-title":"Traumatic oral vs non-oral injuries","volume":"21","author":"Petersson","year":"1997","journal-title":"Swed. Dent. J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/edt.12389","article-title":"World traumatic dental injury prevalence and incidence, a meta-analysis\u2014One billion living people have had traumatic dental injuries","volume":"34","author":"Petti","year":"2018","journal-title":"Dent. Traumatol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1111\/edt.12399","article-title":"Traumatic dental injuries\u2014Prevalence and severity among 16-year-old pupils in western Norway","volume":"34","author":"Bratteberg","year":"2018","journal-title":"Dent. Traumatol."},{"key":"ref_5","first-page":"222","article-title":"Prevalence and factors associated with traumatic dental injuries (TDI) to anterior teeth of 11\u201313 year old Thai children","volume":"23","author":"Malikaew","year":"2006","journal-title":"Community Dent. Health"},{"key":"ref_6","first-page":"222","article-title":"Changes in prevalence and treatment need for traumatic dental injuries among 14-year-old children in Newham, London: A deprived area","volume":"23","author":"Malikaew","year":"2006","journal-title":"Community Dent. Health"},{"key":"ref_7","unstructured":"Ministry of Health and Social Welfare (2010). National Oral Health Survey in 2010. III. Summary."},{"key":"ref_8","first-page":"195","article-title":"The Study of Experience and Cause of Oral Traumatic Injuries: Based on the Data of Korea National Oral Health Survey in 2010","volume":"13","author":"Lee","year":"2020","journal-title":"J. Korean Acad. Dent. Hyg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"199","DOI":"10.5933\/JKAPD.2014.41.3.199","article-title":"A Study on the Status of Dental Trauma in 14\u201316 Year-Old Adolescents in Yangsan","volume":"41","author":"Kim","year":"2014","journal-title":"J. Korean Acad. Pediatr. Dent."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.joms.2011.08.035","article-title":"Dental injuries in pediatric patients with facial fractures are frequent and severe","volume":"70","author":"Trnwall","year":"2012","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1111\/edt.12505","article-title":"Traumatic dental injuries among New Zealanders: Findings from a national oral health survey","volume":"36","author":"Scott","year":"2020","journal-title":"Dent. Traumatol."},{"key":"ref_12","first-page":"290","article-title":"Traumatic injuries to the upper incisors in primary and mixed dentition","volume":"31","author":"Chung","year":"2004","journal-title":"J. Korean Acad. Pediatr. Dent."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1034\/j.1600-9657.2001.170103.x","article-title":"Increased lifetime prevalence of dental trauma is associated with pervious non-dental injuries, mental distress and high alcohol consumption","volume":"17","author":"Perheenyupa","year":"2001","journal-title":"Dent. Traumatol."},{"key":"ref_14","unstructured":"Ministry of Education, and Korea Centers for Disease Control and Prevention (2019). Guidelines for Using Raw Data from Korea Youth Risk Behavior Survey from 2005 to 2018."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1002\/nur.21996","article-title":"Factors associated with maintenance of smoking cessation in adolescents after implementation of tobacco pricing policy in South Korea: Evidence from the 11th Youth Health Behavior Survey","volume":"43","author":"Kim","year":"2020","journal-title":"Res. Nurs. Health"},{"key":"ref_16","first-page":"234","article-title":"Prevalence, etiology, and types of dental trauma in children and adolescents: Systematic review and meta-analysis","volume":"29","author":"Azar","year":"2015","journal-title":"Med. J. Islam. Repub. Iran"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"67","DOI":"10.12811\/kshsm.2020.14.1.067","article-title":"Analysis of dental care clinic visits and causes of tooth injuries by age and sex","volume":"14","author":"Kim","year":"2020","journal-title":"Korean J. Health Serv. Manag."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"89","DOI":"10.14408\/KJEMS.2013.17.2.089","article-title":"Correlation between maxillofacial injury, use of mouth guards and stress in physical education majoring male students","volume":"17","author":"Jang","year":"2013","journal-title":"Korean J. Emerg. Med. Serv."},{"key":"ref_19","first-page":"96","article-title":"Hidden consequences of dental trauma: The social and psychological effects","volume":"31","author":"Lee","year":"2009","journal-title":"Pediatr. Dent."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1177\/000992288001900411","article-title":"The Child Accident Repeater: A Review","volume":"19","author":"Jones","year":"1980","journal-title":"Clin. Pediatr. (Phila.)"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1016\/j.aap.2012.03.028","article-title":"Accident proneness revisited: The role of psychological stress and cognitive failure","volume":"49","author":"Day","year":"2012","journal-title":"Accid. Anal Prev."},{"key":"ref_22","first-page":"121","article-title":"Psychosocial approach to the stress of the youth","volume":"3","author":"Yoo","year":"1996","journal-title":"Korean J. Soc. Welf. Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1177\/001872089403600212","article-title":"Fatigue in operational settings: Examples from the aviation environment","volume":"36","author":"Rosekind","year":"1994","journal-title":"Hum. Factors J. Hum. Factors Ergon. Soc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1093\/sleep\/19.4.318","article-title":"1 Effects of Sleep Deprivation on Performance: A Meta-Analysis","volume":"19","author":"Pilcher","year":"1996","journal-title":"Sleep"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Kim, S.Y., Sim, S., Kim, S.G., and Choi, H.G. (2015). Sleep deprivation is associated with bicycle accidents and slip and fall injuries in Korean adolescents. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0135753"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1111\/edt.12524","article-title":"Depressive symptoms and traumatic dental injuries among adolescents","volume":"36","author":"Randhawa","year":"2020","journal-title":"Dent. Traumatol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1046\/j.1440-1614.2000.00646.x","article-title":"Suicidal ideation in a random community sample: Attributable risk due to depression and psychosocial and traumatic events","volume":"34","author":"Goldney","year":"2000","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref_28","unstructured":"Werlich, M.O., Honnef, L.R., Bett, J.V.S., Domingos, F.L., Pauletto, P., de Souza, B.D.M., Hallal, L.L.A.C., and Canto, D.L. (2020). Prevalence of dentofacial injuries in contact sports players: A systematic review and meta-analysis. Dent. Traumatol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1111\/edt.12508","article-title":"Prevalence of dentofacial injuries among combat sports practitioners: A systematic review and meta-analysis","volume":"36","author":"Polmann","year":"2020","journal-title":"Dent. Traumatol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/adj.12395","article-title":"Epidemiology and outcomes of traumatic dental injuries: A review of the literature","volume":"61","author":"Lam","year":"2016","journal-title":"Aust. Dent. J."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"251","DOI":"10.14476\/jomp.2012.37.4.251","article-title":"Use of Mouthguard for Prevention of Oral and Maxillofacial Injury","volume":"37","author":"Shim","year":"2012","journal-title":"J. Oral Med. Pain"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"117","DOI":"10.2165\/00007256-200737020-00003","article-title":"Mouthguards in sport: Activities history, physical properties and injury prevention effectiveness","volume":"37","author":"Knapik","year":"2007","journal-title":"Sports Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1007\/s40279-014-0167-9","article-title":"Factors affecting sports-related orofacial injuries and the importance of mouthguards","volume":"44","author":"Tuna","year":"2014","journal-title":"Sports Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"147","DOI":"10.4047\/jap.2013.5.2.147","article-title":"Mouthguard use in Korean taekwondo athletes-awareness and attitude","volume":"5","author":"Lee","year":"2013","journal-title":"J. Adv. Prosthodont."},{"key":"ref_35","first-page":"31","article-title":"Sports injury and rehabilitation","volume":"10","author":"Lee","year":"2008","journal-title":"J. Coach. Dev."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1080\/15438627.2012.680988","article-title":"Preventing ACL injuries in team-sport athletes: A systematic review of training interventions","volume":"20","author":"Stojanovic","year":"2012","journal-title":"Res. Sports Med."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/21\/7815\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:28:04Z","timestamp":1760178484000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/21\/7815"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,26]]},"references-count":36,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2020,11]]}},"alternative-id":["ijerph17217815"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17217815","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2020,10,26]]}}}