Activity restriction caused by maxillofacial trauma in adolescents

In-Ja Kim; Sun-Ho Lee; Hyun-Jeong Ju; Sang-Su Park; Hyo-Won Oh; Heung-Soo Lee

doi:10.11149/jkaoh.2015.39.4.245

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Kim, Lee, Ju, Park, Oh, and Lee: Activity restriction caused by maxillofacial trauma in adolescents

Original Article

J Korean Acad Oral Health 2015;39(4):245-250.

Published online: 12 December 2015

DOI: https://doi.org/10.11149/jkaoh.2015.39.4.245

Activity restriction caused by maxillofacial trauma in adolescents

In-Ja Kim, Sun-Ho Lee, Hyun-Jeong Ju, Sang-Su Park, Hyo-Won Oh, Heung-Soo Lee

Department of Preventive and Public Health Dentistry, College of Dentistry, Wonkwang University, Iksan, Korea

Corresponding Author: Heung-Soo Lee Department of Preventive and Public Health Dentistry, College of Dentistry, Wonkwang University, 460 Iksan-daero, Iksan 54538, Korea Tel: +82-63-850-6851 Fax: +82-63-850-6851 E-mail: smagn@wonkwang.ac.kr

Received 17 August 2015 Revised 16 September 2015 Accepted 1 October 2015

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

This study aimed to (1) survey cases of maxillofacial trauma in adolescents and (2) analyze the relationship between maxillofacial trauma and activity restriction.

Methods

This cross-sectional study included 881 participants selected using the convenience sampling method in the Jeollanam-do and Jeollabuk-do regions. Individual self-reporting questionnaire surveys were performed.

Results

It was found that 17.2% of adolescents experienced maxillofacial traumas, and 45.3% of them reported activity restrictions caused by the the traumas. The occurrence ratio of maxillofacial trauma was higher in male students (20.6%) than in female students (14.0%). Among the activity restrictions caused by maxillofacial traumas, chewing disturbance was the most frequent activity restriction type, showing an incidence of 54.6%, and taste disturbance was the least frequent, showing an incidence of 9.3%. All the activity restrictions in adolescents were found to have relationships with maxillofacial trauma occurring within the recent one year. Among the activity restrictions, chewing disturbance was most closely related with the trauma.

Conclusions

Since maxillofacial traumas cause activity restrictions in adolescents, it is necessary to prepare policies for the prevention of maxillofacial trauma. Furthermore, it is necessary to intensify the education regarding treatment methods for maxillofacial trauma.

Keywords: Adolescent, Disability, Injury, Oral health, Trauma

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Table 1.

Demographic characteristics of subjects

Characteristics	Classification	N (%)
School region
	City	310 (35.2)
	Rural area	571 (64.8)
	Total	881 (100.0)
School
	Middle school	453 (51.4)
	High school	428 (48.6)
	Total	881 (100.0)
Sex
	Male	427 (48.5)
	Female	454 (51.5)
	Total	881 (100.0)

Table 2.

Experience of injury and maxiliofacial trauma among adole scents Unit: N (%)

	All traumas	Maxillofacial trauma	The maxillofacial trauma of the all traumas
Total	307 (35.7)	150 (17.2)	150/307 (49.0)
Middle school student	156 (35.3)	86 (19.2)	86/156 (55.1)
High school student	151 (36.1)	64 (15.1)	64/151 (42.7)
P-value	0.831	0.127	0.031

Number of subjects (total n)=881.

Table 3.

Experience of maxillofacial trauma according to sex Unit: N (%

		Experience of maxillofacial trauma
		Yes	No	Total
Total	Male	87 (20.6)	335 (79.4)	422 (100.0)
	Female	63 (14.0)	386 (86.0)	449 (100.0)
	Total	150 (17.2)	721 (82.8)	871 (100.0)
			P
			0.010
Middle school student	Male	50 (23.6)	162 (76.4)	212 (100.0)
	Female	36 (15.3)	200 (84.7)	236 (100.0)
	Total	86 (19.2)	362 (80.8)	448 (100.0)
			P
			0.025
High school student	Male	37 (17.6)	173 (82.4)	210 (100.0)
	Female	27 (12.7)	186 (87.3)	213 (100.0)
	Total	64 (15.1)	359 (84.9)	423 (100.0)
			P
			0.156

Table 4.

Rate of activity restriction due to maxillofacial trauma amon adolescents

Type	Total	Middle school student	High school student
Activity restriction due to maxillofacial trauma	45.3%	45.1%	45.5%
Type of activity restriction
Study disturbance	18.8%	21.5%	15.9%
Chewing disturbance	45.7%	43.9%	47.6%
Taste disturbance	6.3%	8.1%	4.3%
Pronunciation disturbance	9.8%	10.1%	9.5%
More than 2 types	15.6%	14.6%	16.7%
More than 3 types	5.8%	7.6%	3.8%
More than 4 types	0.7%	0.7%	0.8%

Table 5.

Relationship between experiences of maxillofacial trauma (past one year) and Activity restriction Unit: N (%

Activity restriction	Chewing disturbance			Taste disturbance			Pronunciation disturbance			Study disturbance
Activity restriction	Yes	No	Total	Yes	No	Total	Yes	No	Total	Yes	No	Total
Yes	77 (54.6)	64 (45.4)	141 (100)	13 (9.3)	127 (90.7)	140 (100)	19 (13.6)	121 (86.4)	140 (100)	33 (23.9)	105 (76.1)	138 (100)
No	60 (37.7)	99 (62.3)	159 (100)	4 (2.8)	138 (97.2)	142 (100)	9 (6.4)	132 (93.6)	141 (100)	21 (14.5)	124 (85.5)	145 (100)
Total	137 (45.7)	163 (54.3)	300 (100)	17 (6.0)	265 (94.0)	282 (100)	28 (10.0)	253 (90.0)	281 (100)	54 (19.1)	229 (80.9)	283 (100)
P=0.003 (Φ=0.167)				P=0.022 (Φ=0.135)			P=0.044 (Φ=0.119)			P=0.044 (Φ=0.119)

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