Executive function as a risk factor for incisor trauma. Issue 4 (20th July 2018)

• Record Type: Journal Article
• Authors: Nyquist, Jillian M.; Phillips, Ceib; Stein, Margot; Koroluk, Lorne D.
• Is Part Of: Dental traumatology. Volume 34:Issue 4(2018)
• Page Start: 229
• Page End: 236
• Publication Date: 2018-07-20
• Subjects: executive function -- risk -- trauma; Teeth -- Wounds and injuries -- Periodicals; Dentistry, Operative -- Periodicals; Traumatology -- Periodicals; Endodontics -- Periodicals; 617.6
• DOI: 10.1111/edt.12409
• Languages: English
• ISSNs: 1600-4469

Abstract

Abstract: Background/Aim: Executive function is the ability to guide behavior to achieve goals or complete tasks. This study explored the relationship between executive function, as assessed by the Behavior Rating Inventory of Executive Function Parent Form Questionnaire (BRIEF ® ) and incisor trauma. Material and Methods: This study included children in the mixed dentition with recent incisor trauma (n = 28) and a control group (n = 30) without recent incisor trauma. Subjects' parents completed the BRIEF ®, while a clinical examination assessed subjects' occlusal relationships. Parents also completed a custom questionnaire that investigated their child's medical history and daily activities. Fisher exact and unpaired t tests compared BRIEF ® scores, occlusal characteristics, medical history, and reported daily activities of the 2 groups. Results: The trauma group had a greater percentage of participants with a Class II dental relationship ( P = .01). There was no significant difference between groups with respect to mean BRIEF ® t ‐scores within the Global Executive Composite. There was a statistically significant difference between groups with respect to the percentage of subjects with clinically significant (≥65) BRIEF ® t ‐scores within the Inhibit ( P = .05) and Emotional Control ( P = .02) subscales and Behavioral Regulation Index ( P = .02). There were no statistically significant differences between groups with respect to age, gender, overbite, overjet, medical history, body mass index, or daily activities. Conclusions: Children in the mixed dentition with a Class II dental relationship are at greater risk for incisor injury, as well as those involved in outdoor activities. Specific executive dysfunctions such as impulsivity and poor emotional control may increase the risk for incisor trauma.