Page 51 - MDA MIDEC 2024 Programme Book

ORAL PRESENTATION ABSTRACTS

P008 Name of Presenter: Chua Hock Siang, Klinik Pergigian Marang
Title of Presentation: Prevalence and Risk Factors of Maxillofacial Trauma and Traumatic
Dental Injuries in Malaysian Children and Adolescents: Systematic Review and Meta-Analysis

Abstract
Abdul Rauf BH 1*, Lin GSS 2, Chua HS 3, Ainur Umi Kalthom N 4, Ahmad Shaqir SB 5
1 Centre of Paediatric Dentistry and Orthodontics Studies, Faculty of Dentistry, Universiti Teknologi MARA
(UiTM), Sungai Buloh Campus, Selangor, Malaysia
2 Department of Restorative Dentistry, Kulliyyah of Dentistry, International Islamic University Malaysia
(IIUM), Kuantan Campus, 25200, Kuantan, Pahang, Malaysia.
3 Primary Care Dental Clinic, Klinik Pergigian Marang, Ministry of Health (MOH) Malaysia, Marang,
Terengganu, Malaysia.
4 Primary Care Dental Clinic, Klinik Pergigian Labuan, Ministry of Health (MOH) Malaysia, Federal Territory
of Labuan, Malaysia.
5 Department of Paediatric Dentistry, UKM Specialist Children’s Hospital, Cheras, Kuala Lumpur, Malaysia.

Introduction: Maxillofacial trauma and traumatic dental injuries (TDIs) are infrequent occurrences among
children and adolescents.
Objective: This systematic review seeks to investigate the prevalence, patterns, and associated risk factors
of maxillofacial trauma and TDIs in Malaysian children and adolescents.
Methodology: This review was registered in the International Prospective Register of Systematic Reviews
(PROSPERO—CRD42023464630). Extensive searches were conducted across multiple databases, including
Google Scholar, Scopus, PubMed, Web of Science, Cochrane Library, MyCite, OpenGrey, and Open Access
Theses and Dissertations, up to October 16, 2023, with inclusion criteria limited to English language
publications. The JBI Critical Appraisal Checklist was employed to evaluate the risk of bias in the included
studies systematically. Meta-analysis was carried out using the Binary random-effects model, supplemented
by meta-regression analysis to assess heterogeneity across studies. The certainty of evidence was appraised
using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) tool.
Result: Thirteen cross-sectional studies that met the inclusion criteria were identified, encompassing 1,182
patients with maxillofacial trauma and 9,379 patients with TDIs. All thirteen studies were included in the
qualitative analysis; eight were assessed as having a "Moderate" risk of bias, and the remaining five were
categorized as having a "Low" risk of bias. The weighted mean prevalence rates for maxillofacial trauma and
dental trauma were 23.7% and 5.1%, respectively. Substantial data heterogeneity was noted, ranging from
92.84% to 98.46%. However, meta-regression analysis indicated that the sample size of each included study
had no significant impact on the data for both maxillofacial and dental trauma (p = 0.207 and p = 0.290,
respectively).
Conclusion: Cross-sectional studies have determined the prevalence of maxillofacial trauma and TDIs
among the Malaysian population to be 23.7% and 5.1%, respectively, with the quality of evidence considered
to be low to moderate.

Key words: Children; Maxillofacial Trauma; Meta-Analysis; Systematic Review; Traumatic Dental Injuries

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