Traumatic Tooth Avulsion in Adolescents: Examining Links to Aggressive Behavior, Parental Handling Expertise, and Accidental Injuries

Background Tooth avulsion, a severe dental trauma in adolescents, results from physical aggression, road traffic accidents (RTAs), or falls. Effective management, including proper storage and prompt replantation, is vital but often hindered by inadequate parental knowledge. Aim This study explores associations between tooth avulsion, aggressive behavior, parental knowledge, and management practices among adolescents. Materials and Methods A cross-sectional study evaluated 99 adolescents (aged 9–14) presenting with traumatic dental injuries at a tertiary care hospital. Data collection included validated parental and adolescent questionnaires and clinical examinations. Descriptive statistics summarized demographic data. Chi-square tests assessed associations between aggression, socioeconomic status, and parental knowledge. Pearson and Spearman correlation analyses evaluated relationships between aggression dimensions and tooth avulsion. Statistical significance was set at p<0.05 to ensure robust conclusions. Results Tooth avulsion prevalence was 58.6%. Strong correlations were identified between physical aggression (r=0.896) and avulsion. Only 42% of parents demonstrated adequate emergency knowledge. Socioeconomic status (SES) influenced awareness (p<0.001). Poor outcomes (52.5%) were frequent due to delayed interventions. Conclusion Aggressive behaviors significantly increase the risk of dental trauma, while parental knowledge gaps hinder effective management. Educational programs targeting caregivers, schools, and communities are imperative to improve outcomes.