Cardoso Mariane, de Carvalho Rocha Maria José
Pediatric Dentistry Department, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Dent Traumatol. 2002 Jun;18(3):129-33. doi: 10.1034/j.1600-9657.2002.00030.x.
The goal of the present study was to identify the factors related to the occurrence of dental trauma in deciduous teeth. Over a period of 25 months, 85 children between 10 months and 6 years of age were assisted by the staff of the Pediatric Dentistry Clinic of the Federal University of Santa Catarina (UFSC) Florianópolis, Brazil. The children, all assisted by only one professional, a dentist working as a trainee in the Pediatric Dentistry Clinic, had 157 traumatized teeth treated. The occurrence of trauma was higher in male patients (51.8%) and in children between 1 and 3 years old. The average age was about =2.7 years. The 54.1% of the assisted children had more than one traumatized tooth and the repeat trauma occurred 16.7% of the time. Anterior teeth represented 98.7% of the cases and 76.4% of the trauma were on the maxillary central incisor teeth. Both sides of the mouth had approximately the same number of traumatic injuries. Luxations were more frequent (85.4%) than fractures (14.6%). Subluxations represented 38.8% of the luxated teeth. Falls were the main cause of trauma (78%). A percentage of 41.9 children were assisted by a dental professional during the first 24h after the incident. The study concluded that the deciduous dentition is mostly affected by luxations (subluxations) that occur specially on the maxillary central incisor teeth, in patients between 1 and 3 years of age. Falls are the most common etiological factor and more than one traumatized tooth is common. Some of the cases were repeat traumatic injuries.
本研究的目的是确定与乳牙牙外伤发生相关的因素。在25个月的时间里,巴西圣卡塔琳娜联邦大学(UFSC)弗洛里亚诺波利斯分校儿童牙科诊所的工作人员为85名年龄在10个月至6岁之间的儿童提供了治疗。这些儿童均由一名专业人员治疗,该专业人员是一名在儿童牙科诊所实习的牙医,共治疗了157颗外伤牙。男性患者(51.8%)和1至3岁儿童的牙外伤发生率更高。平均年龄约为2.7岁。接受治疗的儿童中有54.1%有一颗以上的外伤牙,再次外伤的发生率为16.7%。前牙占病例的98.7%,其中76.4%的外伤发生在上颌中切牙。口腔两侧的外伤数量大致相同。牙齿松动比骨折更常见(85.4%对14.6%)。半脱位占松动牙的38.8%。跌倒为外伤的主要原因(78%)。41.9%的儿童在事件发生后的前24小时内得到了牙科专业人员的治疗。该研究得出结论,乳牙列主要受牙齿松动(半脱位)影响,尤其发生在上颌中切牙,多见于1至3岁的患者。跌倒是最常见的病因,一颗以上的外伤牙很常见。部分病例为再次外伤。