Soriano Evelyne Pessoa, Caldas Arnaldo França, Góes Paulo Sávio Angeiras
Department of Preventive and Social Dentistry, University of Pernambuco, Camaragibe, Brazil.
Dent Traumatol. 2004 Oct;20(5):246-50. doi: 10.1111/j.1600-9657.2004.00246.x.
The aim of this pilot study was to analyse whether overjet, lip coverage and obesity represented risk factors associated with the occurrence of dental trauma in the permanent anterior teeth of schoolchildren in Recife, Brazil. It included a random sample of 116 boys and girls aged 12 years, attending both public and private schools. Data was collected through clinical examinations and interviews. Dental trauma was classified according to Andreasen's criteria (1994). Overjet was considered as risk factor when it presented values higher than 5 mm. Lip coverage was classified as adequate or inadequate, while obesity was considered according to National Center for Health Statistics (NCHS) procedures for the assessment of nutritional status. The prevalence of dental injuries was 23.3%. Boys experienced more injuries than girls, 30 and 16.1%, respectively (P >0.05). There was a statistically significant difference between traumatic dental injuries and overjet (P <0.05) and between traumatic dental injuries and lip coverage (P=0.000). No statistical significant differences were found when obesity and dental trauma were analysed (P <0.05). It was concluded that boys from lower social strata attending public schools, presenting an overjet size greater than 5 mm and an inadequate lip coverage, were more likely to have traumatic dental injuries in Recife, Brazil. Obesity was not a risk factor for dental trauma in this sample.
这项试点研究的目的是分析覆盖、唇覆盖情况和肥胖是否是巴西累西腓学童恒牙发生牙外伤的相关危险因素。研究纳入了116名年龄为12岁、来自公立和私立学校的男孩和女孩的随机样本。通过临床检查和访谈收集数据。牙外伤根据安德里亚森标准(1994年)进行分类。当覆盖超过5毫米时,将其视为危险因素。唇覆盖分为充足或不足,而肥胖则根据美国国家卫生统计中心(NCHS)评估营养状况的程序来判定。牙外伤的患病率为23.3%。男孩比女孩经历更多的牙外伤,分别为30%和16.1%(P>0.05)。牙外伤与覆盖之间(P<0.05)以及牙外伤与唇覆盖之间(P=0.000)存在统计学上的显著差异。分析肥胖与牙外伤时未发现统计学上的显著差异(P<0.05)。研究得出结论,在巴西累西腓,就读于公立学校、社会阶层较低、覆盖超过5毫米且唇覆盖不足的男孩更有可能发生牙外伤。在这个样本中,肥胖不是牙外伤的危险因素。