Glendor Ulf
Division of Social Medicine and Public Health Science, Department of Medicine and Society, Linköping University, Linköping, Sweden.
Dent Traumatol. 2008 Dec;24(6):603-11. doi: 10.1111/j.1600-9657.2008.00696.x.
BACKGROUND/AIM: A traumatic dental injury (TDI) is a public dental health problem because of its frequency, occurrence at a young age, costs and that treatment may continue for the rest of the patient's life. The aim of this paper is to present a12-year, international review of the prevalence and incidence of TDIs including some background factors and a quick, easy method in registering TDIs to receive a primary understanding of the extent and severity of dental trauma.
The databases of Medline, Cochrane, SSCI, SCI and CINAHL from 1995 to the present were used.
The results indicate a high prevalence of TDIs in primary and permanent teeth and that TDIs exists throughout the world. The prevalence show that one third of all preschool children have suffered a TDI involving the primary dentition, one fourth of all school children and almost one third of adults have suffered a trauma to the permanent dentition, but variations exist both between and within countries. Activities of a person and the environment are probably more determining factors of TDIs than gender and age. A risk profile why some patients sustain multiple dental trauma episodes (MDTE) is necessary to present. All dental clinics should have a prospective ongoing registration of TDIs. The NUC method (N = no TDI, U = uncomplicated TDI, C = complicated TDI) presents if there has been any TDI and the severity of that trauma.
The trend of TDIs seems to be stable on a high level with variations largely reflecting local differences. Because of the complexity of TDIs, every dental clinic should have a prospective ongoing registration of number and severity of TDIs.
背景/目的:创伤性牙损伤(TDI)是一个公共口腔卫生问题,因其发生频率高、发病年龄小、成本高,且治疗可能会贯穿患者余生。本文的目的是对TDI的患病率和发病率进行为期12年的国际综述,包括一些背景因素,以及一种快速、简便的TDI登记方法,以便初步了解牙外伤的程度和严重性。
使用了1995年至今的Medline、Cochrane、SSCI、SCI和CINAHL数据库。
结果表明,乳牙和恒牙中TDI的患病率很高,且TDI在全球范围内都存在。患病率显示,所有学龄前儿童中有三分之一曾遭受涉及乳牙列的TDI,所有学龄儿童中有四分之一、几乎三分之一的成年人曾遭受恒牙列外伤,但国家之间和国家内部均存在差异。一个人的活动和环境可能比性别和年龄更能决定TDI的发生。有必要呈现一个关于为何一些患者会发生多次牙外伤事件(MDTE)的风险概况。所有牙科诊所都应进行TDI的前瞻性持续登记。NUC方法(N = 无TDI,U = 简单TDI,C = 复杂TDI)可显示是否发生过任何TDI以及该创伤的严重程度。
TDI的趋势似乎在高水平上保持稳定,差异很大程度上反映了地区差异。由于TDI的复杂性,每个牙科诊所都应前瞻性地持续登记TDI的数据及严重程度。