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外伤性牙损伤的流行病学——文献综述12年回顾

Epidemiology of traumatic dental injuries--a 12 year review of the literature.

作者信息

Glendor Ulf

机构信息

Division of Social Medicine and Public Health Science, Department of Medicine and Society, Linköping University, Linköping, Sweden.

出版信息

Dent Traumatol. 2008 Dec;24(6):603-11. doi: 10.1111/j.1600-9657.2008.00696.x.

Abstract

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.

MATERIAL AND METHOD

The databases of Medline, Cochrane, SSCI, SCI and CINAHL from 1995 to the present were used.

RESULT

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.

CONCLUSION

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.

摘要

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。

材料与方法

使用了1995年至今的Medline、Cochrane、SSCI、SCI和CINAHL数据库。

结果

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。

结论

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。

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