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7至12岁巴西儿童的外伤性前牙损伤

Traumatic anterior dental injuries in 7- to 12-year-old Brazilian children.

作者信息

Cavalcanti Alessandro Leite, Bezerra Priscilla Kelly Medeiros, de Alencar Catarina Ribeiro Barros, Moura Cristiano

机构信息

Department of Social Dentistry, State University of Paraíba, Campina Grande, Paraíba, Brazil.

出版信息

Dent Traumatol. 2009 Apr;25(2):198-202. doi: 10.1111/j.1600-9657.2008.00746.x.

Abstract

The aim of this study was to determine the prevalence and risk factors of dental trauma in the permanent anterior teeth of schoolchildren in Campina Grande, Brazil. A sample of 448 schoolchildren, 228 boys and 220 girls, aged 7-12 years, were randomly selected from 17 public schools in an urban area. The sample selection was carried out in two stages: first, schools were selected by simple sampling and then children were chosen using a proportionality coefficient. Data were collected through clinical examinations and interviews, after examiner calibration. Overjet (OJ) was considered a risk factor when it presented values higher than 3 mm, while lip coverage was classified as adequate or inadequate. Yates' chi-squared test verified the association between the variables and odds ratio. Significance level was set at 5%. The prevalence of dental injuries was 21%. Boys experienced more injuries than girls, 21.9% and 20%, respectively (P > 0.05). Falls and collisions were the main causes of dental trauma, 63.8% and 24.5%, respectively. There was a statistically significant difference between traumatic dental injuries (TDI) and OJ (95% CI 0.22-0.63) (P < 0.001) and between TDI and inadequate lip coverage (95% CI 9.16-34.93) (P < 0.001). Data indicated that boys presenting an OJ size >3 mm and inadequate lip coverage were more likely to have TDI in Campina Grande, Brazil.

摘要

本研究的目的是确定巴西坎皮纳格兰德市学童恒牙前牙牙外伤的患病率及危险因素。从市区17所公立学校中随机抽取了448名7至12岁的学童作为样本,其中男生228名,女生220名。样本选取分两个阶段进行:首先,通过简单抽样选择学校,然后使用比例系数选择儿童。在检查者校准后,通过临床检查和访谈收集数据。当覆盖超(OJ)值高于3 mm时,将其视为危险因素,而唇覆盖情况分为充足或不足。Yates卡方检验验证了变量与比值比之间的关联。显著性水平设定为5%。牙外伤的患病率为21%。男孩比女孩经历的损伤更多,分别为21.9%和20%(P>0.05)。跌倒和碰撞是牙外伤的主要原因,分别为63.8%和24.5%。牙外伤(TDI)与OJ之间(95%CI 0.22 - 0.63)(P<0.001)以及TDI与唇覆盖不足之间(95%CI 9.16 - 34.93)(P<0.001)存在统计学显著差异。数据表明,在巴西坎皮纳格兰德市,OJ尺寸>3 mm且唇覆盖不足的男孩更有可能发生TDI。

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