Stewart Gregory B, Shields Brenda J, Fields Sarah, Comstock R Dawn, Smith Gary A
Division of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University College of Medicine, 700 Children's Drive, Columbus, OH 43205, USA.
Dent Traumatol. 2009 Aug;25(4):399-405. doi: 10.1111/j.1600-9657.2009.00800.x.
Describe the association of consumer products and activities with dental injuries among children 0-17 years of age treated in United States emergency departments.
A retrospective analysis of data from the National Electronic Injury Surveillance System, 1990-2003.
There was an average of 22 000 dental injuries annually among children <18 years of age during the study period, representing an average annual rate of 31.6 dental injuries per 100 000 population. Children with primary dentition (<7 years) sustained over half of the dental injuries recorded, and products/activities associated with home structures/furniture were the leading contributors. Floors, steps, tables, and beds were the consumer products within the home most associated with dental injuries. Outdoor recreational products/activities were associated with the largest number of dental injuries among children with mixed dentition (7-12 years); almost half of these were associated with the bicycle, which was the consumer product associated with the largest number of dental injuries. Among children with permanent teeth (13- to 17-year olds), sports-related products/activities were associated with the highest number of dental injuries. Of all sports, baseball and basketball were associated with the largest number of dental injuries.
To our knowledge, this is the first study to evaluate dental injuries among children using a national sample. We identified the leading consumer products/activities associated with dental injuries to children with primary, mixed, and permanent dentition. Knowledge of these consumer products/activities allows for more focused and effective prevention strategies.
描述美国急诊科收治的0至17岁儿童的消费品及活动与牙损伤之间的关联。
对1990年至2003年国家电子伤害监测系统的数据进行回顾性分析。
在研究期间，18岁以下儿童每年平均有22000例牙损伤，相当于每10万人口中平均每年有31.6例牙损伤。乳牙期（<7岁）儿童的牙损伤记录占半数以上，家庭建筑/家具相关的产品/活动是主要原因。地板、台阶、桌子和床是家庭中与牙损伤最相关的消费品。户外娱乐产品/活动与混合牙列期（7至12岁）儿童的牙损伤数量最多相关；其中近半数与自行车有关，自行车是与牙损伤数量最多相关的消费品。恒牙期（13至17岁）儿童中，与运动相关的产品/活动导致的牙损伤数量最多。在所有运动中，棒球和篮球与牙损伤数量最多相关。
据我们所知，这是第一项使用全国样本评估儿童牙损伤的研究。我们确定了与乳牙期、混合牙列期和恒牙期儿童牙损伤相关的主要消费品/活动。了解这些消费品/活动有助于制定更有针对性和有效的预防策略。
