Lewis Charlotte, Stout James
Department of Pediatrics, Division of General Pediatrics and the Child Health Institute, University of Washington School of Medicine, Seattle, WA 98195, USA.
Arch Pediatr Adolesc Med. 2010 Nov;164(11):1059-63. doi: 10.1001/archpediatrics.2010.206.
To describe the prevalence of and risk factors for recent toothache among US children and to estimate frequency of contact between children with toothache and their pediatric primary care providers (PPCP).
Cross-sectional analysis of nationally representative data.
The 2007 National Survey of Children's Health.
Population-based sample of parents/guardians of 86 730 children aged 1 through 17 years from 50 states and the District of Columbia.
Parent-reported toothache in the last 6 months.
A total of 10.7% of US children and 14% of children aged 6 to 12 years experienced toothache in the last 6 months. Poor and low-income minority children and those with special needs were significantly more likely to have had a toothache on multivariable analysis. Most children with toothache in the last 6 months had their own physician (88.9%) and had a preventive medical visit in the last year (88.1%), pointing to opportunities for PPCP to identify and intervene with children who have untreated dental decay and toothache.
Toothache is not the universal experience it was before the advent of modern dentistry. Nevertheless, a substantial number of US children recently had a toothache, with noteworthy variability between states. There are opportunities for PPCP to address oral health prevention, assess for dental decay and toothache, and treat complications. We propose toothache as a potential quality indicator reflecting disparities in oral health for a population.
描述美国儿童近期牙痛的患病率及危险因素，并估计牙痛儿童与其儿科初级保健提供者（PPCP）之间的接触频率。
对具有全国代表性的数据进行横断面分析。
2007年全国儿童健康调查。
来自50个州和哥伦比亚特区的86730名1至17岁儿童的父母/监护人的基于人群的样本。
家长报告的过去6个月内的牙痛情况。
共有10.7%的美国儿童和14%的6至12岁儿童在过去6个月内经历过牙痛。在多变量分析中，贫困和低收入少数族裔儿童以及有特殊需求的儿童患牙痛的可能性显著更高。在过去6个月内有牙痛的大多数儿童有自己的医生（88.9%），并且在过去一年进行过预防性医疗就诊（88.1%），这表明PPCP有机会识别并干预患有未经治疗的龋齿和牙痛的儿童。
牙痛已不像现代牙科出现之前那样普遍。尽管如此，仍有相当数量的美国儿童近期经历过牙痛，各州之间存在显著差异。PPCP有机会开展口腔健康预防、评估龋齿和牙痛情况并治疗并发症。我们提议将牙痛作为反映人群口腔健康差异的潜在质量指标。
