Sir John Walsh Research Institute, Faculty of Dentistry, The University of Otago, Dunedin, New Zealand.
Dent Traumatol. 2011 Apr;27(2):109-12. doi: 10.1111/j.1600-9657.2010.00969.x.
BACKGROUND/AIM: Few studies have investigated how patients feel about traumatic injuries to teeth. Dentists may focus on treating an injury and neglect to address how the patient views the severity, or aesthetics. Addressing these issues may improve trauma management and communication between dentists and patients. The aim of the study was to compare children's, adolescents' and young adults' perceptions of common dental injuries to the maxillary central incisor teeth.
A cross-sectional study was conducted with 138 participants selected by convenience sampling and divided into 6- to 10-year, 11- to 17-year and 18- to 24-year age groups. Participants were shown six coloured photographs of traumatic injuries to central incisors and asked four questions. Data were analysed using SPSS. Group differences were evaluated using Mann-Whitney U and Kruskal-Wallis H tests.
There were statistically significant differences between the 6- to 10-year and 18- to 24-year age groups as to which traumatic injury would hurt the most (P < 0.05). Responses from younger participants appeared to be affected by the presence of blood in photographs, while young adults were more 'tooth-focused.' Younger children selected extrusion as the most painful injury, and the oldest group selected the complicated crown fracture. For the youngest age group, a missing anterior tooth was least concerning aesthetically, while young adults were most likely to choose discolouration (P < 0.05). Most in each age group thought crown fractures (particularly complicated ones) would be the most difficult for a dentist to treat.
Statistically significant differences (P < 0.05) were found among the youngest and oldest age groups in their perceptions of which type of injury would hurt most and which injury was the least attractive. This study suggests that children and young adults may perceive the significance of their dental injuries quite differently than dental professionals.
背景/目的：鲜有研究调查过患者对牙齿外伤性损伤的感受。牙医可能专注于治疗损伤，而忽略了患者对损伤严重程度或美观的看法。解决这些问题可能会改善创伤管理和牙医与患者之间的沟通。本研究旨在比较儿童、青少年和年轻成人对上颌中切牙常见外伤性损伤的看法。
采用横断面研究，通过便利抽样选择 138 名参与者，并分为 6-10 岁、11-17 岁和 18-24 岁年龄组。向参与者展示了六张外伤性中切牙损伤的彩色照片，并提出了四个问题。使用 SPSS 进行数据分析。采用 Mann-Whitney U 和 Kruskal-Wallis H 检验评估组间差异。
6-10 岁和 18-24 岁年龄组之间在何种外伤性损伤最疼痛的问题上存在统计学显著差异（P<0.05）。年轻参与者的反应似乎受到照片中是否有血的影响，而年轻成人则更关注“牙齿”。年幼的孩子选择了脱位为最疼痛的损伤，而年龄最大的一组则选择了复杂冠折。对于年龄最小的组，缺失的前牙在美观上最不令人担忧，而年轻成人最有可能选择变色（P<0.05）。每个年龄组的大多数人都认为牙冠折裂（尤其是复杂的）最令牙医难以治疗。
在对哪种损伤最疼痛和哪种损伤最不美观的看法方面，年龄最小和最大的两组之间存在统计学显著差异（P<0.05）。本研究表明，儿童和年轻成人可能对其牙齿损伤的重要性有不同的看法，而与牙医的看法不同。
