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巴西学龄前儿童外伤性牙损伤相关的社会经济和临床因素。

Socioeconomic and clinical factors associated with traumatic dental injuries in Brazilian preschool children.

机构信息

Department of Pediatric Dentistry, Faculdade de Odontolologia, Univ de São Paulo, Brazil.

出版信息

Braz Oral Res. 2012 Sep-Oct;26(5):464-70. doi: 10.1590/s1806-83242012000500014.

Abstract

The aim of this paper was to assess the epidemiology of traumatic dental injury (TDI) in preschool children and its relation to socioeconomic and clinical factors. This study was carried out in Santa Maria, Brazil, during National Children's Vaccination Day, and 441 children aged 12 to 59 months were included. Data about socioeconomic status were collected through a semi-structured questionnaire administered to parents. Calibrated examiners evaluated the prevalence of TDI, overjet, and lip coverage. Data were analyzed with a Poisson regression model (PR; 95% confidence intervals). The TDI prevalence was 31.7%. The maxillary central incisors were the most frequently traumatized teeth. The most common TDI was enamel fracture. No association was found between TDI prevalence and the socioeconomic status of children. After adjustments were performed, the eldest children with an overjet > 3 mm were more likely to have TDI than their counterparts. The data indicated a high prevalence of TDI. Only overjet was a strong predictor for TDI, whereas socioeconomic factors were not associated with TDI in this age group.

摘要

本文旨在评估学龄前儿童外伤性牙损伤(TDI)的流行病学及其与社会经济和临床因素的关系。本研究在巴西圣玛丽亚市进行,恰逢国家儿童免疫日,共纳入 441 名 12 至 59 个月大的儿童。通过向家长发放半结构化问卷收集有关社会经济状况的数据。经过校准的检查者评估了 TDI、覆𬌗和唇覆盖的患病率。使用泊松回归模型(PR;95%置信区间)进行数据分析。TDI 的患病率为 31.7%。上颌中切牙是最常受伤的牙齿。最常见的 TDI 是牙釉质裂。TDI 患病率与儿童的社会经济地位之间没有关联。在进行调整后,覆𬌗 > 3 毫米的较大儿童比同龄人更有可能发生 TDI。数据表明 TDI 的患病率较高。只有覆𬌗是 TDI 的一个强有力的预测因素,而社会经济因素与该年龄段的 TDI 无关。

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