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乳牙创伤性牙损伤:在巴西一家专科治疗中心观察到的严重程度及相关因素

Traumatic dental injuries in primary teeth: severity and related factors observed at a specialist treatment centre in Brazil.

作者信息

Costa V P P, Bertoldi A D, Baldissera E Z, Goettems M L, Correa M B, Torriani D D

机构信息

Post-Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.

出版信息

Eur Arch Paediatr Dent. 2014 Apr;15(2):83-8. doi: 10.1007/s40368-013-0068-x. Epub 2013 Jul 16.

DOI:10.1007/s40368-013-0068-x
PMID:23856808
Abstract

AIM

This retrospective study aimed to analyse demographic data and the severity of traumatic dental injuries (TDIs) to the primary dentition based on children's dental records at a university clinic.

STUDY DESIGN

A cross-sectional retrospective study.

METHODS

The records of all patients were analysed according to gender, age, aetiology, teeth involved, number of affected teeth, place of occurrence, witness to the trauma, time elapsed between trauma occurrence and care-seeking, type of trauma and severity of injury.

RESULTS

A total of 576 children aged 8-89 months suffered injuries to 1,043 teeth. Severe injuries were the most prevalent (45.5%). These occurred at all ages, but their frequency was higher in children aged between 13 and 24 months. The prevalence of mild injury was higher when the cause was a fall from one's own height. No differences were detected in severity according to the place of occurrence and witnesses of the accident. The prevalence of severe injury was higher in cases where three or more teeth were involved.

CONCLUSIONS

In this specialist treatment centre, severe injuries were the most common TDIs, which occurred in children aged 13-24 months, mainly due to falls and most occurred at home. Professionals must be prepared to deliver the best and most efficient care to this population.

摘要

目的

本回顾性研究旨在根据大学诊所儿童的牙科记录,分析乳牙列创伤性牙损伤(TDIs)的人口统计学数据和严重程度。

研究设计

横断面回顾性研究。

方法

根据性别、年龄、病因、受累牙齿、患牙数量、发生地点、创伤目击者、创伤发生至就诊的时间、创伤类型和损伤严重程度对所有患者的记录进行分析。

结果

共有576名年龄在8至89个月的儿童的1043颗牙齿受伤。重伤最为普遍(45.5%)。这些损伤在各年龄段均有发生,但在13至24个月的儿童中发生率更高。当病因是从自身高度跌落时,轻伤的发生率更高。根据事故发生地点和目击者,在严重程度上未发现差异。累及三颗或更多牙齿的病例中重伤的发生率更高。

结论

在这个专科治疗中心,重伤是最常见的TDIs,发生在13至24个月的儿童中,主要原因是跌倒,且大多发生在家中。专业人员必须准备好为这一人群提供最佳和最有效的护理。

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本文引用的文献

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Health Qual Life Outcomes. 2011 Sep 24;9:78. doi: 10.1186/1477-7525-9-78.
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Retrospective study of traumatic dental injuries in primary teeth in a Brazilian specialized pediatric practice.巴西一家专门的儿科诊所中儿童乳牙外伤性损伤的回顾性研究。
Dent Traumatol. 2011 Oct;27(5):368-73. doi: 10.1111/j.1600-9657.2011.01011.x. Epub 2011 Jun 9.
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The art and science of managing traumatic injuries to primary teeth.
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儿童乳牙外伤的处理原则:艺术与科学
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Predisposing factors for traumatic dental injuries in Brazilian preschool children.巴西学龄前儿童创伤性牙外伤的诱发因素。
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Epidemiologic survey of traumatic dental injuries in children seen at the Federal University of Rio de Janeiro, Brazil.巴西里约热内卢联邦大学就诊儿童外伤性牙损伤的流行病学调查。
Braz Oral Res. 2010 Jan-Mar;24(1):89-94. doi: 10.1590/s1806-83242010000100015.
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Assessment of traumatic injuries to primary teeth in general practise and specialized paediatric dentistry.在一般实践和专门的儿科牙科中评估初级牙齿的创伤性损伤。
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