Folayan M O, Ozeigbe E O, Onyejaeka N, Chukwumah N M, Oyedele T
Department of Child Dental Health, Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, Osun, Nigeria.
Niger J Clin Pract. 2014 Jan-Feb;17(1):18-22. doi: 10.4103/1119-3077.122826.
The study will report on the prevalence, clinical presentation, diagnosis, and management of non-third molar related pericoronitis seen in children below the age of 15 years who report at the Pediatric Dental Clinic, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife over a 4½ year period.
This is a prospective study of cases of pericoronitis affecting any tooth exclusive of the third molar diagnosed in the pediatric dentistry out-patient clinic in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife between January 2008 and June 2012. Pericoronitis was diagnosed using the criteria described by Howe. Information on age, sex, history malaria fever, upper respiratory diseases, tonsillitis, and evidence of immunosuppression were taken. Radiographs were taken in all cases to rule out tooth impaction and information on treatment regimen was also collected.
The prevalence of non-third molar related pericoronitis was 0.63%. More females (63.6%) were affected. Chronic pericoronitis was the most common presentation (73.3%). No case was reported in the primary dentition and the premolar. No case was associated with tooth impaction and the tooth most affected was the lower right second permanent molar (35.7%). Bilateral presentation was seen in 36.4% patients. Herpetic gingivostomatitis was reported in association with one case. Chronic pericoronitis resolved within 3 days of management with warm saline mouth bath (WSMB) and analgesics, while acute/subacute resolved within 10 days of management with antibiotics, analgesics, and WSMB.
The prevalence of non-third molar related pericoronitis is the low. The most prevalence type is chronic pericoronitis affecting the lower right second permanent molar.
本研究将报告在4年半的时间里，在伊费奥巴费米·阿沃洛沃大学教学医院综合大楼儿科牙科诊所就诊的15岁以下儿童中，非第三磨牙相关性冠周炎的患病率、临床表现、诊断及治疗情况。
这是一项前瞻性研究，研究对象为2008年1月至2012年6月期间在伊费奥巴费米·阿沃洛沃大学教学医院综合大楼儿科牙科门诊诊断出的除第三磨牙外任何牙齿的冠周炎病例。冠周炎的诊断采用豪氏描述的标准。记录年龄、性别、疟疾发热史、上呼吸道疾病、扁桃体炎及免疫抑制证据等信息。所有病例均拍摄X光片以排除牙齿阻生情况，并收集治疗方案相关信息。
非第三磨牙相关性冠周炎的患病率为0.63%。女性受影响者更多（63.6%）。慢性冠周炎是最常见的表现形式（73.3%）。乳牙列和前磨牙未报告病例。无病例与牙齿阻生相关，受影响最严重的牙齿是右下第二恒磨牙（35.7%）。36.4%的患者为双侧发病。有1例报告与疱疹性龈口炎相关。慢性冠周炎经温盐水漱口（WSMB）和使用镇痛药治疗3天内缓解，而急性/亚急性冠周炎经抗生素、镇痛药和WSMB治疗10天内缓解。
非第三磨牙相关性冠周炎的患病率较低。最常见的类型是影响右下第二恒磨牙的慢性冠周炎。
