[塞尔维亚儿童的创伤性牙损伤——流行病学研究]

[Traumatic dental injuries in Serbian children--epidemiological study].

作者信息

Vuković Ana, Marković Dejan, Petrović Bojan, Apostolović Mirjana, Golijanin Ranko, Kanjevac Tatjana, Stojković Branislava, Perić Tamara, Blagojević Duska

机构信息

Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia.

Department of Pediatric and Preventive Dentistry, Dentistry Clinic of Vojvodina, School of Medicine, University of Novi Sad, Novi Sad, Serbia.

出版信息

Srp Arh Celok Lek. 2013 Nov-Dec;141(11-12):744-9. doi: 10.2298/sarh1312744v.

DOI:10.2298/sarh1312744v

PMID:24502091

Abstract

INTRODUCTION

Comprehensive epidemiological data regarding factors associated with traumatic dental injuries are scarce.

OBJECTIVE

The aim of the present study was to assess the frequency and analyze the factors associated with traumatic dental injuries in Serbian children.

METHODS

Research included children and adolescents with traumatic dental injury aged 0-19 year during the period from 2003 to 2010, in four University Dental Centres in Serbia: Belgrade, Nis, Novi Sad and Kragujevac. Patient history, demographic, clinical and radiographic data were obtained from dental trauma forms.

RESULTS

Total of 2,194 patients (748 girls, 1,446 boys) (chi2 = 222.1; p < 0.01) with 3,077 injured teeth in permanent and 953 in primary dentition were observed. Most of patients were aged 7 to 12 years (n = 1,191). The most frequent injuries in primary and permanent dentition were dislocations (87.4%) and teeth fractures (50.8%), respectively (chi2 = 706.1; p < 0.01). The most frequent mechanism of injury was fall in children aged 0 to 12 years, while the collisions were most frequent in adolescents (53.9%). The most frequent injuries in adolescents were inflicted outdoor (66.8%), while the injuries in children aged 0 to 3 years occurred at home (68.2%), (chi2 = 360.8; p < 0.01). The most frequent injuries in girls were accidental (48.3%), and in boys these were sport injuries (20.4%) and violence (10.4%) (chi2 = 79.9; p < 0.01). The most frequent cause of injury in children aged 0 to 3 years was accidental (75.6%), while in adolescents it was sport (34.1%) (chi2 = 1102.7; p < 0.01).

CONCLUSION

Dental injuries in preschool children most frequently resulted from fall at home. Schoolchildren most frequently injured teeth outdoor during play. Violence and sport injuries were most frequent cause of injury in adolescents.

摘要

引言

关于与牙外伤相关因素的全面流行病学数据匮乏。

目的

本研究的目的是评估塞尔维亚儿童牙外伤的发生率，并分析与之相关的因素。

方法

研究纳入了2003年至2010年期间在塞尔维亚的四个大学牙科中心（贝尔格莱德、尼什、诺维萨德和克拉古耶瓦茨）年龄在0至19岁的牙外伤儿童和青少年。通过牙科创伤表格获取患者病史、人口统计学、临床和影像学数据。

结果

共观察到2194例患者（748名女孩，1446名男孩）（χ² = 222.1；p < 0.01），恒牙列中有3077颗牙齿受伤，乳牙列中有953颗牙齿受伤。大多数患者年龄在7至12岁（n = 1191）。乳牙列和恒牙列中最常见的损伤分别是脱位（87.4%）和牙齿骨折（50.8%）（χ² = 706.1；p < 0.01）。0至12岁儿童最常见的损伤机制是跌倒，而青少年中碰撞最为常见（53.9%）。青少年中最常见的损伤发生在户外（66.8%），而0至3岁儿童的损伤发生在家中（68.2%），（χ² = 360.8；p < 0.01）。女孩中最常见 injury为意外（48.3%），男孩中为运动损伤（20.4%）和暴力（10.4%）（χ² = 79.9；p < 0.01）。0至3岁儿童最常见的损伤原因是意外（75.6%），而青少年中是运动（34.1%）（χ² = 1102.7；p < 0.01）。