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巴西5至6岁儿童牙齿外伤的流行病学研究。

Epidemiological study of traumatic dental injuries in 5- to 6-year-old Brazilian children.

作者信息

Berti Gabriela Oliveira, Hesse Daniela, Bonifácio Clarissa Calil, Raggio Daniela Prócida, Bönecker Marcelo José Strazzeri

机构信息

Orthodontics and Pediatric Dentistry Department, School of Dentistry, Universidade de São Paulo, São Paulo, SP, BR.

Department of Conservative Dentistry, Academic Centre for Dentistry Amsterdam, Amsterdam, NL.

出版信息

Braz Oral Res. 2015;29:1-6. doi: 10.1590/1807-3107BOR-2015.vol29.0103. Epub 2015 Aug 21.

Abstract

Monitoring traumatic dental injury (TDI) in primary teeth through epidemiological cross-sectional surveys provides descriptive information relevant to the development of public policies focused on the prevention of such injuries for the target population. The aim of this study was to assess the prevalence of TDI in 5- to 6-year-old Brazilian children and its association with biological and socioeconomic factors. A total of 684 children aged 5 to 6 years old, from 11 public schools in the city of Barueri (Brazil) were evaluated. Clinical examinations were carried out in the schools, by two trained and calibrated examiners. Gauze and a mouth mirror were used for the examinations. The reported TDIs were classified according to the Andreasen (2007) criteria for primary teeth. The results showed that 52.3% of the children had TDI. Enamel fracture (63.4%) was the most frequently observed sign of TDI, and the most affected teeth were the primary maxillary central incisors (26.9% maxillary right central incisor and 24% maxillary left central incisor). There was no association between the presence of TDI and biological or socioeconomic factors. In conclusion, the prevalence of TDI was high and had no statistically significant association with biological and socioeconomic factors.

摘要

通过流行病学横断面调查监测乳牙外伤(TDI),可为制定针对目标人群预防此类损伤的公共政策提供相关描述性信息。本研究旨在评估巴西5至6岁儿童乳牙外伤的患病率及其与生物学和社会经济因素的关联。对来自巴西巴鲁埃里市11所公立学校的684名5至6岁儿童进行了评估。由两名经过培训和校准的检查人员在学校进行临床检查。检查时使用了纱布和口镜。报告的乳牙外伤根据安德里亚森(2007年)的乳牙标准进行分类。结果显示,52.3%的儿童有乳牙外伤。牙釉质骨折(63.4%)是最常观察到的乳牙外伤体征,受影响最严重的牙齿是上颌乳中切牙(右上颌中切牙26.9%,左上颌中切牙24%)。乳牙外伤的存在与生物学或社会经济因素之间没有关联。总之,乳牙外伤的患病率很高,且与生物学和社会经济因素无统计学上的显著关联。

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