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乳磨牙和恒切牙矿化不全儿童的临床特征及病因学因素调查

Investigation of Clinical Characteristics and Etiological Factors in Children with Molar Incisor Hypomineralization.

作者信息

Giuca Maria Rita, Cappè Maria, Carli Elisabetta, Lardani Lisa, Pasini Marco

机构信息

Department of Surgical, Medical, Molecular Pathology and Critical Area, Dental and Oral Surgery Clinic, Unit of Pediatric Dentistry, University of Pisa, Via Savi 10, 56126 Pisa, Italy.

出版信息

Int J Dent. 2018 May 9;2018:7584736. doi: 10.1155/2018/7584736. eCollection 2018.

Abstract

AIM

The purpose of the present study was to evaluate the clinical defects and etiological factors potentially involved in the onset of MIH in a pediatric sample.

METHODS

120 children, selected from the university dental clinic, were included: 60 children (25 boys and 35 girls; average age: 9.8 ± 1.8 years) with MIH formed the test group and 60 children (27 boys and 33 girls; average age: 10.1 ± 2 years) without MIH constituted the control group. Distribution and severity of MIH defects were evaluated, and a questionnaire was used to investigate the etiological variables; chi-square, univariate, and multivariate statistical tests were performed (significance level set at < 0.05).

RESULTS

A total of 186 molars and 98 incisors exhibited MIH defects: 55 molars and 75 incisors showed mild defects, 91 molars and 20 incisors had moderate lesions, and 40 molars and 3 incisors showed severe lesions. Univariate and multivariate statistical analysis showed a significant association ( < 0.05) between MIH and ear, nose, and throat (ENT) disorders and the antibiotics used during pregnancy (0.019).

CONCLUSIONS

Moderate defects were more frequent in the molars, while mild lesions were more frequent in the incisors. Antibiotics used during pregnancy and ENT may be directly involved in the etiology of MIH in children.

摘要

目的

本研究旨在评估一组儿童样本中与乳牙釉质发育不全(MIH)发病相关的临床缺陷和潜在病因。

方法

选取来自大学牙科诊所的120名儿童:60名患有MIH的儿童(25名男孩和35名女孩;平均年龄:9.8±1.8岁)组成试验组,60名未患MIH的儿童(27名男孩和33名女孩;平均年龄:10.1±2岁)构成对照组。评估MIH缺陷的分布和严重程度,并使用问卷调查病因变量;进行卡方检验、单因素和多因素统计分析(显著性水平设定为<0.05)。

结果

共有186颗磨牙和98颗前牙出现MIH缺陷:55颗磨牙和75颗前牙表现为轻度缺陷,91颗磨牙和20颗前牙有中度病变,40颗磨牙和3颗前牙显示重度病变。单因素和多因素统计分析表明,MIH与耳鼻喉(ENT)疾病以及孕期使用抗生素之间存在显著关联(<0.05)(0.019)。

结论

磨牙中中度缺陷更为常见,而前牙中轻度病变更为常见。孕期使用抗生素和耳鼻喉疾病可能直接参与儿童MIH的病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5de7/5971243/90fd4956ecf9/IJD2018-7584736.001.jpg

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