Elgamri Alya Isam, Ahmed Azza Tagelsir, Haj-Siddig Omer Elfatih, Chin Judith R
Department of Paediatric Dentistry, University of Khartoum, Sudan.
Department of Cariology, Operative Dentistry, and Dental Public Health, Indiana University School of Dentistry, USA.
Afr Health Sci. 2018 Jun;18(2):359-368. doi: 10.4314/ahs.v18i2.21.
The term Infant Oral Mutilation (IOM) refers to the aggressive cultural rituals where primary canine tooth germs of infants are enucleated for therapeutic reasons.
To determine the prevalence and risk factors for IOM among inner city pre-school children in Khartoum.
In this cross-sectional study, 212 randomly selected children from twelve government pre-schools in Khartoum were examined for the presence of IOM. Socio-demographic, feeding and teething-related data were collected by self-administered questionnaires.
The mean age of the sample was 4.7 years. The prevalence of clinical IOM was 10.8%. Multivariable regression analysis revealed that children who suffered from diarrhea during teething were 7.15 times more likely to have clinical IOM over their counterparts (p<0.0001). Mothers who were educated below elementary school level were 2.69 times more likely to have children showing clinical IOM (p= 0.0369).
The present study showed that the practice of IOM is common among inner city children. Certain teething-related symptoms especially diarrhea and maternal education could be strong determinants of the malpractice of IOM.
婴儿口腔 mutilation（IOM）一词指的是出于治疗目的摘除婴儿乳尖牙牙胚的激进文化习俗。
确定喀土穆市中心城区学龄前儿童中 IOM 的患病率及危险因素。
在这项横断面研究中，对从喀土穆 12 所政府幼儿园随机选取的 212 名儿童进行了 IOM 检查。通过自填问卷收集社会人口学、喂养及出牙相关数据。
样本的平均年龄为 4.7 岁。临床 IOM 的患病率为 10.8%。多变量回归分析显示，出牙期间患腹泻的儿童出现临床 IOM 的可能性是未患腹泻儿童的 7.15 倍（p<0.0001）。小学以下文化程度的母亲其孩子出现临床 IOM 的可能性是其他母亲的 2.69 倍（p = 0.0369）。
本研究表明，IOM 行为在市中心城区儿童中很常见。某些出牙相关症状，尤其是腹泻和母亲的文化程度可能是 IOM 不当行为的重要决定因素。
