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评估摩尔切牙釉质发育不全患病率的变化:2008 年至 2017 年间在墨西哥城两所小学进行的两项横断面研究比较。

Evaluating the changes in molar incisor hypomineralization prevalence: A comparison of two cross-sectional studies in two elementary schools in Mexico City between 2008 and 2017.

机构信息

Health Care Department, Metropolitan Autonomous University-Xochimilco, Mexico City, Mexico.

Faculty of Dentistry, University of Seville, Seville, Spain.

出版信息

Clin Exp Dent Res. 2020 Feb;6(1):82-89. doi: 10.1002/cre2.252. Epub 2019 Nov 7.

Abstract

BACKGROUND

Little information is available on the trends over time of the prevalence of molar incisor hypomineralization (MIH). This condition may be preventing dental caries decline.

AIM

(a) To compare the prevalence of MIH, in Mexico City schoolchildren, evaluated in 2008 with a group evaluated in 2017, (b) to identify the association of MIH with dental caries, and (c) to assess the mother's perception of her child's oral health status.

DESIGN

Two cross-sectional studies performed in 2008 and in 2017 were compared. The oral examiner and the selected schools were the same in both surveys.

RESULTS

A total of 549 schoolchildren were evaluated. The prevalence of MIH in the first survey was 20.3%, and 31.9 % in the second survey, (p = .002). Children with MIH were more likely to have dental caries. The odds ratio was 2.24 (p = .036) and 4.18 (p ˂ .001) in the first and second surveys, respectively. Mothers of children with MIH perceived worse oral health status of their children than the mothers whose children did not have MIH (odds ratio = 4.47, p ˂ .001).

CONCLUSION

The findings portray a clear increase in prevalence of MIH and highlight the need for increased awareness about this condition among dentists and the general population.

摘要

背景

关于摩尔牙釉质发育不全(MIH)的流行率随时间的变化趋势,相关信息较少。这种情况可能会阻碍龋齿的减少。

目的

(a)比较 2008 年和 2017 年评估的墨西哥城学龄儿童 MIH 的患病率,(b)确定 MIH 与龋齿的关系,(c)评估母亲对其子女口腔健康状况的认知。

设计

比较了 2008 年和 2017 年进行的两项横断面研究。两次调查的口腔检查者和选择的学校相同。

结果

共评估了 549 名学龄儿童。第一次调查中 MIH 的患病率为 20.3%,第二次调查中为 31.9%,(p =.002)。患有 MIH 的儿童更有可能患有龋齿。第一次和第二次调查的优势比分别为 2.24(p =.036)和 4.18(p ˂.001)。患有 MIH 的儿童的母亲比其子女没有 MIH 的母亲对子女的口腔健康状况认知更差(优势比= 4.47,p ˂.001)。

结论

这些发现清楚地表明 MIH 的患病率明显增加,并强调了牙医和普通大众需要提高对这种情况的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df28/7025996/8c960679456e/CRE2-6-82-g001.jpg

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