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视障与视力正常儿童在寄宿学校中的牙齿创伤经历 - 一项比较性横断面研究。

Dental trauma experience of visually impaired and sighted children residing in residential schools - a comparative cross-sectional study.

机构信息

Department of Dentistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.

Department of Pedodontics, Pacific Dental College and Hospital, Udaipur, India.

出版信息

Spec Care Dentist. 2021 Mar;41(2):195-201. doi: 10.1111/scd.12555. Epub 2020 Dec 17.

Abstract

AIM

To assess and compare the prevalence of dental trauma in a population of 9- to 16-year-old children with partially impaired vision and sighted children of Jodhpur city, Rajasthan State in India.

METHODS

In this cross-sectional study, 121 children with partial impairment of vision were compared with a control group of 356 sighted children for traumatic injuries to the permanent dentition. Children in both the group were aged between 9 and 16 years and residing in a residential school. The survey was carried out using Ellis and Davy's classification of tooth fracture. Data were analyzed using descriptive statistical analysis, and the Chi-square test was used to compare different variables with P < .05.

RESULTS

The overall prevalence rates of traumatic dental injury (TDI) in the visually impaired and sighted groups were 24.79% and 9.39%, respectively (P = .000). Enamel fracture was the most common type of injury, and the maxillary central incisor was most frequently involved in both the groups. Children with overjet >3 mm sustained TDI more frequently in visually impaired children. TDI was higher in children with overjet ≤3 mm in sighted groups (P = .000). In both the groups children with inadequate lip coverage had higher occurrence of TDI (P = .000).

CONCLUSION

Dental trauma appeared to be more frequent in visually impaired compared to sighted children. The unmet treatment need for children with TDI was very high.

摘要

目的

评估和比较印度拉贾斯坦邦焦特布尔市 9 至 16 岁视力部分受损儿童和视力正常儿童的牙齿外伤患病率。

方法

在这项横断面研究中,将 121 名视力部分受损的儿童与对照组 356 名视力正常的儿童进行比较,评估其恒牙外伤情况。两组儿童年龄均在 9 至 16 岁之间,且都居住在寄宿学校。使用 Ellis 和 Davy 的牙齿折断分类法进行调查。使用描述性统计分析进行数据分析,并使用卡方检验比较不同变量,P<.05。

结果

视力受损组和视力正常组的创伤性牙外伤(TDI)总患病率分别为 24.79%和 9.39%(P<.0001)。釉质骨折是最常见的损伤类型,上颌中切牙是两组中最常受累的牙齿。上颌前突>3mm的儿童更易发生 TDI;上颌前突≤3mm的视力正常儿童的 TDI 发生率更高(P<.0001)。两组中唇覆盖不足的儿童 TDI 发生率更高(P<.0001)。

结论

与视力正常的儿童相比,视力受损的儿童的牙齿外伤似乎更为常见。TDI 儿童的未满足治疗需求非常高。

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