Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Child and Adolescent Oral Health, Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Clinical, Pathology and Dental Surgery, Belo Horizonte, MG, Brazil.
Braz Oral Res. 2021 Nov 19;35:e112. doi: 10.1590/1807-3107bor-2021.vol35.0112. eCollection 2021.
The present study aimed to evaluate the frequency of immediate care seeking after traumatic dental injury (TDI) in primary dentition and its association with the children's characteristics, socioeconomic status, and TDI characteristics. This was a cross-sectional study with dental records of children aged 9 months to 6 years who attended a reference center in TDI in primary dentition between 2007 and 2018. Immediate care seeking after TDI, child's characteristics, sociodemographic conditions and TDI characteristics were collected. Descriptive statistics and Poisson regression analysis with robust variance were performed (p < 0.05; 95%CI). Among the 493 dental records, 61.1% (n = 301) were of males and 50.5% (n = 249) were from children aged 2 years or less. More than one third of the sample (36.9%; n = 182) sought immediate care after TDI. Among the types of TDI, the prevalence of soft tissue injuries was 59.0% (n = 291), while 51.7% (n = 255) were hard tissue injuries and 54.0% (n = 266) were supporting tissue injuries. Immediate care seeking after TDI was higher in children who needed suture (PR: 1.39; 95%CI: 1.01-1.92. p = 0.039), had luxation (lateral, intrusion, or extrusion) (PR: 2.36; 95%CI: 1.36-4.08. p = 0.002) or avulsion (PR: 2.18; 95%CI: 1.28-3.70. p = 0.004). The need for suture, luxation (lateral, intrusion and extrusion), and avulsion were determinant factors for the immediate care seeking after TDI, regardless of the child's characteristics and socioeconomic status.
本研究旨在评估儿童在发生外伤性牙损伤（TDI）后即刻寻求治疗的频率及其与儿童特征、社会经济状况和 TDI 特征的关系。这是一项横断面研究，纳入了 2007 年至 2018 年期间在初级牙列中发生 TDI 并在参考中心就诊的 9 个月至 6 岁儿童的牙科记录。收集了 TDI 后即刻寻求治疗、儿童特征、社会人口统计学状况和 TDI 特征等信息。采用描述性统计和稳健方差的泊松回归分析（p < 0.05；95%CI）。在 493 份牙科记录中，61.1%（n = 301）为男性，50.5%（n = 249）为 2 岁或以下的儿童。超过三分之一的样本（36.9%；n = 182）在发生 TDI 后即刻寻求治疗。在 TDI 类型中，软组织损伤的患病率为 59.0%（n = 291），而硬组织损伤为 51.7%（n = 255），支持组织损伤为 54.0%（n = 266）。需要缝合（PR：1.39；95%CI：1.01-1.92，p = 0.039）、脱位（侧向、嵌入或挤出）（PR：2.36；95%CI：1.36-4.08，p = 0.002）或撕脱（PR：2.18；95%CI：1.28-3.70，p = 0.004）的儿童更有可能在 TDI 后即刻寻求治疗。无论儿童特征和社会经济状况如何，缝合、脱位（侧向、嵌入和挤出）和撕脱都是 TDI 后即刻寻求治疗的决定因素。
