Martin Adeline Genivie, Shivashakarappa Prathima Gajula, Adimoulame Sanguida, Sundaramurthy Nandhakumar, G Ezhumalai
Department of Pediatric and Preventive Dentistry, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Puducherry, India.
Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth (Deemed To Be University, Puducherry, India.
Int J Clin Pediatr Dent. 2022 Jan-Feb;15(1):104-108. doi: 10.5005/jp-journals-10005-2350.
BACKGROUND/AIM: Dental trauma draws attention in special children due to its risks and consequences. The aim of this study was to estimate the prevalence, etiology, and risk factors of traumatic dental injuries in children with special healthcare needs of Puducherry.
A cross-sectional survey among 121 special children aged 4-18 years was carried out in Puducherry. The children were examined for the presence of traumatic dental injuries (TDI) and associated risk factors for the occurrence of trauma and classified according to the WHO epidemiological field survey classification.
Prevalence of TDI was 40.5%. The majority of them were restricted to enamel fractures and the most commonly affected were permanent maxillary central incisors. The most common cause of injury was ˝falling over˝ and home was the frequent place of injury to occur. The risk factors associated with TDI were mesoprosopic facial form, convex facial profile, increased overjet, Angles Class II molar relationship, posterior facial divergence, and incompetent lips which were statistically significant.
The study concludes the prevalence of TDI is more prevalent in CSHCN, thereby it is necessary to create awareness, health education, and periodic screening for efficient treatment.
Martin AG, GS Prathima, Sanguida A, Prevalence, Etiology, and Risk Factors of Traumatic Dental Injuries in Children with Special Needs of Puducherry. Int J Clin Pediatr Dent 2022;15(1):104-108.
背景/目的：由于牙齿外伤的风险和后果，其在特殊儿童中备受关注。本研究旨在评估本地治里有特殊医疗需求儿童牙齿外伤的患病率、病因及危险因素。
在本地治里对121名4至18岁的特殊儿童进行了横断面调查。检查这些儿童是否存在牙齿外伤（TDI）以及外伤发生的相关危险因素，并根据世界卫生组织流行病学现场调查分类进行分类。
牙齿外伤的患病率为40.5%。其中大多数局限于牙釉质骨折，最常受影响的是上颌恒中切牙。最常见的受伤原因是“摔倒”，受伤频繁发生的地点是家中。与牙齿外伤相关的危险因素包括中面部形态、凸面型、覆盖增加、安氏II类磨牙关系、面部后份散开以及唇部功能不全，这些因素具有统计学意义。
该研究得出结论，牙齿外伤在有特殊医疗需求的儿童中更为普遍，因此有必要提高认识、开展健康教育并进行定期筛查以实现有效治疗。
Martin AG, GS Prathima, Sanguida A, 本地治里有特殊需求儿童牙齿外伤的患病率、病因及危险因素。《国际临床儿科牙科学杂志》2022年；15(1):104 - 108。
