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牙外伤的原因:尼日利亚乔斯市一家二级口腔保健中心患者的调查结果

Causes of Dental Trauma: Results of Findings Among Patients in a Secondary Oral Healthcare Center, Jos, Nigeria.

作者信息

Idowu Abiodun Enoch, Adedapo Afolabi Olanrewaju, Akhiwu Benjamin Idemudia, Agbara Rowland, Olaniyi Taiwo Olufemi, Alufohai Olohigbe Obahonsi

机构信息

Faculty of Dental Sciences, College of Health Sciences, University of Jos/Jos University Teaching Hospital, Jos, Nigeria.

Federal Medical Center, Owo, Ondo State, Nigeria.

出版信息

J West Afr Coll Surg. 2021 Apr-Jun;11(2):19-24. doi: 10.4103/jwas.jwas_40_22. Epub 2022 Jul 12.

Abstract

BACKGROUND

Dental trauma is a major type of traumatic dental injury (TDI) and a common presentation in many oral health facilities in Nigeria. Despite the high prevalence of TDIs, causes of dental trauma are yet to be fully investigated among Nigerians.

AIM

The aim of this study is to determine the types of dental trauma, aetiology, and the causes of dental trauma as it relates with sociodemographic characteristics among dental patients.

MATERIALS AND METHODS

This was a cross-sectional study among patients attending a secondary oral healthcare facility in the North Central city of Jos between January 2019 and December 2020. The sociodemographic features of the patients include patients' complaints, clinical and social history, result of simple clinical oral examinations, and diagnoses of dental trauma. The classification of Ellis and Davey (1970) was used to classify dental trauma for this study.

RESULTS

One hundred and seventy-six (6.7%) patients presented with dental trauma involving 281 teeth. The mean age was 37.54 ± 2.16 years. The most common cause of dental trauma in 48 (27.3%) patients was bone cracking, followed by falls in 33 (18.8%), road traffic accidents (RTAs) in 26 (14.8%), and bottle opening with teeth in 26 (14.8%). Bone cracking was the major cause of dental trauma in 18 (31.0%) educated and 2 (28.6%) non-educated patients. Among the patients, 118 (67.1%) presented with single traumatized tooth. Permanent anterior teeth 151 (53.74%) were more involved, and class 2 trauma involving enamel and dentinal structure was the most common presentation.

CONCLUSION

Oral health awareness campaign on the damaging effect of bone cracking and use of tooth for opening metal caps of bottled drinks among adult population will reduce the prevalence of dental trauma among many adult Nigerians.

摘要

背景

牙外伤是创伤性牙损伤(TDI)的主要类型,在尼日利亚的许多口腔医疗机构中是常见症状。尽管TDI的患病率很高,但尼日利亚人牙外伤的原因尚未得到充分研究。

目的

本研究的目的是确定牙外伤的类型、病因,以及牙外伤与牙科患者社会人口学特征的关系。

材料与方法

这是一项横断面研究,研究对象为2019年1月至2020年12月期间在中部城市乔斯的一家二级口腔医疗机构就诊的患者。患者的社会人口学特征包括患者的主诉、临床和社会病史、简单临床口腔检查结果以及牙外伤诊断。本研究采用埃利斯和戴维(1970年)的分类方法对牙外伤进行分类。

结果

176名(6.7%)患者出现牙外伤,累及281颗牙齿。平均年龄为37.54±2.16岁。48名(27.3%)患者牙外伤的最常见原因是骨头咯伤,其次是跌倒,有33名(18.8%),道路交通事故(RTA)26名(14.8%),用牙齿开瓶子26名(14.8%)。骨头咯伤是18名(31.0%)受过教育和2名(28.6%)未受过教育患者牙外伤的主要原因。在患者中,118名(67.1%)有单个牙齿受伤。恒牙列上前牙151颗(53.74%)受累更多,涉及釉质和牙本质结构的2类创伤是最常见的表现。

结论

开展关于骨头咯伤的破坏作用以及成年人用牙齿打开瓶装饮料金属瓶盖的危害的口腔健康宣传活动,将降低许多成年尼日利亚人牙外伤的患病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c1a/9380786/079db5416725/JWACS-11-19-g001.jpg

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