Department of Basic Medical and Dental Sciences, Centre of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman P.O. Box 346, United Arab Emirates.
UAE Ministry of Health, Ajman, United Arab Emirates.
Int J Environ Res Public Health. 2022 Oct 11;19(20):13032. doi: 10.3390/ijerph192013032.
This study aimed to evaluate the prevalence of the factors related to traumatic injuries to the permanent incisors of 12-year-old children in the Emirate of Ajman, United Arab Emirates.
A sample of 1008 12-year-old children (510 boys and 498 girls) participated in this study. A multi-stage randomized sampling technique was used to select children from public schools for their inclusion in the sample population. An oral examination was completed by a calibrated examiner after receiving training for traumatic dental injury (TDI) to permanent incisor teeth utilizing a modified version of Ellis's classification. Data that were related to sociodemographic factors, TDI causes, and where the TDI took place were recorded using a structured questionnaire.
Of all of the children that were examined, 9.8% of them had experienced dental trauma. The difference in TDI prevalence between boys (15.9%) and girls (3.9%) was statistically significant ( < 0.05). The children whose mothers had low levels of education experienced a higher prevalence of TDI ( = 0.001). The children with incisal overjets that were greater than 5 mm or with inadequate lip coverage tended to have experienced dental injuries ( < 0.01). The main causes of injury to permanent incisors were collision against an object or person (53.5%) and falling (42.4%). Most of the accidents happened at home (58.6%) and school (25.3%). The most prevalent injuries were enamel fractures (58.7%) and enamel-dentine fractures (34.3%).
This research highlighted many predisposing factors for traumatic dental injuries among children. There is an urgent need to initiate detailed public health policies to decrease the prevalence of dental trauma cases, especially in the identified risk group.
本研究旨在评估阿联酋阿治曼酋长国 12 岁儿童恒切牙创伤相关因素的流行率。
本研究纳入了 1008 名 12 岁儿童(510 名男孩和 498 名女孩)。采用多阶段随机抽样技术从公立学校抽取儿童作为样本人群。一名经过培训的校准检查者使用改良版 Ellis 分类法对牙齿创伤性损伤(TDI)进行口腔检查,记录与社会人口统计学因素、TDI 原因和 TDI 发生地点相关的数据。使用结构化问卷记录与社会人口统计学因素、TDI 原因和 TDI 发生地点相关的数据。
在所检查的所有儿童中,9.8%的儿童经历过牙外伤。男孩(15.9%)和女孩(3.9%)之间 TDI 的患病率差异具有统计学意义(<0.05)。母亲教育程度较低的儿童经历 TDI 的患病率更高(=0.001)。切缘超过 5mm 或唇覆盖不足的儿童更易发生牙齿损伤(<0.01)。恒牙外伤的主要原因是碰撞物体或人(53.5%)和跌倒(42.4%)。大多数事故发生在家庭(58.6%)和学校(25.3%)。最常见的损伤是釉质骨折(58.7%)和釉质-牙本质骨折(34.3%)。
本研究强调了儿童发生牙外伤的许多易感因素。迫切需要制定详细的公共卫生政策,以降低牙外伤病例的流行率,特别是在确定的风险群体中。