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8至15岁学龄儿童牙齿外伤的患病率及其与危险因素的关系。

Prevalence of Dental Trauma and Their Relationship to Risk Factors among 8-15-Year-Old School Children.

作者信息

Saikiran Kanamarlapudi Venkata, Gurunathan Deepa, Nuvvula Sivakumar, Jadadoddi Raghavendra Kumar, Kumar Raichurkar Hemanth, Birapu Uday Chowdary

机构信息

Department of Paediatric and Preventive Dentistry, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.

Department of Paediatric and Preventive Dentistry, Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College and Hospitals, Saveetha University, Chennai 600077, Tamil Nadu, India.

出版信息

Int J Dent. 2022 Dec 22;2022:3343827. doi: 10.1155/2022/3343827. eCollection 2022.

Abstract

BACKGROUND

Tooth injuries lead to functional, aesthetic, and psychological disorders, accompanied by the great concern of the child, the parents, and the dentist.

AIM

(a) To assess the prevalence of traumatic dental injury (TDI) and its relationship to risk variables among 8-15-year-old school children in Mahbubnagar, India. (b) To collect baseline data as there are limited reports of TDI studies in South India to date.

METHODS

A cross-sectional study was conducted among 6643 children from 78 schools in Mahbubnagar using a multilevel random sampling method. The permanent incisors were examined according to the WHO classification using a standard oral mirror and probe. Individuals with clinical evidence of trauma were asked about the details of the injury event using a structured questionnaire. The chi-square test analyzed the distribution of all measurements in this study with a statistical significance of 0.05.

RESULTS

Among the 6643 children from the 78 schools surveyed, 9.3% experienced TDI. TDI occurred in 68% of boys, which was about twice as high in girls at 32%. The most commonly affected teeth were the maxillary central incisors. A higher number of children with an incisal overjet more significant than 3 mm had TDI than the children less than 3 mm, although this difference was not statistically significant. The lip closure incompetence was more common in children with TDI. The most frequent causes of TDI were falls, and the site of occurrence was school. Type I fractures were the most prevalent and most went untreated.

CONCLUSION

The high level of dental trauma and the low percentage of children with trauma seeking treatment emphasize the need for greater awareness among the Mahbubnagar children.

摘要

背景

牙齿损伤会导致功能、美观和心理障碍,引起儿童、家长和牙医的高度关注。

目的

(a)评估印度马赫布卜纳加尔8至15岁学童中创伤性牙损伤(TDI)的患病率及其与风险变量的关系。(b)收集基线数据,因为迄今为止印度南部关于TDI研究的报告有限。

方法

采用多级随机抽样方法,对马赫布卜纳加尔78所学校的6643名儿童进行了横断面研究。使用标准口腔镜和探针,根据世界卫生组织分类对恒牙进行检查。对有创伤临床证据的个体,使用结构化问卷询问损伤事件的详细情况。卡方检验分析了本研究中所有测量值的分布,统计学显著性水平为0.05。

结果

在接受调查的78所学校的6643名儿童中,9.3%经历了TDI。TDI发生在68%的男孩中,女孩中的发生率为32%,约为男孩的一半。最常受影响的牙齿是上颌中切牙。切牙覆盖超过3毫米的儿童发生TDI的人数比小于3毫米的儿童多,尽管这种差异无统计学意义。唇部闭合不全在TDI儿童中更为常见。TDI最常见的原因是跌倒,发生地点是学校。I型骨折最为普遍,且大多数未得到治疗。

结论

牙齿创伤的高发生率以及寻求治疗的创伤儿童比例较低,凸显了马赫布卜纳加尔儿童提高认识的必要性。

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