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摩尔-门齿恒前牙矿化不全的流行率和严重程度与社会经济地位有关吗?智利学龄儿童的横断面研究。

Prevalence and severity of molar-incisor hypomineralization, is there an association with socioeconomic status? A cross-sectional study in Chilean schoolchildren.

机构信息

Dental School, Pontificia Universidad Católica de Chile, Santiago, Chile.

Faculty of Dentistry, University of Chile, Santiago, Chile.

出版信息

Eur Arch Paediatr Dent. 2023 Oct;24(5):577-584. doi: 10.1007/s40368-023-00820-3. Epub 2023 Jul 11.

Abstract

PURPOSE

Data about molar-incisor hypomineralization (MIH) prevalence and its severity remains limited for some Latin American countries. Furthermore, its association with socioeconomic status (SES) is still unclear. Thus, this study aims to determine the prevalence and severity of MIH in Santiago, Chile and explore its association with SES.

METHODS

A cross-sectional study with schoolchildren between 6 and 12 years was conducted. Children were evaluated using the European Academy of Paediatric Dentistry to diagnose MIH, and the Mathu-Muju and Wright criteria to determine its severity.

RESULTS

A total of 1,270 children were included. The MIH prevalence was 12.8% without association with gender (p = 0.609). Prevalence was higher among schoolchildren ages 8 and 9 (p = 0.002), and in lower SES (p = 0.007). MIH mild cases were the most prevalent (63%), and severity was not related to gender (p = 0.656), age (p = 0.060), or SES (p = 0.174).

CONCLUSIONS

The prevalence of MIH in the province of Santiago, Chile is 12.8% and was found to have a higher incidence in 8-9-year-old students and among those categorized by low SES. Furthermore, MIH prevalence was associated with low SES.

IMPLICATIONS

Public health policies to address MIH in Chile should start with schoolchildren aged 8 to 9, and with low SES.

摘要

目的

对于一些拉丁美洲国家而言,关于低龄儿童恒前磨牙牙釉质发育不全(MIH)的流行率及其严重程度的数据仍然有限。此外,其与社会经济地位(SES)的关系尚不清楚。因此,本研究旨在确定智利圣地亚哥的 MIH 流行率和严重程度,并探讨其与 SES 的关系。

方法

对 6 至 12 岁的学童进行了一项横断面研究。采用欧洲儿童牙科学会的标准诊断 MIH,采用 Mathu-Muju 和 Wright 标准来确定其严重程度。

结果

共纳入 1270 名儿童。MIH 的患病率为 12.8%,与性别无关(p=0.609)。8 岁和 9 岁的学童患病率较高(p=0.002),SES 较低的儿童患病率较高(p=0.007)。轻度 MIH 最为常见(63%),严重程度与性别(p=0.656)、年龄(p=0.060)或 SES(p=0.174)无关。

结论

智利圣地亚哥省的 MIH 患病率为 12.8%,在 8-9 岁的学生中发病率较高,而在 SES 较低的学生中发病率较高。此外,MIH 的流行率与 SES 较低有关。

启示

智利应针对 MIH 制定公共卫生政策,优先考虑 8 至 9 岁的学童和 SES 较低的儿童。

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