Stoica Stephanie Nicole, Moraru Simona Andreea, Nimigean Vanda Roxana, Nimigean Victor
PhD Student, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Department of Oral Rehabilitation, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Maedica (Bucur). 2023 Jun;18(2):246-256. doi: 10.26574/maedica.2023.18.2.246.
The early eruption of the first permanent molar (FPM) favors its exposure to the risk factors for dental caries specific to the mixed dentition stage of dental development. The aim of this study was to assess the prevalence and distribution pattern of FPM dental caries and of the consequences of this pathology - caries with pulp involvement in the FPM and missing FPM (FPM extraction) in a sample of Romanian children during the mixed dentition stage. To evaluate the effect of asanas in Yoga on the IOP of practicing individuals. Eighty-seven children aged between five and 13 years, who attended a private dental clinic, were enrolled in the present study. The investigations were carried out as part of the comprehensive dental examinations. Written informed consent was obtained from one of the subjects' parents prior to his/her child's participation in this research. The collected data were statistically analyzed with STATA/MP13 software using the Chi square test. The level of significance was set at p<0.05. The prevalence of FPM dental caries was 60.9%. There were statistically significant differences (p = 0.004) in the number of FPMs affected by dental caries subject in relation to age. No statistically significant differences regarding the number of FPMs affected by dental caries subject in relation to gender were found. With respect to the distribution pattern of FPM dental caries by location at tooth level, the mesial surface had the highest prevalence (in 36.8% of all investigated subjects), followed by the occlusal surface (33.3%). The prevalence of caries with pulp involvement in the FPM was 19.5% and children in the 10-11-year age group were the most affected (55.5%). There were statistically significant differences regarding the distribution pattern of caries with pulp involvement in the FPM by age (p = 0.0001). The prevalence of FPM extraction was 6.9% and, according to dental history and examination, loss of FPM was due to caries. Among children with missing FPM, five were older than the age recommended for achieving spontaneous space closure, which indicated the need for immediate intervention. Considering the results of the present study, it can be stated that FPM dental caries represents a highly prevalent pathology during the mixed dentition stage. The findings are relevant and useful for the current clinical dental practice, emphasizing the importance of caries detection and diagnosis in developing a comprehensive dental treatment plan tailored to the specific needs of pediatric patients.
第一恒磨牙（FPM）的早期萌出使其更容易暴露于牙齿发育混合牙列阶段特有的龋齿风险因素中。本研究的目的是评估罗马尼亚儿童混合牙列阶段样本中FPM龋齿的患病率和分布模式，以及这种病理状况的后果——FPM牙髓受累龋齿和FPM缺失（FPM拔除）情况。为了评估瑜伽体式对练习者眼压的影响。本研究纳入了87名年龄在5至13岁之间、在一家私人牙科诊所就诊的儿童。这些调查是作为全面牙科检查的一部分进行的。在其孩子参与本研究之前，已从其中一名受试者的家长处获得书面知情同意书。使用STATA/MP13软件，通过卡方检验对收集的数据进行统计分析。显著性水平设定为p<0.05。FPM龋齿的患病率为60.9%。受龋齿影响的FPM数量在不同年龄受试者之间存在统计学显著差异（p = 0.004）。未发现受龋齿影响的FPM数量在不同性别受试者之间存在统计学显著差异。就牙齿层面FPM龋齿的分布模式而言，近中面的患病率最高（在所有调查受试者中占36.8%），其次是咬合面（33.3%）。FPM牙髓受累龋齿的患病率为19.5%，10 - 11岁年龄组的儿童受影响最大（55.5%）。FPM牙髓受累龋齿的分布模式在不同年龄之间存在统计学显著差异（p = 0.0001）。FPM拔除的患病率为6.9%，根据牙科病史和检查，FPM缺失是由龋齿导致的。在FPM缺失的儿童中，有5名超过了实现自然间隙关闭的推荐年龄，这表明需要立即进行干预。考虑到本研究的结果，可以说FPM龋齿是混合牙列阶段一种高度普遍的病理状况。这些发现对于当前的临床牙科实践具有相关性和实用性，强调了在制定针对儿科患者特定需求的全面牙科治疗计划时龋齿检测和诊断的重要性。
