Suárez Ardura Montserrat, García-Pola María, Cuervo Menéndez José Manuel
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Área de Estomatología. Departamento de Cirugía y Especialidades Médico-Quirúrgicas. Universidad de Oviedo. Asturias. España. .
An Sist Sanit Navar. 2023 Aug 28;46(2):e1041. doi: 10.23938/ASSN.1041.
The high prevalence of oral pathology in children encourages to gain further understanding on their manifestations and urgent nature, objective of the present study Methodology. Cross-sectional study that included patients aged <14 years of age who attended an emergency department over a one-year period. The relationship between the variables collected and oral pathology was analyzed.
Fifty-five patients were included, 45.5% girls, mean age 4.11 years (10 days to 13 years). Overall, mucosal pathology (74.5%) prevailed over dental ones, and lesions of infectious origin (54.6%) over the traumatic ones (14.5%). Dental pathology (50% toothache and 35.7% infections) was significantly associated with being >6 years (66.7 vs 10%), pain (40.7 vs 10.7%) and absence of fever (37.9 vs 11.5%). Mucosal pathology (61% infections: 53.7% viral and 31.7% due to herpangina) was significantly associated with being =6 years (60 vs 6.7%) and having fever (76.9 vs 17.2%). Six traumatic lesions on the mucosa and two on the teeth were observed; significantly more patients attended the emergency room within 24 hours (median =1 hour) than in the case of infection (100 vs 51.7%). Being =6 years was significantly associated with fever, mucosal pathology, mucosal infection, and herpangina, and being >6 years was associated with pain, previous antibiotic treatment and at discharge, and previous NSAID regimen.
The analyzed pediatric oral pathologies treated in the emergency department are of mucosal and infectious origin. Dental disease prevail in children >6 years of age and mucosal lesions in those =6 years; no sex differences are observed.
儿童口腔疾病的高患病率促使人们进一步了解其表现形式和紧迫性，这是本研究的目的。方法：横断面研究，纳入了在一年时间内就诊于急诊科的14岁以下患者。分析了所收集变量与口腔疾病之间的关系。
共纳入55例患者，其中女孩占45.5%，平均年龄4.11岁（10天至13岁）。总体而言，黏膜疾病（74.5%）比牙齿疾病更为常见，感染性病变（54.6%）比创伤性病变（14.5%）更为常见。牙齿疾病（50%为牙痛，35.7%为感染）与年龄大于6岁（66.7%对10%）、疼痛（40.7%对10.7%）以及无发热（37.9%对11.5%）显著相关。黏膜疾病（61%为感染：53.7%为病毒感染，31.7%为疱疹性咽峡炎）与年龄等于6岁（60%对6.7%）以及发热（76.9%对17.2%）显著相关。观察到6例黏膜创伤性病变和2例牙齿创伤性病变；与感染情况相比，更多患者在24小时内（中位数=1小时）前往急诊室就诊（100%对51.7%）。年龄等于6岁与发热、黏膜疾病、黏膜感染和疱疹性咽峡炎显著相关，年龄大于6岁与疼痛、先前的抗生素治疗以及出院时情况和先前的非甾体抗炎药治疗方案相关。
在急诊科接受治疗的分析中的儿童口腔疾病起源于黏膜和感染。6岁以上儿童牙齿疾病更为常见，6岁及以下儿童黏膜病变更为常见；未观察到性别差异。
