Kaul Rahul, Saha Subrata, Koul Rishu, Saha Nilanjana, Mukhopadyay Santanu, Sengupta Ashok Vijoy, Sarkar Subir
Dental Officer & Pedodontist, 357 Field Hospital, C/o 99 APO, India.
Professor (Pedodontics & Preventive Dentistry), Dr. R Ahmed Dental College & Hospital, Kolkata, India.
Med J Armed Forces India. 2023 Sep-Oct;79(5):572-579. doi: 10.1016/j.mjafi.2021.06.029. Epub 2021 Sep 8.
Traumatic Dental Injuries (TDI) have emerged as a very significant public health and social problem, especially among children and adolescents. The aim of this study was to investigate the prevalence and associated risk factors of traumatic dental injuries to permanent anterior teeth in school going children of Kolkata aged 7-14 years.
A cross-sectional study was conducted among 3762 school going children attending various private and public schools of Kolkata aged 7-14 years. A multistage random clustering sampling technique was adopted to select the children.Type of trauma using Ellis and Davey classification of fractures along with Andresen's Epidemiological Classification of Traumatic Injuries to Anterior Teeth, including WHO codes, was used. All values were considered statistically significant at P < 0.05.
Prevalence of TDI to anterior teeth was found to be 9.89%. The mean age of children who presented with TDI was 11.06 ± 1.99.years. The most common place of occurrence of TDI was home. Falls were the most common causes of trauma. Children belonging to higher socioeconomic status were observed to have an increased prevalence of TDIs.The highest potential risk factor for the occurrence of trauma was a past history of trauma.
Present study found a prevalence of 9.89%, and a very low percentage of children had received treatment.
创伤性牙损伤(TDI)已成为一个非常重要的公共卫生和社会问题,尤其是在儿童和青少年中。本研究的目的是调查加尔各答7至14岁学龄儿童恒牙前牙创伤性牙损伤的患病率及相关危险因素。
对加尔各答3762名7至14岁的公立和私立学校学龄儿童进行了一项横断面研究。采用多阶段随机整群抽样技术选取儿童。使用埃利斯和戴维骨折分类以及安德烈森前牙创伤性损伤的流行病学分类(包括世界卫生组织编码)来确定创伤类型。所有数值在P<0.05时被认为具有统计学意义。
前牙创伤性牙损伤的患病率为9.89%。出现创伤性牙损伤的儿童平均年龄为11.06±1.99岁。创伤性牙损伤最常见的发生地点是家中。跌倒 是最常见的创伤原因。观察到社会经济地位较高的儿童创伤性牙损伤的患病率增加。创伤发生的最高潜在危险因素是既往创伤史。
本研究发现患病率为9.89%,接受治疗的儿童比例非常低。