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血清铁、血清铁蛋白水平与重度幼儿龋齿之间的关联:一项病例对照研究。

Association between Serum Iron, Serum Ferritin Levels, and Severe Early Childhood Caries: A Case-Control Study.

作者信息

Atri Yoshita, Garg Nishita, Pathivada Lumbini, Kaur Harsimran, Yeluri Ramakrishna

机构信息

Department of Paedodontics & Preventive Dentistry, Teerthanker Mahaveer Dental College & Research Centre, Moradabad, Uttar Pradesh, India.

Department of Pedodontics & Preventive Dentistry, Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.

出版信息

Int J Clin Pediatr Dent. 2023 Nov;16(Suppl 3):288-292. doi: 10.5005/jp-journals-10005-2704.

Abstract

AIM

The presence of extensive dental caries leads to pain, inflammation, and discomfort and hence interferes with their nutritional intake, which includes iron deficiency anemia. This study was undertaken to determine whether any correlation exists between severe early childhood caries (S-ECC), serum iron, and serum ferritin levels in children.

MATERIALS AND METHODS

A total of 688 children were examined in the age-group of 2-6 years, and 82 children who fulfilled the selection criteria were equally divided into group I, that is, case group (carious group = 41) and group II, that is, control group (caries-free group = 41), on the basis of decayed, missing, and filled primary teeth (dmft) scores. All the selected children in both groups underwent blood investigations through phlebotomy for assessment of serum iron and serum ferritin levels.

RESULTS

The mean values of variables, that is, hemoglobin (Hb), serum iron, serum ferritin, total iron-binding capacity (TIBC), and unsaturated iron-binding capacity (UIBC), are lower in the case group when compared to control group. The differences observed were statistically significant in case of dmft and UIBC values at < 0.05 but not significant in cases of other variables like Hb, serum iron, serum ferritin, and TIBC values.

CONCLUSION

An inverse relationship was found between S-ECC, serum iron, and serum ferritin levels, but the evidence is still inconclusive.

HOW TO CITE THIS ARTICLE

Atri Y, Garg N, Pathivada L, Association between Serum Iron, Serum Ferritin Levels, and Severe Early Childhood Caries: A Case-Control Study. Int J Clin Pediatr Dent 2023;16(S-3):S288-S292.

摘要

目的

广泛龋齿的存在会导致疼痛、炎症和不适,从而干扰营养摄入,其中包括缺铁性贫血。本研究旨在确定儿童严重早期龋齿(S-ECC)、血清铁和血清铁蛋白水平之间是否存在相关性。

材料与方法

共检查了688名2至6岁的儿童,根据乳牙龋失补牙面(dmft)评分,将82名符合入选标准的儿童平均分为两组,即第一组,病例组(龋病组 = 41)和第二组,对照组(无龋病组 = 41)。两组所有入选儿童均通过静脉穿刺进行血液检查,以评估血清铁和血清铁蛋白水平。

结果

与对照组相比,病例组中血红蛋白(Hb)、血清铁、血清铁蛋白、总铁结合力(TIBC)和不饱和铁结合力(UIBC)等变量的平均值较低。观察到的差异在dmft和UIBC值方面具有统计学意义(<0.05),但在其他变量如Hb、血清铁、血清铁蛋白和TIBC值方面不具有统计学意义。

结论

发现S-ECC、血清铁和血清铁蛋白水平之间存在负相关关系,但证据仍不确凿。

如何引用本文

阿特里Y、加尔格N、帕蒂瓦达L,血清铁、血清铁蛋白水平与严重早期儿童龋齿之间的关联:一项病例对照研究。《国际临床儿科牙科学杂志》2023年;16(S-3):S288-S292。

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本文引用的文献

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Association of severe early childhood caries with iron deficiency anemia.重度幼儿龋齿与缺铁性贫血的关联。
J Indian Soc Pedod Prev Dent. 2016 Jan-Mar;34(1):36-42. doi: 10.4103/0970-4388.175508.
2
Iron deficiency in young children: a risk marker for early childhood caries.幼儿缺铁:幼儿龋齿的一个风险指标。
Int J Clin Pediatr Dent. 2013 Jan;6(1):1-6. doi: 10.5005/jp-journals-10005-1176. Epub 2013 Apr 26.
8
Policy statement on iron deficiency in pre-school-aged children.关于学龄前儿童缺铁的政策声明。
J Paediatr Child Health. 2007 Jul-Aug;43(7-8):513-21. doi: 10.1111/j.1440-1754.2007.01128.x.
9
Iron deficiency anemia.缺铁性贫血
Am Fam Physician. 2007 Mar 1;75(5):671-8.

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