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卡拉巴尔大学教学医院儿科牙科患者的就诊模式、就诊原因及治疗情况:三年回顾

Pattern of Presentation, Reason for Presentation and Treatment of Paediatric Dental Patients at the University of Calabar Teaching Hospital: A Three-Year Review.

作者信息

Nzomiwu Chioma Love, Adekoya Monica Ndudi, Musa Uthman Usman, Imasuen Henshaw, Soroye Modupeoluwa Omotunde, Ita-Lincoln Freeman

机构信息

Department of Child Dental Health, Faculty of Dentistry, College of Medical Sciences, University of Calabar, Calabar, Nigeria.

University of Calabar Teaching Hospital, Calabar, Nigeria.

出版信息

Niger Med J. 2023 Jul 2;64(3):415-423. eCollection 2023 May-Jun.

Abstract

BACKGROUND

Dental attendance is regarded as one of the essential pointers to oral health education and awareness. Dental visit of children is often dependent on factors related to the parents/caregivers' health seeking behaviour. Routine dental attendance has been shown to be associated with better oral health care.Objective: To assess the pattern of presentation, reason for presentation and treatment of paediatric dental patients at a tertiary institution in Nigeria.

METHODOLOGY

It was a retrospective study which involved data retrieval from the patient's record books from July 2018 to June 2021. Data on age, gender, presenting complaint, impression/diagnosis and treatment were collected from the dental records and analysed using IBM SPSS statistics version 22.

RESULT

Out of 6645 records, complete data of 329(5%) children were used for the study. Children within the age range of 6-12 years old were in the majority, 203(61.7%). Female children attended more 179 (54.4%) compared to the males 150 (45.6%). Pain was the major reason for dental attendance (41%) and the commonest diagnosis made was sequelae of dental caries 93 (23.4%). The treatment offered most was tooth extraction 124 (37.7%), while the least was apexogenesis 2 (0.6%). The relationship between age and sequelae of dental caries was statistically significant.

CONCLUSION

Children within the mixed dentition stage attended the clinic more because of complications of dental caries. Pain was the major complaint, and the majority of the children lost their teeth because they presented late.

摘要

背景

看牙就诊被视为口腔健康教育和意识的重要指标之一。儿童看牙情况往往取决于与父母/照顾者的就医行为相关的因素。常规看牙就诊已被证明与更好的口腔保健相关。目的:评估尼日利亚一家三级医疗机构中儿童牙科患者的就诊模式、就诊原因及治疗情况。

方法

这是一项回顾性研究,涉及从2018年7月至2021年6月患者病历本中检索数据。从牙科记录中收集年龄、性别、就诊主诉、诊断印象及治疗等数据,并使用IBM SPSS Statistics 22版本进行分析。

结果

在6645份记录中,329名(5%)儿童的完整数据用于该研究。6至12岁的儿童占多数,有203名(61.7%)。女童就诊人数更多,为179名(54.4%),男童为150名(45.6%)。疼痛是看牙就诊的主要原因(41%),最常见的诊断是龋齿后遗症,有93例(23.4%)。提供最多的治疗是拔牙,有124例(37.7%),而最少的是根尖诱导成形术,有2例(0.6%)。年龄与龋齿后遗症之间的关系具有统计学意义。

结论

处于混合牙列期的儿童因龋齿并发症就诊更多。疼痛是主要主诉,且大多数儿童因就诊晚而掉牙。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9e1/11223016/89bdad27096c/nmj-64-415-f1.jpg

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