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早期看牙医影响韩国早产儿学龄前儿童的牙科治疗:一项全国性基于人群的研究。

Early dental visit affects dental treatment in Korean preschool children born preterm: a nationwide population-based study.

机构信息

Department of Pediatric Dentistry, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seoul, 03722, Republic of Korea.

Division of Biostatistics, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

出版信息

Sci Rep. 2024 Oct 9;14(1):23587. doi: 10.1038/s41598-024-74809-3.

Abstract

This study investigated the effect of early dental visit on subsequent dental treatments in preterm infants and whether there was a significant difference in dental treatment between children born preterm and full-term (FT). National data from the Health Insurance Review and Assessment Service in Korea were analyzed. Prescription codes related to dental treatments were collected. This study included 3,354,662 patients under age 6 years, who were categorized by gestational age: extremely preterm (EPT), very preterm (VPT), and late preterm (LPT). In the preterm group, the percentage of children with no dental visits was 63.87% although the preterm group visited the dentist earlier than the FT group (EPT = 2.84, VPT = 2.78, LPT = 2.52, FT = 3.9 years old). Glass ionomer and 1-visit pulpectomy were significantly higher in the preterm group than in the FT group (p < 0.001). Preschool children who had their first dental visit after age 2 years received any dental treatment earlier than those who visited the dentist before age 1 year (p < 0.001). Early dental visits in infants may delay the timing of dental treatments and reduce their severity, suggesting the importance of early dental screenings for efficient dental management in preterm infants.

摘要

本研究旨在探讨早产儿早期看牙医对后续牙科治疗的影响,以及早产儿和足月儿(FT)之间的牙科治疗是否存在显著差异。研究分析了来自韩国健康保险审查与评估服务机构的全国数据。收集了与牙科治疗相关的处方代码。本研究纳入了 3354662 名年龄在 6 岁以下的患者,按胎龄分组:极早产儿(EPT)、非常早产儿(VPT)和晚期早产儿(LPT)。虽然早产儿组看牙医的时间早于 FT 组(EPT=2.84 岁,VPT=2.78 岁,LPT=2.52 岁,FT=3.9 岁),但在早产儿组中,有 63.87%的儿童没有看牙医。玻璃离子体和一次就诊牙髓切除术在早产儿组中的比例明显高于 FT 组(p<0.001)。首次看牙医年龄在 2 岁以后的学龄前儿童比 1 岁以前看牙医的儿童更早接受任何牙科治疗(p<0.001)。婴儿早期看牙医可能会延迟牙科治疗的时间并降低其严重程度,这表明早产儿早期进行牙科筛查对于高效的牙科管理非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/255a/11464625/c83787c40084/41598_2024_74809_Fig1_HTML.jpg

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