Tysiąc-Miśta Monika, Tanasiewicz Marta, Amini Shayan, Najary Shaghayegh, Baghani Mohammad Taghi, Eftekhar Ashtiani Reza, Shidfar Shireen, Nasiri Mohammad Javad
Department of Conservative Dentistry with Endodontics, Medical University of Silesia, 40-055 Katowice, Poland.
Students' Scientific Group, Department of Conservative Dentistry with Endodontics, Medical University of Silesia, 40-055 Katowice, Poland.
Arch Acad Emerg Med. 2024 Oct 3;13(1):e11. doi: 10.22037/aaem.v13i1.2432. eCollection 2025.
Traumatic dental injuries (TDI) are a global public health concern, impacting individuals of various age groups. This systematic review aimed to consolidate current evidence on TDI prevalence, providing insights for improved management and prevention strategies.
A comprehensive search was conducted across PubMed/MEDLINE, Embase, and Scopus databases for studies published between January 1, 2000, and July 1, 2024. Studies reporting on the prevalence of TDI in various populations were included. We followed PRISMA guidelines in the review process. Descriptive statistics were used to summarize study characteristics, and a random-effects model was applied in the meta-analysis using STATA version 14 to pool prevalence rates, while accounting for inter-study variability. Begg's and Egger's tests were conducted to assess publication bias.
The review included data of 151,205 patients from 30 studies across diverse healthcare settings. The prevalence rates varied significantly across studies, ranging from as low as 1.88% to as high as 86.98%. The overall pooled prevalence of TDI, calculated using a random effects model, was 19.48% (95% CI: 11.21% to 27.74%), indicating substantial heterogeneity among the studies (I-squared = 100.0%, p < 0.001). The prevalence varied significantly across different healthcare settings and demographic groups. No evidence of publication bias was found (p > 0.05).
This systematic review underscores the high prevalence of TDI and highlights the need for targeted preventive strategies and evidence-based interventions in dental trauma care.
创伤性牙损伤（TDI）是一个全球公共卫生问题，影响着各个年龄段的人群。本系统评价旨在整合当前关于TDI患病率的证据，为改进管理和预防策略提供见解。
对PubMed/MEDLINE、Embase和Scopus数据库进行全面检索，查找2000年1月1日至2024年7月1日期间发表的研究。纳入报告不同人群中TDI患病率的研究。我们在评价过程中遵循PRISMA指南。使用描述性统计来总结研究特征，并使用STATA 14版中的随机效应模型进行荟萃分析以汇总患病率，同时考虑研究间的变异性。进行Begg检验和Egger检验以评估发表偏倚。
该评价纳入了来自不同医疗环境的30项研究中151,205名患者的数据。各研究的患病率差异显著，低至1.88%，高至86.98%。使用随机效应模型计算的TDI总体合并患病率为19.48%（95%CI：11.21%至27.74%），表明研究间存在显著异质性（I² = 100.0%，p < 0.001）。患病率在不同医疗环境和人口统计学组之间差异显著。未发现发表偏倚的证据（p > 0.05）。
本系统评价强调了TDI的高患病率，并突出了在牙外伤护理中制定针对性预防策略和循证干预措施的必要性。
