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儿童牙外伤:来自流行病学研究的见解及管理建议

Paediatric dental trauma: insights from epidemiological studies and management recommendations.

作者信息

Laforgia Alessandra, Inchingolo Angelo Michele, Inchingolo Francesco, Sardano Roberta, Trilli Irma, Di Noia Angela, Ferrante Laura, Palermo Andrea, Inchingolo Alessio Danilo, Dipalma Gianna

机构信息

Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", Bari, 70124, Italy.

Department of Experimental Medicine, University of Salento, Lecce, 73100, Italy.

出版信息

BMC Oral Health. 2025 Jan 2;25(1):6. doi: 10.1186/s12903-024-05222-5.

Abstract

Dental trauma is common in all age groups, although, epidemiologically, it is more common in children with studies that indicate that 15% of preschoolers and 20-25% of school-age children experience it. These injuries, which frequently call for immediate attention, can affect the hard tissues and supporting components of the teeth, and, because dental damage in deciduous teeth occurs frequently and affects speech, nutrition, and oral development, it is particularly worrying. After searching three databases, Scopus, Web of Science (WoS), and PubMed, and removing duplicates, 3,630 articles were screened, and 12 publications were included in the qualitative analysis. Due to their busy lifestyles, children are particularly susceptible to oral trauma and in certain areas and lower socioeconomic groups, the incidence is higher. From little fractures in the enamel to serious dislocations and avulsions, injuries vary and must be treated promptly in order to avoid consequences and to prevent long-term issues. Furthermore, a conservative treatment strategy is recommended to preserve tooth vitality and prevent extractions. Reducing the occurrence of dental injuries requires the implementation of preventive measures including mouthguard use and educational campaigns. In summary, this review emphasizes the importance of early diagnosis, immediate management, and long-term care, by synthesizing existing knowledge on the prevalence, types, management, complications, and prevention of dental trauma in deciduous teeth. Finally, it's important to underscore the need for continued research to refine treatment approaches.

摘要

牙外伤在所有年龄组中都很常见,不过,从流行病学角度来看,在儿童中更为常见。研究表明,15%的学龄前儿童和20%-25%的学龄儿童曾经历过牙外伤。这些损伤常常需要立即引起关注,它们会影响牙齿的硬组织和支持结构,而且由于乳牙损伤频繁发生并影响言语、营养和口腔发育,所以格外令人担忧。在对Scopus、科学网(WoS)和PubMed这三个数据库进行检索并去除重复项后,共筛选出3630篇文章,12篇出版物被纳入定性分析。由于生活方式忙碌,儿童尤其容易受到口腔外伤,在某些地区以及社会经济地位较低的群体中,发病率更高。从牙釉质的微小骨折到严重的脱位和牙脱落,损伤情况各不相同,必须及时治疗以避免产生后果并预防长期问题。此外,建议采用保守的治疗策略以保留牙齿活力并避免拔牙。减少牙外伤的发生需要采取预防措施,包括使用口腔保护器和开展教育活动。总之,本综述通过综合现有的关于乳牙牙外伤的患病率、类型、治疗、并发症和预防等方面的知识,强调了早期诊断、即时处理和长期护理的重要性。最后,必须强调持续开展研究以完善治疗方法的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/470f/11697964/502b8ad105a0/12903_2024_5222_Fig1_HTML.jpg

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