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中国深圳一家三级儿童医院收治的儿童和青少年牙外伤情况。

Traumatic dental injuries in children and adolescents presenting to a tertiary children's hospital in Shenzhen, China.

作者信息

Wang Yuanyuan, Chang Huihui, Chen Chanchan, Yang Xin, Quan Ming, Liao Xinmin, Liao Zhiqing

机构信息

Department of stomatology, Shenzhen Children's Hospital, No.7019 Yitian Road, Futian District, Shenzhen, 518000, Guangdong Province, China.

出版信息

BMC Oral Health. 2025 Jul 5;25(1):1102. doi: 10.1186/s12903-025-06435-y.

Abstract

BACKGROUND/AIM: Traumatic dental injuries (TDIs) are a significant public health concern, particularly among children and adolescents. The aim of this study was to analyse the characteristics of TDIs and investigate the factors affecting delays in seeking medical care using data from patients treated at Shenzhen Children’s Hospital from January to December 2023.

METHODS

We reviewed the electronic records of 1,683 patients, classifying TDIs into fracture and luxation injuries according to IADT guidelines. Data were analysed via descriptive statistics and multinomial logistic regression to determine demographic and clinical features.

RESULTS

TDIs were more prevalent in children aged 2–4 years and 7–9 years, with males comprising 70.4% of the patients. The most affected teeth were maxillary incisors. Luxation injuries were more common in primary dentition, whereas fracture injuries were more prevalent in permanent dentition. Additionally, sunny weather and temperatures between 20 °C and 30 °C were identified as risk factors associated with a higher incidence of TDIs. Most patients (98.1%) sought care within 24 h, with age and type of injury significantly influencing the time to treatment.

CONCLUSIONS

Necessary improvements should be considered in the healthcare education system to address dental trauma better. This process is crucial to increase awareness of the importance of timely medical care, both for younger children and their parents.

摘要

背景/目的:创伤性牙损伤(TDIs)是一个重大的公共卫生问题,在儿童和青少年中尤为突出。本研究的目的是利用2023年1月至12月在深圳儿童医院接受治疗的患者数据,分析TDIs的特征,并调查影响就医延迟的因素。

方法

我们回顾了1683例患者的电子记录,根据国际牙外伤协会(IADT)指南将TDIs分为骨折和脱位损伤。通过描述性统计和多项逻辑回归分析数据,以确定人口统计学和临床特征。

结果

TDIs在2至4岁和7至9岁的儿童中更为普遍,男性占患者的70.4%。受影响最严重的牙齿是上颌切牙。脱位损伤在乳牙列中更为常见,而骨折损伤在恒牙列中更为普遍。此外,晴天和20°C至30°C的温度被确定为与TDIs发病率较高相关的危险因素。大多数患者(98.1%)在24小时内就医,年龄和损伤类型对治疗时间有显著影响。

结论

应考虑在医疗教育系统中进行必要的改进,以更好地应对牙外伤。这一过程对于提高年幼儿童及其父母对及时就医重要性的认识至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dae4/12228319/203d4597bad6/12903_2025_6435_Fig1_HTML.jpg

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