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儿童全身病理学与牙齿、牙周及正畸状况的关联

Association of Systemic Pathologies on Dental, Periodontal and Orthodontic Status in Children.

作者信息

Teodorescu Ioana Monica, Preoteasa Elena, Preoteasa Cristina Teodora, Murariu-Măgureanu Cătălina, Teodorescu Cristian

机构信息

Department of Prosthodontics, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

National Institute for Mother and Child Health "Alessandrescu Rusescu", 020395 Bucharest, Romania.

出版信息

Biomedicines. 2025 Sep 1;13(9):2137. doi: 10.3390/biomedicines13092137.

Abstract

This retrospective observational study evaluated associations among dentition type, age, systemic conditions, and oral pathology in pediatric patients. A six-month retrospective analysis was conducted in a specialized pediatric hospital. Patients ( = 155; 0-18 years) were grouped as clinically healthy with oro-maxillofacial diseases or with systemic diseases. Data included dental/periodontal status, anomalies, gingival bleeding index, IOTN score and oral mucosal conditions. Statistical tests (chi-square, ANOVA, and correlations) were applied. Chronic gingivitis was most frequently associated with primary dentition. Caries and root debris were more frequent in ages 4-6, while acute gingivitis appeared in younger children. Orthodontic treatment need increased with age, especially in mixed dentition. Periodontal diseases were most often linked to digestive pathologies. Oral health in children showed associations with age, dentition type, and systemic conditions. Findings highlight associations rather than causation, underscoring the importance of prevention, early monitoring, and age-appropriate interdisciplinary management.

摘要

这项回顾性观察研究评估了儿科患者的牙列类型、年龄、全身状况和口腔病理学之间的关联。在一家专业儿童医院进行了为期六个月的回顾性分析。患者(n = 155;0 - 18岁)被分为患有口腔颌面部疾病或全身疾病的临床健康组。数据包括牙齿/牙周状况、异常情况、牙龈出血指数、IOTN评分和口腔黏膜状况。应用了统计检验(卡方检验、方差分析和相关性分析)。慢性牙龈炎最常与乳牙列相关。龋齿和牙根残渣在4 - 6岁儿童中更为常见,而急性牙龈炎则出现在年龄较小的儿童中。正畸治疗需求随年龄增长而增加,尤其是在混合牙列期。牙周疾病最常与消化系统疾病相关。儿童的口腔健康与年龄、牙列类型和全身状况有关。研究结果强调的是关联而非因果关系,突出了预防、早期监测和适合年龄的多学科管理的重要性。

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