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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.

DOI:10.3390/biomedicines13092137
PMID:41007700
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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本文引用的文献

1
Oral manifestations associated with gastrointestinal diseases - A review.与胃肠道疾病相关的口腔表现——综述
Bioinformation. 2025 Mar 31;21(3):383-389. doi: 10.6026/973206300210383. eCollection 2025.
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A Narrative Review on Advancing Pediatric Oral Health: Comprehensive Strategies for the Prevention and Management of Dental Challenges in Children.关于推进儿童口腔健康的叙述性综述:儿童牙齿问题预防与管理的综合策略
Children (Basel). 2025 Feb 26;12(3):286. doi: 10.3390/children12030286.
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Gingivitis and Its Causes in Children Aged 3-7 Years.
3至7岁儿童的牙龈炎及其病因
Diagnostics (Basel). 2024 Nov 29;14(23):2690. doi: 10.3390/diagnostics14232690.
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Parental awareness and dental health behavior of children with congenital heart disease, with diabetes mellitus, or undergoing anti-cancer treatment, compared to healthy children.与健康儿童相比,患有先天性心脏病、糖尿病或正在接受抗癌治疗的儿童的父母的认知及儿童的口腔健康行为。
Front Oral Health. 2024 Oct 25;5:1435070. doi: 10.3389/froh.2024.1435070. eCollection 2024.
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Herpes Simplex Virus Type 1 Infection of Human Periodontal Ligament.单纯疱疹病毒 1 型感染人牙周韧带。
Int J Mol Sci. 2024 Aug 2;25(15):8466. doi: 10.3390/ijms25158466.
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Knowledge, attitudes, and practice of general pediatricians and pediatric subspecialists towards oral health in children: a survey in Turkey.土耳其开展的一项调查:儿童全科医生和儿科专家对儿童口腔健康的知识、态度和实践。
J Clin Pediatr Dent. 2024 Jul;48(4):139-148. doi: 10.22514/jocpd.2024.087. Epub 2024 Jul 3.
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Oral and Extra-Oral Manifestations of Hypersensitivity Reactions in Orthodontics: A Comprehensive Review.正畸治疗中过敏反应的口腔和口外表现:综述
J Funct Biomater. 2024 Jun 27;15(7):175. doi: 10.3390/jfb15070175.
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Manifestations and Treatment of Hypovitaminosis in Oral Diseases: A Systematic Review.口腔疾病中维生素缺乏症的表现与治疗:一项系统评价
Dent J (Basel). 2024 May 21;12(6):152. doi: 10.3390/dj12060152.
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The Impact of Vitamin Deficiencies on Oral Manifestations in Children.维生素缺乏对儿童口腔表现的影响。
Dent J (Basel). 2024 Apr 17;12(4):109. doi: 10.3390/dj12040109.
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Impact of oral diseases on 12- and 15-year-old children's quality of life: condition-specific oral health related quality of life analysis.口腔疾病对 12 至 15 岁儿童生活质量的影响:特定于口腔疾病的口腔健康相关生活质量分析。
BMC Oral Health. 2023 Oct 6;23(1):722. doi: 10.1186/s12903-023-03435-8.