Petti S, Tarsitani G, Arcadi P, Tomassini E, Romagnoli L
Cattedra di Igiene e Odontoiatria Preventiva con Epidemiologia, Facoltà di Medicina, Università degli Studi di Roma La Sapienza.
Minerva Stomatol. 1996 May;45(5):213-8.
The aim of the present paper was the study of prevalence of traumatic dental injuries to the anterior teeth of Italian schoolchildren. 519, 6- to 11-year-old children from two primary schools in Rome were examined, in order to evaluate dental injuries on canines and incisors. Traumatic injuries were classified according to Garcia-Godoy et al.; this classification is the most appropriate for retrospective studies. Dental injury prevalence was 21.0%, this value was higher than values shown by surveys made in the emergency services, but similar to those of other retrospective studies made in other countries. Male/female ratio was 1.69, statistically significant at 99% level. The age distribution showed that the higher prevalence was among the 9 year-old children (26.9%), the lower among the 8-year-old children (14.3%); the 9 year-old incidence value was the highest. 74.6% of the teeth involved were maxillary central incisors. Enamel fractures were the most frequent trauma type (67.0%), followed by enamel-dentine fractures (19.3%) and concussions (8.3%). No serious fracture was found. Play was the major dental trauma cause (64.2%), followed by sports (17.4%). 16.5% of traumatized children and their parents did not report the cause. Traffic accidents were not reported as causes. In conclusion, the high prevalence of dental traumas in schoolchildren, involving more than one fifth of subjects, is emphasized. Most of traumas were, however, slight, so that sometimes the cause was not reported. Serious dental injuries were more uncommon. Traffic accidents and violent impacts, which often cause these traumas, were also uncommon.
本文旨在研究意大利学龄儿童前牙创伤性牙损伤的患病率。对来自罗马两所小学的519名6至11岁儿童进行了检查，以评估犬齿和门牙的牙损伤情况。创伤性损伤根据加西亚 - 戈多伊等人的方法进行分类；这种分类最适合回顾性研究。牙损伤患病率为21.0%，该值高于急诊服务调查显示的值，但与其他国家进行的其他回顾性研究的值相似。男/女比例为1.69，在99%水平上具有统计学意义。年龄分布显示，患病率最高的是9岁儿童（26.9%），最低的是8岁儿童（14.3%）；9岁儿童的发病率最高。受累牙齿中74.6%是上颌中切牙。釉质骨折是最常见的创伤类型（67.0%），其次是釉质 - 牙本质骨折（19.3%）和牙震荡（8.3%）。未发现严重骨折。玩耍是主要的牙外伤原因（64.2%），其次是运动（17.4%）。16.5%的受伤儿童及其父母未报告原因。未报告交通事故为病因。总之，强调了学龄儿童牙外伤的高患病率，涉及超过五分之一的受试者。然而，大多数创伤较轻，以至于有时未报告原因。严重的牙损伤更为罕见。经常导致这些创伤的交通事故和暴力撞击也不常见。
