儿童的MIH和牙损:系统性审查和元分析
Marta Mazur1, Denise Corridore1, Artnora Ndokaj1
1Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy.
Healthcare (Basel, Switzerland)
|June 28, 2023
概括
儿童的牙切割器低矿化 (MIH) 与更高的牙腐烂率有关. 早期诊断和量身定制的管理对于解决这个日益严重的牙科问题至关重要.
科学领域:
- 儿科牙科 儿科牙科
- 牙科公共卫生 公共卫生
- 皮肤病学 皮肤病学 皮肤病学
背景情况:
- 摩尔切割器低矿化 (MIH) 是一种流行发育缺陷的牙,发病率越来越高.
- MIH影响儿童的永久牙,对牙科治疗和管理构成重大挑战.
- 了解MIH和皮经验之间的关系对于有效的公共卫生战略至关重要.
研究的目的:
- 系统地审查和综合现有关于MIH儿童虫经验 (dmft/DMFT) 的证据.
- 进行元分析,以量化MIH和皮之间的关联.
主要方法:
- 系统审查和元分析遵循PRISMA声明.
- 包括59篇关于定性综合和18篇关于元分析的论文 (2007-2022年).
- 分析了来自17717名儿童的数据,其中13.4%被诊断为MIH.
主要成果:
- 分析显示,MIH和dmft (腐烂,缺失或填充的母牙) 之间存在显著的正相关性 (效果大小:0.67).
- 在MIH和DMFT (腐烂,缺失或填充的永久牙) 之间也发现了正相关性 (效果大小:0.56).
- 这项研究包括了大量的7-10岁儿童样本,性别分布均衡.
结论:
- 及时和准确的儿童MIH诊断至关重要.
- 对MIH的治疗和管理策略应纳入预后和已知的风险因素.
- 预防政策必须解决MIH儿童下病病因的多因素性质.
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