永久牙中创伤性牙损伤的流行病学和严重程度:20年的回顾性研究
Walbert A Vieira1, Andrea C Pereira1, Jaqueline Lazzari1
1Department of Restorative Dentistry, Endodontics Division, School of Dentistry of Piracicaba, State University of Campinas, Piracicaba, Brazil.
Brazilian dental journal
|July 19, 2023
概括
永久牙的创伤性牙损伤 (TDI) 是常见的,最常见的是脱落和骨折. 更严重的TDI与患者年龄,损伤原因和受损牙数量有关.
科学领域:
- 牙科创伤学 牙科创伤学
- 牙受伤的流行病学 牙受伤的流行病学
- 口腔健康研究研究 口腔健康研究
背景情况:
- 创伤性牙损伤 (TDI) 是影响永久牙的重大公共卫生问题.
- 了解TDI的流行病学和相关因素对于有效的预防和管理至关重要.
- 之前的研究强调了对TDI的本地化数据的需要,以告知临床实践和公共卫生战略.
研究的目的:
- 在20年的时间内评估永久牙中创伤性牙损伤的患病率和模式.
- 调查与创伤性牙损伤严重程度相关的因素.
- 提供巴西牙科学院患者群体中TDI的流行病学数据.
主要方法:
- 永久牙中TDI患者的837个临床记录的回顾性审查 (2000-2019).
- 收集的数据包括患者人口统计学,病因学,牙受影响以及基于IADT指南的TDI分类/严重程度.
- 统计分析包括描述性统计,奇平方和多项式回归.
主要成果:
- 共有2357颗牙受到影响,最常见的损伤是脱牙 (n=512) 和不复杂的牙-牙骨折 (n=488).
- 男性比女性更为普遍,年龄从5岁到71岁不等.
- 在受伤严重程度和年龄组 (p=0.004),病因 (p=0.000) 和受伤牙数量 (p=0.000) 之间发现了显著的关联.
结论:
- 研究巴西地区的TDI表现出与全球趋势相似的流行病学特征.
- 诸如年龄,病因和牙受影响的数量等因素与牙创伤的严重程度有很大关系.
- 研究结果强调了在临床评估和TDI治疗计划中考虑这些因素的重要性.
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