与摩尔切口低矿化相关的产前和产周暴露:出生队列,巴西
Marcela M P Franco1, Cecilia C C Ribeiro1, Lorena L C Ladeira1
1Postgraduate Program in Dentistry, Federal University of Maranhão, Maranhão, São Luís, Brazil.
Oral diseases
|October 26, 2023
概括
分析了产前和周围的因素,以确定它们与青少年的牙切须低矿化 (MIH) 的关联. 晚年母亲的年龄和缺乏产前护理与尖或牙的MIH类病变有关.
科学领域:
- 儿科牙科 儿科牙科
- 牙科公共卫生 牙科公共卫生
- 流行病学 流行病学
背景情况:
- 摩切口低矿化 (MIH) 是一种发展性质缺陷,影响永久的第一个摩和切口.
- 识别产前和产周风险因素对于理解MIH病因和制定预防策略至关重要.
研究的目的:
- 调查各种产前和产周压力因素与青少年MIH发生之间的关联.
- 探索母亲和新生儿因素与MIH发展之间的直接和调解途径.
主要方法:
- 一项前性队列研究跟踪了590名青少年从出生到18-19岁.
- 产前数据包括社会经济地位,产妇年龄,产前访问,吸烟,肥胖,堕胎史和妊娠高血压.
- 围产期数据包括分娩类型,妊娠年龄,出生体重和新生儿重症监护室 (ICU) 的入院. 使用Ghanim标准进行MIH评估.
主要成果:
- 在15.25%的青少年中诊断出MIH,在22.8%的青少年中有划分的不透明性.
- 在初级模型中,没有单一的产前或产周压力因素能够显著预测MIH.
- 然而,在敏感性分析 (模型II) 中,母亲的晚年和缺乏产前护理是MIH类切口或口不透明的显著预测因素.
结论:
- 晚年母亲的年龄和不充分的产前护理与青少年切口和牙的MIH类病变有关.
- 这些发现强调了母亲健康和一致的产前护理在预防牙发育缺陷方面的重要性.
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