小儿初级接触和近似牙的变化:为期三年的前性队列研究
M Kirthiga1, M S Muthu2, G Kayalvizhi3
1Dr. Kirthiga is a reader, Department of Pedodontics, Saveetha Dental College and Hos- pitals Saveetha Institute of Medical and Technical Sciences, Saveetha University.
Pediatric dentistry
|October 31, 2023
概括
初级牙之间的接触类型显著影响近似虫的发展. 与开放式 (O型) 接触相比,曲的 (S型) 和直的 (I型) 接触带来了较高的空洞风险.
科学领域:
- 儿科牙科 儿科牙科
- 牙科公共卫生 牙科公共卫生
- 皮肤病学 皮肤病学 皮肤病学
背景情况:
- 牙损仍然是一个重要的全球健康问题,特别是在初级牙科.
- 了解影响脏病发病的因素对于有效的预防策略至关重要.
- 接近牙之间的牙接触的形态可能会对牙腐烂的易感性起到作用.
研究的目的:
- 调查一级牙接触类型与近似牙发生率之间的关系.
- 评估不同接触配置与幼儿脏病发展之间的长期关系 (三年).
- 为了确定特定的接触类型,这些接触类型会产生更高的风险发展近距离腔间空洞.
主要方法:
- 一项前性队列研究,涉及119名年龄在3至4岁的无虫儿童,在印度的普杜切里.
- 在基线使用OXIS标准 (O-open,X-point,I-straight,S-curved) 评估了4,476个牙接触点.
- 使用国际牙检测和评估系统 (ICDAS) 分析Poisson回归的三年间每年牙损伤评估.
主要成果:
- 在三年后观察到的3,848名接触者中,13% (499) 患有.
- 在接触类型和近似虫之间发现了统计学上显著的关联 (P<0.05).
- 与O型接触者相比,I型 (12.7) 和S型 (22.5) 接触者的脏病风险比率显著高于O型接触者.
结论:
- 牙接触的变化是近似病发展的关键决定因素.
- S型 (曲线) 接触者对近距离虫的敏感性最高,其次是I型 (直线) 接触者.
- 这些发现强调了接触形态在损风险评估和预防初级牙的重要性.
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