一项为期两年的回顾性研究,研究了初级牙中创伤性牙损伤
Jing-Lan Zhang1, Zhu-Li Peng2, Jie Huang1
1Department of Pediatric Dentistry, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, P. R. China.
Medicine
|November 14, 2023
概括
原始牙的创伤性牙损伤 (TDI) 在2至4岁的儿童中最常见,原因是跌倒和碰撞. 早期治疗和随访对于保存牙和预防感染至关重要.
科学领域:
- 儿科牙科 儿科牙科
- 牙科创伤学 牙科创伤学
- 公共卫生 公共卫生
背景情况:
- 初级牙中创伤性牙损伤 (TDI) 是儿科牙科的一个重大问题.
- 了解幼儿TDI的流行病学和管理对于最佳结果至关重要.
研究的目的:
- 分析初级牙科中TDI的原因,临床特征,社会因素和治疗状态.
- 确定与7岁以下儿童TDI相关的危险因素.
主要方法:
- 对144名儿童 (213颗牙) 的回顾性分析,这些儿童在初级牙科中患有TDI.
- 2017年12月至2020年6月期间收集的数据.
- 使用千平方和曼-惠特尼-威尔科克森测试进行统计分析.
主要成果:
- 2-4岁的男孩 (68.1%) (59%) 受影响最大,主要是碰撞 (52.1%) 和跌倒 (44.4%).
- 大切口 (91.5%) 是最脆弱的;冠骨折是最常见的 (37%).
- 晚期 (>24小时) 呈现率很高 (57.0%);提取 (27.1%) 和肺切除 (27.1%) 是常见的治疗方法. 在审查的病例中, Pulpitis/感染发生在 29.3% 的病例中.
结论:
- 年龄,性别,碰撞和跌倒是母牙TDI的关键风险因素.
- 虽然切除牙和修复是有效的,但治疗迟到和后续治疗率不佳阻碍了牙的保存和感染控制.
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