在智利民间骚乱期间遭受的创伤性牙伤害:一系列案例研究
Camila Corral Nunez1,2, Alvaro Hurtado1, André Latapiat Parodi1
1Department of Restorative Dentistry, Faculty of Dentistry, University of Chile, Santiago, Chile.
概括
智利社会动乱期间的警察部队主要是由于身体冲击和弹弹造成的创伤性牙伤害 (TDI). 大多数受影响的患者遭受了需要复杂的牙科治疗的切口伤害,这突出了严重的公共卫生问题.
科学领域:
- 口腔和牙面部外科手术
- 法医牙科 法医牙科
- 公共卫生 公共卫生
背景情况:
- 智利社会动荡 (2019-2021) 导致警方行动造成广泛的身体创伤.
- 在此背景下,没有先前的研究记录了创伤性牙损伤 (TDI).
- 这项研究解决了在社会动员期间由国家代理人暴力造成的TDI理解的差距.
研究的目的:
- 描述智利警察暴力造成的TDI患者的特征和治疗需求.
- 分析牙创伤的类型和受影响的牙.
- 为了记录所需的牙科干预的复杂性.
主要方法:
- 使用了案例系列方法.
- 审查了2019年10月至2021年12月因与暴力有关的伤害接受治疗的患者的临床记录.
- 收集的数据包括社会人口统计信息,伤害原因,TDI诊断和治疗需求,随后进行描述性分析.
主要成果:
- 九名患者同意参与,其中大多数是28岁的男性,拥有公共医疗保险和高等教育.
- 动力冲击弹 (KIP) 和物理力量是造成伤害的主要原因.
- 在9个病例中,26颗牙持续发生了TDI,主要影响中央上切口与肉和牙周组织损伤,需要复杂的治疗,如植入物和假肢.
结论:
- 在智利社会动荡期间,警方使用武力导致示威者中发生了大量的TDI.
- 伤害主要是由身体力量和不太致命的武器造成的.
- 切口创伤是最常见的,通常涉及多颗牙,需要广泛,复杂的牙科康复.
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