摩尔切割器低矿化患病率有没有上升? 一个对已公布数据的元分析
Benjamin Sluka1, Ulrike Held2, Florian Wegehaupt3
1Private Practice, Romanshorn, Switzerland.
BMC oral health
|January 25, 2024
概括
摩尔切割器低矿化 (MIH) 的患病率约为12.8%,没有观察到明显的整体增加. 然而,特定年龄组的分析表明,随着时间的推移,MIH患病率可能会增加.
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:
- 摩尔切割器低矿化 (MIH) 是一种牙科疾病,病因有争议,治疗也很困难.
- 公众的看法表明MIH的患病率正在上升,引起了临床和公众的兴趣.
研究的目的:
- 根据欧洲儿科牙科学会 (EAPD) 的标准,系统地审查和元分析MIH的流行情况.
- 调查随着时间的推移MIH患病率的趋势.
主要方法:
- 在多个数据库 (Medline,Cochrane,EMBASE等) 进行系统的文献搜索. 按照PRISMA的指导方针进行.
- 分析包括2001年以后发表的167项研究 (46,613人),但由于分类不一致,不包括较旧的研究.
- 研究在队列大小和参与者的年龄方面有所不同.
主要成果:
- 整体MIH的加权平均患病率为12.8% (95%CI为11.5%-14.1%).
- 在所有研究中,没有发现有关出版年或出生年流行率的显著变化.
- 11项研究的分分析表明,患病率从1992年的3%大幅增加到2013年的13%.
结论:
- 根据目前的横截面数据,MIH患病率的确切上升仍然不清楚.
- 为了准确评估MIH流行趋势,需要进行进一步的大规模前性研究,使用标准化检查方案和检查人员校准.
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