创伤性牙损伤后永久牙的后续效应在初级牙 - 一个回顾性队列研究
Anne-Marie Folmer1, Eva Lauridsen2, Josephine Solgaard Henriksen1
1Department of Pediatric Dentistry and Clinical Genetics, School of Dentistry, Health Sciences, University of Copenhagen, Copenhagen, Denmark.
International journal of paediatric dentistry
|March 5, 2025
概括
幼儿的创伤性牙损伤,特别是对母牙的广泛的脱落创伤,显著增加了永久继承者后果的风险. 孩子越小,患牙缺陷的风险就越大.
科学领域:
- 儿科牙科 儿科牙科
- 牙科创伤学 牙科创伤学
- 发育生物学 发展生物学
背景情况:
- 原始牙的脱落损伤可能导致永久继承者的发育障碍.
- 了解这些后果对于管理儿科牙创伤至关重要.
研究的目的:
- 在初级牙脱落损伤后,分析永久牙的后续损伤.
- 根据孩子在创伤时的年龄来比较结果.
主要方法:
- 对206名患有360颗可能受损的永久牙 (PDPT) 和1057名对照患者的回顾性分析.
- PDPT被分为三个年龄组 (0-2岁,3-5岁,6岁以上).
- 统计分析 (费舍尔精确测试,SPSS) 评估了不透明度,低成形和形的风险.
主要成果:
- 低成形和形在0-2岁组中更为频繁,与侧面脱落,侵入和脱落有关.
- 在所有年龄组中都观察到分散的和划分的不透明度,与各种色类型相关.
- 与对照组相比,创伤子组的后续病变风险是创伤子组的七倍以上.
结论:
- 初级牙脱落时的年龄较小增加了永久继承者后果的风险.
- 更严重的位损伤与患上牙缺陷的风险更高相关.
- 儿童牙科创伤的早期和全面管理是必不可少的.
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