在学龄前儿童的初始病变不是青少年病的危险因素
Caries research
|May 21, 2025
概括
在母牙的广泛的牙损伤显著增加了发展永久牙损伤的风险. 然而,初始或中度初级牙并不会在儿童中增加这种风险.
科学领域:
- 口腔健康 口腔健康
- 儿科牙科 儿科牙科
- 流行病学 流行病学
背景情况:
- 初级牙是永久性牙的已知危险因素,特别是在化阶段.
- 与初始的,非化初级病变相关的风险仍然不太了解.
研究的目的:
- 调查初始牙病变是否预测未来永久牙的牙发生率.
- 在10年的时间内,评估不同严重程度的初级牙损伤和随后的永久牙损伤之间的关联.
主要方法:
- 一项为期10年的前性队列研究跟踪了巴西学龄前儿童 (1-5岁).
- 牙损使用国际牙检测和评估系统 (ICDAS) 进行评估.
- 参与者按原发性虫的严重程度进行分类;10年后评估了永久性牙虫的发生率 (D3MFS,广泛的病变).
主要成果:
- 患有广泛初级牙损伤的儿童患永久牙损伤的风险显著增加 (IRR 2.90-4.02).
- 在只有初始或中度初级牙损伤的儿童中,没有观察到永久牙损伤的风险增加.
- 在10年的随访期间,获得了67.2%的保留率.
结论:
- 广泛的初级牙是永久牙未来牙发展的关键预测因素.
- 初始或中度初级牙损伤本身似乎不会增加青少年永久牙损伤的风险.
- 针对广泛的初级牙损伤的有针对性的早期干预对于预防永久牙的二次牙损伤至关重要.
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