儿童暴露和永久牙牙缺陷的风险:辛辛那提研究
M R Amin1, B P Lanphear2, R W Hornung3
1Division of Epidemiology and Biostatistics, Department of Environmental and Public Health Sciences, The University of Cincinnati College of Medicine, Cincinnati, OH, USA.
JDR clinical and translational research
|June 23, 2025
概括
儿童暴露与年轻成年人牙损伤 (腐烂,缺失,填充牙) 的更高率有关. 减少暴露对于预防牙和改善口腔健康至关重要,特别是在发展中国家.
科学领域:
- 环境健康 环境健康
- 牙科公共卫生 牙科公共卫生
- 儿科健康 儿科健康
背景情况:
- 牙损在美国是一个主要的公共卫生挑战.
- 现有的关于暴露和牙腐烂的研究提出了相互矛盾的发现.
- 缺乏前性队列研究,评估童年暴露对年轻成年人病的长期影响.
研究的目的:
- 调查产前和儿童期暴露与年轻成年人牙损伤患病率之间的关联.
- 分析母亲,新生儿和产后期间的暴露水平.
- 评估暴露与唾液流量之间的关系.
主要方法:
- 一项在辛辛那提对206名参与者 (16至22岁) 的前性队列研究.
- 测量产前和产后血水平 (3-78个月).
- 使用腐烂,缺失和填充牙 (DMFT) 和表面 (DMFS) 量化牙经验.
主要成果:
- 在儿童血液中平均含量和DMFS/DMFT之间发现了显著的积极关联.
- 在6至15μg/dL血之间观察到DMFS的两倍增加.
- 儿童暴露也与唾液流量下降有关,即使经过对共变量进行调整.
结论:
- 儿童暴露与年轻成年人牙变的增加有明显联系.
- 调查结果强调了持续努力在全球范围内尽量减少暴露的重要性.
- 减少暴露对于预防牙损伤和促进长期口腔健康至关重要.
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