Traumatic dental injuries in preschool-age children: Prevalence and risk factors
Traumatic dental injuries in preschool-age children: Prevalence and risk factors
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DOI：
10.1002/cre2.165
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发表时间：
2019-04-01
影响因子：
1.8
通讯作者：
Divaris, Kimon
中科院分区：
文献类型：
--
作者：
Born, Catherine D.;Jackson, Tate H.;Divaris, Kimon
本研究探讨了以社区为基础的学龄前儿童样本中乳牙列创伤性牙损伤（TDI）的患病率、社会人口学相关因素和临床预测因素。样本包括北卡罗来纳州公立幼儿园的1，546名学龄前儿童（平均年龄49 [范围：24-71]个月），参加了北卡罗来纳州幼儿及其父母的基于人口的调查。收集有关社会人口统计学、口外和口内特征的信息，并采用双变量和多变量方法进行分析，包括logistic回归模型和边际效应估计。牙外伤的患病率为47%，8%的TDI病例为“严重”（牙髓暴露、牙齿移位、牙齿变色或坏死或牙齿脱落）。在双变量分析中，覆盖和唇功能不全与TDI显著相关。在多变量分析中，覆盖仍然与严重创伤正相关，OR = 1.4，95%置信区间（CI）[1.2，1.6]，对应于绝对1.3%，95%CI [0.7，1.8]，每毫米覆盖严重创伤的可能性增加。覆盖增加（>3 mm）的儿童发生重度TDI的可能性为3.8，95% CI [2.0，7.4]，是
This study examined the prevalence, socio-demographic correlates, and clinical predictors of traumatic dental injuries (TDIs) in the primary dentition among a community-based sample of preschool-age children. The sample comprised 1,546 preschool-age children (mean age 49 [range: 24-71] months) in North Carolina public preschools, enrolled in a population-based investigation among young children and their parents in North Carolina. Information on socio-demographic, extraoral, and intraoral characteristics was collected and analyzed with bivariate and multivariate methods, including logistic regression modeling and marginal effects estimation. The prevalence of dental trauma was 47% and 8% of TDI cases were "severe" (pulp exposure, tooth displacement, discolored or necrotic tooth, or tooth loss). In bivariate analyses, overjet and lip incompetence were significantly associated with TDI. Overjet remained positively associated with severe trauma in multivariate analysis, OR = 1.4, 95% confidence interval (CI) [1.2, 1.6], corresponding to an absolute 1.3%, 95% CI [0.7, 1.8], increase in the likelihood of severe trauma, per millimeter of overjet. Children with increased overjet (>3 mm) were 3.8, 95% CI [2.0, 7.4], times as likely to have experienced severe TDI compared with those with