Tooth wear: prevalence and associated factors in general practice patients.
Tooth wear: prevalence and associated factors in general practice patients.
复制标题
牙齿磨损：普通实践患者中的患病率和相关因素。
DOI：
10.1111/j.1600-0528.2010.00537.x
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发表时间：
2010-06
影响因子：
2.3
通讯作者：
for Northwest PRECEDENT
中科院分区：
文献类型：
--
作者：
Cunha-Cruz J;Pashova H;Packard JD;Zhou L;Hilton TJ;for Northwest PRECEDENT
估计牙齿磨损的患病率，并调查与牙齿磨损有关的因素在美国西北部的一般做法的病人。对西北循证牙科实践研究合作组织（PRECEDENT）的普通牙医进行系统随机抽样调查（n = 1530），收集前一年口腔疾病的诊断和治疗数据（n = 80）。采用聚类调整多元二项回归对成人（18岁以上）和儿童/青少年（3-17岁）的患者特征进行中度至重度咬合和切牙磨损的患病率（pr）估计。对于成年人，平均有磨损齿面的牙齿数量为5.4颗[95%可信区间(CI) = 4.6-6.2]， 51%的成年人有4颗或更多牙齿磨损。与18-44岁的参与者相比，45-64岁和65岁以上的参与者有4颗以上牙齿的可能性分别是1.3倍（95% CI = 1.1-1.6）和1.4倍（95% CI = 1.1-1.8）。成年男性的磨损率比成年女性高20% （PR = 1.2; 95% CI = 1.1-1.4）。正在使用或曾经使用过咬合夹板的成年人与从未使用过此类器具的成年人相比，牙齿磨损的发生率更高（PR = 1.3; 95% CI = 1.0-1.5）。有牙周骨质流失的成年人的磨损率也比没有牙周病的成年人高20% （PR = 1.2; 95% CI = 1.0-1.4）。对于儿童/青少年，有中度至重度磨损面牙齿的平均数量为1.6颗（95% CI = 0.9-2.6）， 31%的儿童有一颗或多颗牙齿有磨损面。男孩牙齿磨损（1+颗牙齿有磨损面）的调整患病率是女孩的1.6倍（95% CI = 1.1-2.4）。12岁以上儿童的磨损率比12岁以下儿童低50% （PR = 0.5; 95% CI = 0.3-0.8）。Angle的II级患者的牙齿磨损发生率高于i级患者（PR = 1.8; 95% CI = 1.3-2.6）。后牙或前牙开咬患儿的牙齿磨损发生率低于同类患者（PR = 0.6; 95% CI = 0.3-1.0）。没有观察到牙齿磨损与正畸治疗、缺牙和种族/民族之间的关联。牙齿磨损在这一人群中很普遍。在成年人中，老年人、男性、使用过咬合夹板和患有牙周病的人群中，牙齿磨损的发生率较高。在儿童中，较高的患病率与年龄较小、男性、II类错颌和无开咬有关。代表西北先例网络提交，由NIDCR拨款DE016750和DE016752支持。
To estimate the prevalence of tooth wear and to investigate factors associated with tooth wear in patients from general practices in the Northwest United States. Data on the diagnosis and treatment of oral diseases during the previous year were collected in a survey with a systematic random sample of patients (n = 1530) visiting general dentists from the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry (PRECEDENT) (n = 80). Prevalence ratios (PRs) of moderate to severe occlusal and incisal tooth wear by patient characteristics were estimated using cluster-adjusted multiple binomial regression for adults (18+ years) and children/adolescents (3–17 years). For adults, the mean number of teeth with wear facets was 5.4 [95% confidence interval (CI) = 4.6–6.2] and 51% of the adults had four or more teeth with wear. Participants 45–64 and 65+ years old were 1.3 (95% CI = 1.1–1.6) and 1.4 (95% CI = 1.1–1.8) times as likely to have 4+ teeth with moderate to severe wear facets as participants 18–44 years old. Adult males had a 20% (PR = 1.2; 95% CI = 1.1–1.4) higher prevalence of wear than adult females. Adults who were using, or had ever used occlusal splints had higher prevalence of tooth wear compared to those who never used such appliances (PR = 1.3; 95% CI = 1.0–1.5). Adults with any periodontal bone loss also had a 20% higher prevalence of wear than adults without periodontal disease (PR = 1.2; 95% CI = 1.0–1.4). For children/adolescents, the mean number of teeth with moderate to severe wear facets was 1.6 (95% CI = 0.9–2.6) and 31% of the children had one or more teeth with wear facets. The adjusted prevalence ratio of tooth wear (1+ teeth with wear facets) for boys was 1.6 times as high (95% CI = 1.1–2.4) as compared with girls. The prevalence of wear for children 12+ years old was 50% (PR = 0.5; 95% CI = 0.3–0.8) lower than that of children <12 years old. Angle’s class II was associated with higher tooth wear prevalence (PR = 1.8; 95% CI = 1.3–2.6) than class I. Children with posterior or anterior open bite had lower prevalence of wear than their counterparts (PR = 0.6; 95% CI = 0.3–1.0). No associations were observed between tooth wear and orthodontic treatment, missing teeth, and race/ethnicity. Tooth wear is a prevalent condition in this population. Among adults, higher prevalences of tooth wear were observed among those who were older, males, had used occlusal splints and had periodontal disease. Among children, higher prevalences were associated with younger age, male gender, class II malocclusion and the absence of open bite. Submitted on behalf of the Northwest PRECEDENT network, with support from NIDCR grants DE016750 and DE016752.
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影响因子：
4.6
作者：
Pergamalian, A;Rudy, TE;Greco, CM
通讯作者：
Greco, CM
影响因子：
2
作者：
DAHL, BL;OILO, G;BRUASET, O
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BRUASET, O
影响因子：
2.9
作者：
Smith, BGN;Robb, ND
通讯作者：
Robb, ND
影响因子：
4.6
作者：
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通讯作者：
Dette, KE
影响因子：
4.6
作者：
Pintado, MR;Anderson, GC;Douglas, WH
通讯作者：
Douglas, WH