Dental injuries among children and adolescents aged 1-15 years attending to public hospital in Temuco, Chile
Dental injuries among children and adolescents aged 1-15 years attending to public hospital in Temuco, Chile
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DOI：
10.1111/j.1600-9657.2010.00878.x
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发表时间：
2010-06-01
影响因子：
2.5
通讯作者：
Fernandez, Belen E.
中科院分区：
文献类型：
--
作者：
Diaz, Jaime A.;Bustos, Luis;Fernandez, Belen E.
对2004年至2007年在智利特木科地区医院寻求牙科急诊的1-15岁儿童和青少年进行了一项横断面研究。本研究的目的是确定病因学，类型的外伤性牙齿损伤的乳牙和恒牙，性别和年龄分布，事故发生的地点;和时间经过之前，在儿童和青少年的紧急治疗。样本由359名患者组成，其中145颗乳牙和525颗恒牙受到牙外伤的影响。结果显示，男女比例为2：1（242/117），平均年龄为8.4岁。7- 12岁年龄组的牙齿损伤频率最高（66.6%）。非特异性意外福尔斯是乳恒牙列损伤的主要原因（51.8%），其次是牙齿撞击物体（15.6%）和自行车事故（13.9%）。在乳牙期最常见的诊断是半脱位（38.6%）和撕脱（16.6%），而在恒牙期则是简单的冠折（32.9%）。高比例的患者在事故发生后24 h（32.6%）接受了首次急诊治疗。本研究发现，在研究期间，1-15岁的人群中因牙外伤而寻求急诊的频率较高（37.9%）。很大一部分儿童的牙齿创伤得到延迟的第一次紧急护理，甚至24小时后的事故。考虑到1-15岁人口中创伤性牙齿损伤的发生率很高，以及延迟紧急治疗的比例很高，有必要就创伤性牙齿损伤的原因、预防和紧急管理开展有效的教育运动，特别是在贫困地区。结论：外伤性牙外伤可能是一个严重的牙科公共卫生问题，特别是在贫困地区的儿童。
A cross-sectional study was carried out in children and adolescents of both sexes, aged 1-15 years that sought dental emergency attention to the Regional Hospital between 2004 and 2007 in Temuco, Chile. The purpose of this study was to identify the aetiology, types of traumatic dental injuries in primary and permanent dentitions, sex and age distributions, accident location; and time elapsed before emergency treatment in children and adolescents. The sample consisted of 359 patients with 145 primary teeth and 525 permanent teeth affected by dental trauma. The results showed a 2:1 male:female ratio distribution (242/117) with a mean age of 8.4 years. The 7- to 12-year-old group had the highest frequency of dental injuries (66.6%). Unspecific accidental falls were the main cause of injury to primary and permanent dentition (51.8%), followed by striking teeth against objects (15.6%) and bike accidents (13.9%). In primary dentition the most common diagnosis were subluxation (38.6%) and avulsion (16.6%), whereas in permanent dentition was uncomplicated crown fracture (32.9%). A high proportion of the patients received their first emergency attention 24 h after the accident (32.6%). This study revealed a high frequency (37.9%) in 1-15 aged population that sought emergency attention by dental trauma in the period of time study. A large proportion of children with dental trauma received delayed first emergency care, even 24 h after the accident. Considering the high frequency of traumatic dental injuries in 1-15 aged population and the high percentage of delayed emergency attention is necessary to develop effective educational campaigns in regard to causes, prevention and emergency management of traumatic dental injuries, especially in deprived areas. In conclusion, traumatic dental injury may be considered as a serious dental public health problem especially in children of deprived areas.