Etiology and environment of dental injuries in 12-to 14-year-old Ontario schoolchildren
Etiology and environment of dental injuries in 12-to 14-year-old Ontario schoolchildren
复制标题
DOI：
10.1111/j.1600-9657.2007.00548.x
复制
发表时间：
2008-06-01
影响因子：
2.5
通讯作者：
Locker, David
中科院分区：
文献类型：
--
作者：
Fakhruddin, Kausar Sadia;Lawrence, Herenia P.;Locker, David
本研究报告的病因和环境，牙齿损伤发生和评估之间的关系，牙齿创伤，社会经济地位和龋齿的经验。一项以人口为基础的配对病例比较研究在两个安大略社区的30所学校进行。使用牙科创伤指数（DTI）校准的牙科医生筛选了2422名12岁和14岁的儿童，使用DTI和龋齿，缺失和填充牙齿指数。病例（n = 135）是有牙齿损伤证据的儿童。对照组（n = 135）是筛选后随机选择的儿童，并根据年龄和性别与病例匹配。向家长和孩子们邮寄了问卷。牙齿损伤的发生率为11.4%，大多数是轻微损伤（釉质破裂不涉及牙本质），影响一个上中切牙（70.4%）。牙齿受伤时的平均年龄为9.5岁（SD = 1.49;范围：6-13岁）。牙齿创伤最常发生在男孩在学校，因为福尔斯或在运动。牙齿损伤和所选的社会经济指标之间的关系在统计学上不显着。然而，有统计学显着的直接关系（P < 0.001）之间的增加龋齿的经验和牙齿损伤。这应该把注意力集中在可能的常见风险因素上，例如可能影响牙科疾病和牙齿损伤的健康相关行为问题。
This study reports on the etiology and environment where dental injuries occurred and assesses the relationship between dental trauma, socio-economic status and dental caries experience. A population-based, matched case-comparison study was undertaken in 30 schools in two Ontario communities. Dental hygienists calibrated in the use of the Dental Trauma Index (DTI) screened 2422 children aged 12 and 14 years using DTI and Decayed, Missing and Filled Teeth indices. Cases (n = 135) were children with evidence of dental injury. Controls (n = 135) were children randomly selected after screening and matched with cases according to age and gender. Questionnaires were mailed to parents and children. Prevalence of dental injury was 11.4%, mostly minor injuries 63.7% (enamel fracture not involving dentin), affecting one upper central incisor (70.4%). The mean age at the time of dental injuries was 9.5 years (SD = 1.49; range: 6-13 years). Dental trauma most often occurred among boys at school because of falls or while playing sports. The relationship between dental injuries and the socio-economic indicators chosen was not statistically significant. However, a statistically significant direct relationship (P < 0.001) was shown between increased caries experience and dental injuries. This should focus attention on possible common-risk factors such as health-related behavioral problems that may affect both dental disease and dental injuries.