口腔医学研究

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (7): 678-681.DOI: 10.13701/j.cnki.kqyxyj.2022.07.020

• 儿童牙外伤研究 • 上一篇    下一篇

68例儿童恒牙外伤预后的回顾性研究

张慧, 姜文敬, 王梦瑶, 李林林, 闫波, 高黎*   

  1. 郑州大学第一附属医院口腔科 郑州大学口腔医学院 河南 郑州 450000
  • 收稿日期:2021-12-09 出版日期:2022-07-28 发布日期:2022-07-22
  • 通讯作者: * 高黎,E-mail:gaolidoc@126.com
  • 作者简介:张慧(1996~ ),女,河南济源人,硕士在读,研究方向:儿童口腔医学

A Retrospective Study of the Prognosis of 68 Cases of Children with Permanent Tooth Trauma

ZHANG Hui, JIANG Wenjing, WANG Mengyao, LI Linlin, YAN Bo, GAO Li*   

  1. Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University College of Oral Medicine, Zhengzhou 450000, China
  • Received:2021-12-09 Online:2022-07-28 Published:2022-07-22

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摘要： 目的:回顾性分析68例儿童恒牙外伤的预后情况。方法:选取2019~2021年因恒牙外伤于我院儿童口腔科就诊的68例儿童116颗牙齿为研究对象。对性别、年龄、好发牙位、就诊时间、牙根发育情况进行分析。随访半年,评估患牙预后情况,对影响因素进行单因素分析和多因素Logistic回归分析。对预后不良情况进行总结。结果:116颗外伤牙多发于男孩,平均年龄(8.93±1.28)岁;就诊时间及牙周组织损伤类型与患牙预后相关(P＜0.05);多因素Logistic回归分析显示患牙就诊时间超出24 h为预后不良的危险因素(P＜0.05);50%患牙提示预后不良,其中36.21%为牙根吸收。结论:就诊时间及牙周组织损伤类型显著影响牙齿预后,牙外伤后应及时就诊,进行专业及时的治疗;同时加强本地区牙外伤的预防保健宣传力度,提升公众的重视程度。

关键词: 恒牙外伤, 影响因素, 预后, 牙根吸收

Abstract: Objective: To retrospectively analyze the prognosis of 68 cases of children with permanent tooth trauma. Methods: A total of 116 permanent teeth from 68 children with trauma in the Department of Pediatric Dentistry of our hospital from 2019 to 2021 were selected. The clinical data of gender, age, preeminent tooth location, visiting time, and development period were analyzed. The patients were followed up for six months to evaluate the prognosis of the affected teeth, and the influencing factors were analyzed by univariate analysis and multivariate Logistic regression analysis. The negative prognosis was summarized. Results: The patients were mostly male with an average age of (8.93±1.28) years. The time of visiting and the type of periodontal tissue injury were correlated with the prognosis of affected teeth (P<0.05). Multivariate regression analysis showed that more than 24 hours of visit time was a risk factor for prognosis (P<0.05). 50% of affected teeth showed negative prognosis, and 36.21% of which had root resorption. Conclusion: The time of visit and the type of periodontal tissue injury are related to the prognosis. Timely and professional treatment should be accepted after trauma. At the same time, the publicity of tooth injury prevention should be strengthened to raise the level of public attention.

Key words: permanent tooth trauma, influence factors, prognosis, root resorption