口腔医学研究

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (7): 673-677.DOI: 10.13701/j.cnki.kqyxyj.2022.07.019

• 儿童牙外伤研究 • 上一篇    下一篇

246例儿童牙外伤的回顾性分析

李睿敏1,2*, 段丽2, 杨娅凤2, 剡亚妹2, 张钊萌2, 丁小燕2, 吕娜2   

  1. 1.宁夏医科大学总医院口腔医院牙体牙髓病科 宁夏 银川 750000;
    2.宁夏医科大学口腔医学院 宁夏 银川 750000
  • 收稿日期:2022-02-28 出版日期:2022-07-28 发布日期:2022-07-22
  • 通讯作者: * 李睿敏,E-mail:lrm0819@nyfy.com.cn
  • 作者简介:李睿敏(1983~ ),女,新疆沙湾人,副主任医师,博士,研究方向:儿童及成人牙体牙髓病学。
  • 基金资助:
    宁夏自治区重点研发项目(编号:2020BEG03029);宁夏自然科学基金(编号:2020AAC02036);宁夏医科大学一流学科(二期建设)(编号:0019110104)

Dental Trauma in Children: A Retrospective Analysis of 246 Cases

LI Ruimin1,2*, DUAN Li2, YANG Yafeng2, YAN Yamei2, ZHANG Zhaomeng2, DING Xiaoyan2, LV Na2   

  1. 1. Department of Dental and Endodontic Diseases, Stomatological Hospital, General Hospital of Ningxia Medical University, Yinchuan 750000, China;
    2. School of Stomatology, Ningxia Medical University, Yinchuan 750000, China
  • Received:2022-02-28 Online:2022-07-28 Published:2022-07-22

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摘要： 目的:分析儿童乳、恒牙牙外伤的临床资料,描述儿童牙外伤分布情况,为牙外伤的治疗和预防提供参考。方法:采用横断面研究方法回顾性分析2020年就诊于宁夏某口腔医院儿童口腔病科的246例牙外伤初诊患儿(407颗患牙)的临床资料。结果:儿童牙外伤中,男女比例为2.04∶1.00,最易累及上颌中切牙,每名患儿的受累牙齿数量多为1~2颗。儿童牙外伤在秋季高发,8~10岁年龄段为发生的高峰期(P＜0.05)。恒牙外伤最常见的损伤类型是单纯牙齿硬组织和牙髓损伤(52.00%),乳牙外伤最常见的是单纯牙周组织损伤(58.60%),差异有统计学意义(P＜0.01)。结论:儿童牙外伤在男性和8~10岁儿童中更为普遍,秋季多发;上颌前牙最易受累;恒牙外伤多损伤牙体硬组织和牙髓,乳牙外伤多损伤牙周组织。但监护人对儿童牙齿创伤的行为认知欠缺,要进一步加强相关的健康宣教工作,提高防范意识。

关键词: 儿童, 牙外伤, 乳牙, 恒牙, 回顾性分析

Abstract: Objective: To analyze the clinical data of dental trauma in children's primary and permanent teeth, describe the distribution of dental trauma in children, and provide reference for the treatment and prevention of dental trauma. Methods: A cross-sectional study method was used to retrospectively analyze the clinical data of 246 children with dental trauma (407 teeth) who visited the Department of Pediatric Dentistry of Stomatological Hospital in Ningxia in 2020. Results: The ratio of male to female in dental trauma was 2.04∶1.00, and the maxillary central incisors were the most likely to be involved. The number of affected teeth in each child was mostly 1-2. The incidence of dental trauma in children was high in autumn, and the peak age was 8-10 years old (P<0.05). Among the permanent teeth trauma, the most common injury type was simple tooth hard tissue and pulp injury (52.00%), and to the primary teeth was simple periodontal tissue injury (58.60%). The differences were significant (P<0.01). Conclusion: Dental trauma in children is more common in boys and aged 8-10 years, and occurs frequently in autumn. Maxillary anterior teeth are the most vulnerable. Permanent tooth trauma often damages tooth hard tissue and pulp, and primary tooth trauma often damages periodontal tissue. However, due to the lack of behavioral awareness of children's dental trauma for guardians, it is necessary to strengthen the relevant health education and improve the prevention awareness.

Key words: children, dental trauma, primary teeth, permanent teeth, retrospective analysis