644例儿童牙外伤临床和流行病学特征分析

李俊震; 郭怡婷; 颜文城; 苏达

doi:10.16835/j.cnki.1000-9817.2024006

644例儿童牙外伤临床和流行病学特征分析

doi: 10.16835/j.cnki.1000-9817.2024006

厦门医学院附属口腔医院/厦门市口腔疾病诊疗重点实验室，福建 361016

详细信息

作者简介:
李俊震(1967-)，男，福建长乐人，硕士，主任医师，主要研究方向为儿童口腔医学、口腔预防医学

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R788 Q983^+.8 R179
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出版历程
- 收稿日期: 2023-09-08
- 修回日期: 2023-11-07
- 网络出版日期: 2024-02-01
- 刊出日期: 2024-01-25

Analysis of the clinical and epidemiologic characteristics of 644 children with dental trauma

Xiamen Key Laboratory of Oral Disease Diagnosis and Treatment, Xiamen (361016), Fujian Province, China

摘要

摘要: 目的分析儿童牙外伤的临床资料，总结其发生规律，为牙外伤的治疗和预防提供参考。方法于2022年1—12月对就诊于厦门医学院附属口腔医院儿童口腔科的644例牙外伤患儿进行回顾性分析。采用描述性方法分析患儿的一般人口学特征和牙外伤临床特征。结果儿童牙外伤中，男女比例为2.16∶1，平均年龄(6.73±3.42)岁，2~4和7~9岁为高发年龄(26.09%，33.85%)。夏季外伤人数最少(18.88%)，秋季(28.55%)和春季(27.61%)外伤人数较多。发生在傍晚和晚上人数最多(51.47%)，凌晨和早晨人数最少(2.68%)。大部分患儿在牙外伤之后24 h以上就诊(42.08%)。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(65.25%)，乳牙外伤最常见的是单纯牙周组织损伤(53.35%)；牙外伤最易累及上颌中切牙(80.10%)，受累牙齿数量大多为1~2颗。结论儿童牙外伤的发生具有性别、年龄和季节等方面的规律性，患儿牙外伤就诊不及时。应加强儿童牙外伤的健康宣教，以减少牙齿受伤的概率。
- 牙 /
- 创伤和损伤 /
- 流行病学研究 /
- 儿童
Abstract: Objective The clinical data involving pediatric dental trauma and the features of dental trauma in children were summarized to provide a reference for the treatment and prevention of dental trauma. Methods A retrospective analysis was performed on 644 children with dental trauma who were admitted to the Department of Children's Stomatology, Stomatology Hospital of Xiamen Medical College from January to December 2022. Descriptive methods were used to analyze the general demographic characteristics of the children and clinical features of dental trauma. Results The characteristics of the children with dental trauma were as follows: male-to-female ratio, 2.16∶1; mean age, (6.73±3.42) years; most frequently affected age groups, 2-4 and 7-9 years (26.09%, 33.85%); most frequent season for dental trauma, spring (27.61%) and autumn (28.55%); least common season for dental trauma, summer(18.88%); most frequent time of day for dental trauma, evening (51.47%); least common time of day for dental trauma, morning (2.68%); >24 h elapsed from dental trauma-to-treatment (42.08%); most common type of injuries; simple tooth hard tissue and pulp injury in permanent teeth(65.25%) and simple periodontal tissue injury of primary teeth(53.35%); most likely teeth involved, maxillary central incisors (80.10%); and number of affected teeth, 1-2. Conclusions The incidence of dental trauma in children has common features, but most children do not see a dentist timely after dental trauma occurs. Educating parents of children with dental trauma should be encouraged to reduce the incidence of dental injury.
- Tooth /
- Wounds and injuries /
- Epidemiologic studies /
- Child
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