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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参考文献(26)

[1]	秦满. 国际牙外伤学会牙外伤治疗指南(2020版)解读[J]. 中华口腔医学杂志, 2021, 56(9): 833-839. QIN M. Interpretation of the International Association of Dental Traumatology guidelines for the management of traumatic dental injuries (2020)[J]. Chin J Stomatol, 2021, 56(9): 833-839. (in Chinese)
[2]	LAM R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature[J]. Aust Dent J, 2016, 61(Suppl 1): 4-20.
[3]	MAJEWSKI M, PAULINA K, ZIÓŁKOWSKA S, et al. Traumatic dental injuries-practical management guide[J]. Pol Merkur Lekarski, 2022, 50(297): 216-218.
[4]	徐敏秀, 任重鸿. 合肥地区家长对儿童牙外伤的认知程度调查与分析[J]. 牙体牙髓牙周病学杂志, 2018, 28(11): 650-654. XU M X, REN C H. The awareness and attitude of the parents towards emergency management for the children with dental trauma in the public of Hefei City[J]. Chin J Conserv Dent, 2018, 28(11): 650-654. (in Chinese)
[5]	吴平洋. 厦门市口腔专业医师对牙外伤认知能力的调查分析[J]. 临床合理用药杂志, 2016, 9(28): 35-36. WU P Y. The investigation and analysis of oral medical professional on the dental trauma cognitive ability in Xiamen[J]. Chin J Clin Rational Drug Use, 2016, 9(28): 35-36. (in Chinese)
[6]	王捍国, 余擎. 牙外伤的诊断和治疗计划[J]. 中华口腔医学杂志, 2020, 55(5): 309-315. WANG H G, YU Q. Diagnosis and treatment planning of traumatic dental injury[J]. Chin J Stomatol, 2020, 55(5): 309-315. (in Chinese)
[7]	KAMULEGEYA A, LAKOR F, KABENGE K. Oral maxillofacial fractures seen at a Ugandan tertiary hospital: a six-month prospective study[J]. Clinics (Sao Paulo), 2009, 64(9): 843-848. doi: 10.1590/S1807-59322009000900004
[8]	CAVALCANTIA A L, BEZERRA P K M, DE OLIVEIRA D M, et al. Maxillofacial injuries and dental trauma in patients aged 19-80 years, Recife, Brazil[J]. Revista Espanola De Cirugía Oral Y Maxilofac, 2010, 32(1): 11-16. doi: 10.1016/S1130-0558(10)70026-5
[9]	刘彩霞, 范蓬. 158例年轻恒牙外伤的临床资料分析[J]. 医学综述, 2013, 19(14): 2633-2634. doi: 10.3969/j.issn.1006-2084.2013.14.046 LIU C X, FAN P. Analysis of clinical data of 158 cases of young permanent teeth trauma[J]. Med Recapitul, 2013, 19(14): 2633-2634. (in Chinese) doi: 10.3969/j.issn.1006-2084.2013.14.046
[10]	TELLO G, BONINI G C, MURAKAMI C, et al. Trends in the prevalence of traumatic crown injuries and associated factors in Brazilian preschool children: 10-year observational data[J]. Dent Traumatol, 2016, 32(4): 274-280. doi: 10.1111/edt.12255
[11]	ELTAIR M, PITCHIKA V, STANDL M, et al. Prevalence of traumatic crown injuries in German adolescents[J]. Clin Oral Investig, 2020, 24(2): 867-874. doi: 10.1007/s00784-019-02974-1
[12]	白洁, 姬爱平, 于冬梅. 急诊牙外伤患儿临床分析[J]. 北京大学学报(医学版), 2010, 42(1): 90-93. doi: 10.3969/j.issn.1671-167X.2010.01.021 BAI J, JI A P, YU D M. Clinical analysis of dental trauma patients in the emergency room[J]. J Peking Univ (Health Sci), 2010, 42(1): 90-93. (in Chinese) doi: 10.3969/j.issn.1671-167X.2010.01.021
[13]	EYUBOGLU O, YILMAZ Y, ZEHIR C, et al. A 6-year investigation into types of dental trauma treated in a paediatric dentistry clinic in Eastern Anatolia region, Turkey[J]. Dent Traumatol, 2009, 25(1): 110-114. doi: 10.1111/j.1600-9657.2008.00668.x
[14]	LAURIDSEN E, HERMANN N V, GERDS T A, et al. Pattern of traumatic dental injuries in the permanent dentition among children, adolescents, and adults[J]. Dent Traumatol, 2012, 28(5): 358-363. doi: 10.1111/j.1600-9657.2012.01133.x
[15]	BATRA M, KANDWAL A, GUPTA M, et al. Prevalence of dental traumatic injuries to permanent incisors in Indian children: a cross-sectional survey[J]. J Dent Sci Oral Rehabil, 2014, 5(1): 1-4.
[16]	FAUS-DAMIÁ M, ALEGRE-DOMINGO T, FAUS-MATOSES I, et al. Traumatic dental injuries among school children in Valencia, Spain[J]. Med Oral Patol Oral Cir Bucal, 2011, 16(2): e292-e295.
[17]	MOULE A, COHENCA N. Emergency assessment and treatment planning for traumatic dental injuries[J]. Aust Dent J, 2016, 61(Suppl 1): 21-38.
[18]	RUSLIN M, WOLFF J, BOFFANO P, et al. Dental trauma in association with maxillofacial fractures: an epidemiological study[J]. Dent Traumatol, 2015, 31(4): 318-323. doi: 10.1111/edt.12176
[19]	GÜMÜş H, ÖZTÜRK G, KÜREM B. Profiles of traumatic dental injuries among children aged 0-15 years in Cappadocia, Turkey: a retrospective cohort study[J]. Dent Traumatol, 2021, 37(3): 419-429. doi: 10.1111/edt.12648
[20]	LOMBARDI S. Diagnosis and treatment of dental trauma in a children's hospital[J]. Pediatr Dent, 1998, 20(2): 112-120.
[21]	杨雪, 孙伟, 王哲, 等. 儿童和青少年牙外伤急诊患儿临床分析[J]. 北京大学学报(医学版), 2021, 53(2): 384-389. YANG X, SUN W, WANG Z, et al. Clinical analysis of children and adolescents emergency dental trauma cases[J]. J Peking Univ (Health Sci), 2021, 53(2): 384-389. (in Chinese)
[22]	LLARENA DEL ROSARIO M E, ACOSTA ALFARO V M, GARCIA-GODOY F. Traumatic injuries to primary teeth in Mexico City children[J]. Dent Traumatol, 2010, 8(5): 213-214.
[23]	KNEITZ F B, SCALIONI F, TAVARES L, et al. Elementary school teachers' knowledge and attitudes toward emergency management of traumatic dental injuries[J]. Braz Oral Res, 2023, 37: e073.
[24]	SAKARYALUYAR D, UYAR T, MEMIşÖZGÜL B. Attitudes and emotional status of parents regarding traumatic dental injuries[J]. Dent Traumatol, 2023, 39(1): 2-10.
[25]	ÖZVEREN N, YLDRM S. Effectiveness of an educational cartoon animation on the knowledge of children about traumatic dental injuries[J]. Dent Traumatol, 2022, 38(6): 512-518.
[26]	AMADORI F, BARDELLINI E, COPETA A, et al. Dental trauma and bicycle safety: a report in Italian children and adolescents[J]. Acta Odontol Scand, 2017, 75(3): 227-231.