2015年南京市353例年轻恒牙外伤的临床分析
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摘要
目的探讨学龄儿童年轻恒牙外伤的临床特点,更好地维护口腔健康。方法对2015年1月至12月期间在南京医科大学附属口腔医院儿童口腔科就诊的353例5～12岁学龄儿童年轻恒牙外伤病例的年龄、性别、外伤后就诊时间、外伤牙位、外伤类型及Nolla分期进行回顾性分析,总结其临床特点。结果男女比例为2.33∶1; 12月份最高发; 7～9岁为高发年龄;多在外伤后2～24 h就诊;上颌中切牙最多见;釉质-牙本质折断及亚脱位最多;硬组织损伤中以Nolla 9期最常见。结论年轻恒牙外伤有其独有的特点,应加强牙外伤的预防保健宣传,提高公众的就诊意识。
Objective To explore the clinical characteristics of immature permanent teeth trauma in school-age children,to better maintain oral health. Methods The database was based on 353 children aged 5-12 who had treatments in Department of Pediatric Dentistry,Affiliated Hospital of Stomatology,Nanjing Medical University during the whole year 2015. Data collection included patient's age,gender,waiting time for a consultation after injury,position of trauma tooth and type of trauma. All the data were retrospectively analyzed. Results Male and female ratio was 2.33 ∶ 1.The majority of the injury occurred in December and most frequently happened between age 7 and 9. Waiting time for the the consultation after injury was from 2 to 24 hours. Among all types of permanent teeth trauma,maxillary lateral incisor high frequently happened,and dentin fracture and subluxation most commonly occurred. Nolla 9 was the most common stage of hard tissue injury. Conclusion Immature permanent teeth trauma has its unique characteristics. The prevention and health care propaganda of dental trauma should be strengthened,and the public awareness of treatment should be improved.
Objective To explore the clinical characteristics of immature permanent teeth trauma in school-age children,to better maintain oral health. Methods The database was based on 353 children aged 5-12 who had treatments in Department of Pediatric Dentistry,Affiliated Hospital of Stomatology,Nanjing Medical University during the whole year 2015. Data collection included patient's age,gender,waiting time for a consultation after injury,position of trauma tooth and type of trauma. All the data were retrospectively analyzed. Results Male and female ratio was 2.33 ∶ 1.The majority of the injury occurred in December and most frequently happened between age 7 and 9. Waiting time for the the consultation after injury was from 2 to 24 hours. Among all types of permanent teeth trauma,maxillary lateral incisor high frequently happened,and dentin fracture and subluxation most commonly occurred. Nolla 9 was the most common stage of hard tissue injury. Conclusion Immature permanent teeth trauma has its unique characteristics. The prevention and health care propaganda of dental trauma should be strengthened,and the public awareness of treatment should be improved.
引文
[1]葛立宏.儿童口腔医学[M]. 4版.北京:人民卫生出版社,2016:169-178.
[2] Glendor U. Epidemiology of traumatic dental injuries-a 12 year review of the literature[J]. Den Traumatol,2008,24(6):603-611.
[3] Levin L,Samorodnitzky GR,Schwartzarad D,et al. Dental and oral trauma during childhood and adolescence in Israel:occurrence,causes,and outcomes[J]. Dent Traumatol,2007,23(6):356-359.
[4] Nolla CM. The development of the permanent teeth[J]. J Dent Child,1960,27(4):254-266.
[5]樊明文.牙体牙髓病学[M]. 4版.北京:人民卫生出版社,2016:120.
[6]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.
[7] Dua R,Sharma S. Prevalence,causes,and correlates of traumatic dental injuries among seven-to-twelve-year-old school children in Dera Bassi[J]. Contemp Clin Dent,2012,3(1):38-41.
[8]夏斌,葛立宏,王忠桂,等.北京大学口腔医学院256例急诊就诊儿童情况分析[J].现代口腔医学杂志,2006,20(2):214-215.
[9]白洁,姬爱平,于冬梅. 175例急诊儿童牙外伤情况分析[J].北京口腔医学,2010,18(14):231-233.
[10]曾晓莉,张立霞,李存荣,等.上海市12岁儿童家长对外伤全脱位牙应急处理认知的调查[J].口腔医学,2015,35(6):480-483.
[11]迟丹丹,徐海峰,马卫东. 202例急诊牙外伤临床分析[J].口腔医学研究,2012,28(5):443-446.
[12] Zeng Y,Sheller B,Milgrom P. Epidemiology of dental emergency visits to an urban children's hospital[J]. Pediatr Dent,1994,16(6):419-423.
[13]校花丽,贾平,高洁.儿童及青少年前牙外伤的临床分析[J].中国医科大学学报,2009,39(8):596-606.
[14] Gupta S,Kumar-Jindal S,Bansal M,et al. Prevalence of traumatic dental injuries and role of incisal overjet and inadequate lip coverage as risk factors among 4-15 years old government school children in Baddi-Barotiwala Area,Himachal Pradesh,India[J].Med Oral Patol Oral Cir Bucal,2011,16(7):960-965.
[15]刘艳,俞有健,于国霞.儿童恒前牙外伤的临床发生规律及预后影响因素研究[J].检验医学与临床,2016,13(7):947-949.
[16] Zaleckiene V,Peciuliene V,Brukiene V,et al.Traumatic dental injuries:etiology,prevalence and possible outcomes[J]. Stomatologija,2014,16(1):7-14.
[17] Ghahramani Y,Sahebi S,Nabavizadeh M,et al. Prevalence of dental trauma and its related factors in patients referring to Shiraz dental school during 2008 to 2012[J]. J Isfahan Dent School,2014,10(1):67-74.
[18] Francisco SS,Filho FJ,Pinheiro ET,et al. Prevalence of traumatic dental injuries and associated factors among Brazilian schoolchildren[J]. Oral Health Prev Dent,2013,11(1):31-38.
[19]陈永进,刘艳丽,张旻,等.牙外伤的诊断及规范化应急处理[J].中国实用口腔科杂志,2015,8(6):321-324.
[20]李玲,李虎,孙超,等.南京地区3~16岁儿童恒牙发育趋势初探[J].实用口腔医学杂志,2015,31(4):542-546.
[2] Glendor U. Epidemiology of traumatic dental injuries-a 12 year review of the literature[J]. Den Traumatol,2008,24(6):603-611.
[3] Levin L,Samorodnitzky GR,Schwartzarad D,et al. Dental and oral trauma during childhood and adolescence in Israel:occurrence,causes,and outcomes[J]. Dent Traumatol,2007,23(6):356-359.
[4] Nolla CM. The development of the permanent teeth[J]. J Dent Child,1960,27(4):254-266.
[5]樊明文.牙体牙髓病学[M]. 4版.北京:人民卫生出版社,2016:120.
[6]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.
[7] Dua R,Sharma S. Prevalence,causes,and correlates of traumatic dental injuries among seven-to-twelve-year-old school children in Dera Bassi[J]. Contemp Clin Dent,2012,3(1):38-41.
[8]夏斌,葛立宏,王忠桂,等.北京大学口腔医学院256例急诊就诊儿童情况分析[J].现代口腔医学杂志,2006,20(2):214-215.
[9]白洁,姬爱平,于冬梅. 175例急诊儿童牙外伤情况分析[J].北京口腔医学,2010,18(14):231-233.
[10]曾晓莉,张立霞,李存荣,等.上海市12岁儿童家长对外伤全脱位牙应急处理认知的调查[J].口腔医学,2015,35(6):480-483.
[11]迟丹丹,徐海峰,马卫东. 202例急诊牙外伤临床分析[J].口腔医学研究,2012,28(5):443-446.
[12] Zeng Y,Sheller B,Milgrom P. Epidemiology of dental emergency visits to an urban children's hospital[J]. Pediatr Dent,1994,16(6):419-423.
[13]校花丽,贾平,高洁.儿童及青少年前牙外伤的临床分析[J].中国医科大学学报,2009,39(8):596-606.
[14] Gupta S,Kumar-Jindal S,Bansal M,et al. Prevalence of traumatic dental injuries and role of incisal overjet and inadequate lip coverage as risk factors among 4-15 years old government school children in Baddi-Barotiwala Area,Himachal Pradesh,India[J].Med Oral Patol Oral Cir Bucal,2011,16(7):960-965.
[15]刘艳,俞有健,于国霞.儿童恒前牙外伤的临床发生规律及预后影响因素研究[J].检验医学与临床,2016,13(7):947-949.
[16] Zaleckiene V,Peciuliene V,Brukiene V,et al.Traumatic dental injuries:etiology,prevalence and possible outcomes[J]. Stomatologija,2014,16(1):7-14.
[17] Ghahramani Y,Sahebi S,Nabavizadeh M,et al. Prevalence of dental trauma and its related factors in patients referring to Shiraz dental school during 2008 to 2012[J]. J Isfahan Dent School,2014,10(1):67-74.
[18] Francisco SS,Filho FJ,Pinheiro ET,et al. Prevalence of traumatic dental injuries and associated factors among Brazilian schoolchildren[J]. Oral Health Prev Dent,2013,11(1):31-38.
[19]陈永进,刘艳丽,张旻,等.牙外伤的诊断及规范化应急处理[J].中国实用口腔科杂志,2015,8(6):321-324.
[20]李玲,李虎,孙超,等.南京地区3~16岁儿童恒牙发育趋势初探[J].实用口腔医学杂志,2015,31(4):542-546.