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Access to dental care and caries experience among children with cerebral palsy: a Singapore experience. 脑瘫儿童获得牙科护理的机会和龋齿经历:新加坡的经验。
Pub Date : 2024-06-19 DOI: 10.4103/singaporemedj.SMJ-2022-022
Joanne Mui Ching Tan, Yebeen Ysabelle Boo, Logan Manikam, Tong Hong Yeo, Jeremy Bingyuan Lin, Ruixiang Yee, Zhi Min Ng

Introduction: Cerebral palsy (CP) is one of the most severe childhood neurodevelopmental disabilities resulting from non-progressive insult to the developing brain. We aimed to report our experience regarding dental visit attendance, caries prevalence and factors affecting dental access in children with CP in Singapore.

Methods: Patients diagnosed with CP who were born in or after 1994 were included in this study. We reviewed the data of all 151 patients recruited under the CP Registry in Singapore (SingCPR) from September 2017 to May 2020. The SingCPR was launched in September 2017 to assist in future planning of services and resources for CP in Singapore.

Results: The mean age of the patients was 7.8 years, with the interquartile range being 3 years and 8 months-10 years and 10 months. Only 41.7% reported a visit to the dentist ever, with 25.4% reporting presence of dental caries. Age was the only statistically significant factor influencing access to dental care. None of the children less than 2 years old ever received any dental care, and 20% of the children with CP aged 2-6 years had received dental care before. Age range with the highest percentage of dental visits was 7-12 years, with up to 44.0% having ever received dental care. We believe the prevalence of dental caries was underreported as many children did not receive any dental care and therefore may have undetected dental caries.

Conclusion: Dental care in children with CP should be advocated early for prevention and detection of caries.

导言:脑瘫(CP)是最严重的儿童神经发育残疾之一,是由于发育中的大脑受到非进行性损伤所致。我们旨在报告新加坡 CP 儿童的牙科就诊情况、龋齿患病率以及影响牙科就诊的因素:本研究纳入了 1994 年或之后出生的确诊为 CP 的患者。我们回顾了从 2017 年 9 月至 2020 年 5 月新加坡 CP 登记处(SingCPR)招募的所有 151 名患者的数据。SingCPR于2017年9月启动,旨在帮助新加坡规划未来的CP服务和资源:患者的平均年龄为 7.8 岁,四分位数范围为 3 岁零 8 个月至 10 岁零 10 个月。只有 41.7% 的患者表示曾经看过牙医,25.4% 的患者表示患有龋齿。年龄是影响获得牙科保健的唯一有统计学意义的因素。在 2 岁以下的儿童中,没有人接受过任何牙科护理,而在 2-6 岁的患儿中,有 20% 曾经接受过牙科护理。牙科就诊比例最高的年龄段是 7-12 岁,曾接受过牙科治疗的比例高达 44.0%。我们认为,由于许多儿童没有接受过任何牙科护理,因此可能存在未被发现的龋齿,因此龋齿的患病率被低估了:结论:CP 儿童的牙科护理应及早进行,以预防和发现龋齿。
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引用次数: 0
Impact of the COVID-19 'circuit breaker' on emergency orthopaedic admissions in a local tertiary teaching hospital. COVID-19 "断路器 "对当地一家三级教学医院骨科急诊入院的影响。
Pub Date : 2024-06-19 DOI: 10.4103/singaporemedj.SMJ-2020-490
Tzong-Yee Colin Wang, Hamid Rahmatullah Bin Abd Razak, Yilun Huang, Keng-Lin Francis Wong, Bing-Howe Lee, Merng-Koon Wong
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引用次数: 0
Association between social support and health-related outcomes among older adults with type 2 diabetes mellitus in a primary care setting. 基层医疗机构中 2 型糖尿病老年人的社会支持与健康相关结果之间的关系。
Pub Date : 2024-06-19 DOI: 10.4103/singaporemedj.SMJ-2023-121
Keith Dihao Tan, Shu Yun Tan, Hui Li Koh, Edwin Fueng Chee Liang, Sabrina Kay Wye Wong
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引用次数: 0
An approach to neck pain in primary care. 初级保健中的颈部疼痛治疗方法。
Pub Date : 2024-06-01 Epub Date: 2024-06-04 DOI: 10.4103/singaporemedj.SMJ-2021-288
Raina Hui Wen Loh, Adriel Zhijie Leong, Sein Lwin, Lee Gan Goh
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引用次数: 0
Congratulations to the 2023 SMJ Best Research Paper Award Winners. 祝贺 2023 年度 SMJ 最佳研究论文奖获得者。
Pub Date : 2024-06-01 DOI: 10.4103/singaporemedj.SMJ-2024-117
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引用次数: 0
Bowel and mesenteric injuries in blunt abdominal injury. 腹部钝伤中的肠道和肠系膜损伤。
Pub Date : 2024-06-01 Epub Date: 2024-06-04 DOI: 10.4103/singaporemedj.SMJ-2022-023
Hui Lin Wong, Haiyuan Shi, Wey Chyi Teoh, Joel Jingkai Liu
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引用次数: 0
Occupational malignant mesothelioma in Singapore 新加坡的职业性恶性间皮瘤
Pub Date : 2024-05-09 DOI: 10.4103/singaporemedj.smj-2022-083
Lig Chuang Sean Lim, Lucy Leong, Hock Siang Lee
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引用次数: 0
Frameshift mutation of LAMP2:c.667delT in a 17-year-old male with hypertrophic cardiomyopathy and dyslexia: a novel pathogenic variant for Danon disease 一名患有肥厚型心肌病和阅读障碍的 17 岁男性的 LAMP2 基因框移位突变:c.667delT:达农病的新型致病变体
Pub Date : 2024-05-09 DOI: 10.4103/singaporemedj.smj-2022-111
H. Sani, L. Teh, Mohd Nur Fakhruzzaman Noorizhab, Norzuliana Zainal Abidin, Umi Nabila Mat Yusuf, N. S. Zulkufli, S. Kasim, Mohd Zaki Salleh
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引用次数: 0
Virtual reality spine surgical training in Singapore: a preliminary study 新加坡的虚拟现实脊柱手术培训:初步研究
Pub Date : 2024-05-09 DOI: 10.4103/singaporemedj.smj-2021-476
H. Hey, Zi Ning Anthea Foong, Yang En Yee, Tat Yang Aiden Koh, Jeremy Teng Yuen Ong, Rachel Si Ning Goh, Mu En Glenys Poon, Joel Xue Yi Lim, Jiong Hao Jonathan Tan, E. Khoo
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引用次数: 0
Dermatological and non-dermatological risk factors associated with adverse clinical outcomes in patients with Staphylococcus aureus bacteraemia 与金黄色葡萄球菌菌血症患者不良临床结果相关的皮肤病学和非皮肤病学风险因素
Pub Date : 2024-05-08 DOI: 10.4103/singaporemedj.smj-2023-064
W. Chng, A. Santosa, H. S. J. Chew, Dale Fisher, N. Chandran
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引用次数: 0
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Singapore medical journal
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