尼日利亚一所高等院校的牙科外伤:4 年回顾性分析

M. Adeyemi, M. Ernest, Shakira Sanni-Abdullahi, Ehigie Igben, Ashiru Garba, Mirian Nnebedum
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摘要

背景;由于牙外伤(TDI)的高发病率及其对生活质量造成的严重负面影响,它已逐渐成为一个重要的公共卫生问题。本研究旨在调查牙科门诊 4 年来 TDI 的发病率和原因。研究方法本研究对 2017 年 6 月 1 日至 2021 年 6 月 1 日期间在某高等院校牙科门诊接受治疗的 52 名 TDI 患者进行了回顾性研究。 研究检索了年龄、性别、病因、涉及牙齿类型、牙外伤类型、事件发生日期和治疗方案等数据。外伤牙齿采用 Andreasen 分类法进行分类。统计分析使用 SPSS 20.0 版进行。结果 共检查了 208 名颌面部损伤患者(男性 163 名,女性 45 名),年龄在 1 至 81 岁之间。TDI 患病率为 25%。男性和女性的发病率分别为 18.2% 和 6.7%。52 名 TDI 患者的平均年龄为(16.5 ± 12.02)岁。造成 TDI 的最常见原因是摩托车事故,占 30.77%。撕脱伤(40.67%)和半脱位(50%)分别是恒牙和基牙中最常见的损伤。创伤来源与牙列类型之间没有关联(P=0.342),创伤来源与性别之间也没有差异(P=0.863)。结论:研究发现,40.38%的患者有三颗或三颗以上的牙齿受过伤,导致功能和美观方面的并发症。因此,这一公共卫生问题需要引起政府的紧急关注。
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Traumatic dental injuries in a tertiary institution in Nigeria: a 4-year retrospective analysis
 Background;  Traumatic dental injury (TDI) has grown to be a significant public health issue due to its high prevalence as well as the significant negative effects it has on quality of life. This study aimed to examine the prevalence and causes of TDI in a  Dental outpatient clinic for 4 years. Method: A retrospective study was conducted on 52 TDI patients who were treated at a Tertiary Institution's Dental Outpatient clinic between June 1, 2017, and June 1, 2021.  Data on age, gender, etiology, types of teeth involved, types of dental trauma, the day the incidents occurred, and treatment options were retrieved. Traumatized teeth were classified using Andreasen’s classification. Statistical analysis was carried out using SPSS version 20.0. Result   A total of 208 patients with maxillofacial injuries (163 males and 45 females) aged 1 to 81 years were examined. The prevalence of TDI was 25%. Male and female prevalences were 18.2% and 6.7%, respectively. There were 52 TDI patients  with a mean age of 16.5  ±  12.02. The most common reason for TDI was motorcycle accidents at 30.77%. Avulsion(40.67%) and subluxation(50%) were the most frequently diagnosed injuries in the permanent dentition and primary dentition, respectively. There was no association between trauma source and dentition type (p=0.342), nor was there a difference between trauma source and gender(p=0.863). Conclusion.The study observed that a high percentage of 40.38% had an injury to three or more teeth resulting in attendant functional and esthetic complications. Hence public health issue that warrants urgent government attention.
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