家长报告的第一颗牙齿萌出时间与幼儿保育中心的关系:一项病例对照研究的二次分析。

IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE European Archives of Paediatric Dentistry Pub Date : 2024-08-01 Epub Date: 2024-06-04 DOI:10.1007/s40368-024-00914-6
M S Muthu, A Ganesh, S Anandan, G Thiruvengadam, R Padmanabhan, S Nuvvula
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引用次数: 0

摘要

目的:牙齿萌出是一个动态过程。通过牙龈出现尖牙的任何部分都可能是萌出的临床标志。儿童早期龋齿(ECC)是一个全球性的公共卫生问题。本研究旨在评估家长报告的幼儿第一颗牙齿萌出时间与 ECC 之间的关系:本研究对参与儿童睡眠时间喂养方式病例对照研究的 627 名幼儿进行了二次数据分析。根据家长报告的第一颗乳牙萌出的时间,这些儿童被分为四组(G1--第一颗乳牙萌出的时间在6个月之前;G2--第一颗乳牙萌出的时间在7至9个月之间;G3--第一颗乳牙萌出的时间在10至12个月之间;G4--第一颗乳牙萌出的时间在12个月之后)。研究人员进行了单变量二元逻辑回归分析,以评估第一颗乳牙萌出时间与 ECC 之间的关联:结果:儿童的平均年龄为 24.4 ± 7.3 个月(病例,即患有 ECC 的儿童-25.4 ± 6.9 个月;对照组,即未患有 ECC 的儿童-23.6 ± 7.5 个月)。在 60 名在 6 个月前萌出第一颗牙齿的儿童中,35 名(12%)为病例,对照组为 25 名(8%)。在病例中,男孩的龋齿发生率高于女孩(P本研究的结论是,家长报告的第一颗乳牙萌出时间过早与罹患 ECC 的风险增加有关。
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Association of parent-reported timing of first tooth emergence and ECC: a secondary analysis of a case-control study.

Purpose: Tooth eruption is a dynamic process. Appearance of any part of the cusp through gingiva may be a clinical marker of eruption. Early childhood caries (ECC) is a public health problem globally. This study aimed to assess the relationship between parent-reported timing of first tooth emergence and ECC in toddlers.

Methods: This study is a secondary data analysis of 627 toddlers involved in a case-control study on sleep-time feeding practises in children. The children were categorised into four groups based on the parent-reported timing of first primary tooth emergence (G1-when the first primary tooth emerged before 6 months of age, G2-between 7 and 9 months; G3-10 to 12 months and G4-when the first primary tooth emerged after 12 months of age). Univariate binary logistic regression analysis was performed to evaluate the association between timing of first tooth emergence and ECC.

Results: The mean age of the children was 24.4 ± 7.3 months (cases, that is children with ECC-25.4 ± 6.9 months, controls, that is children without ECC-23.6 ± 7.5 months). Of 60 children, whose first tooth erupted before 6 months of age, 35 (12%) were cases compared to 25(8%) controls. Amongst the cases, boys had more caries than girls (p < 0.05). Of the anterior teeth, 22% of the emerged teeth were decayed in the first group, followed by 19%, 16% and 10% in the second, third and fourth groups, respectively (p < 0.05). Analysis of the posterior teeth showed a lower percentage of decayed teeth with delayed emergence of the first primary tooth (p < 0.05). Children whose teeth emerged before 6 months of age had an odds ratio of 3.5 (95% CI 1.49, 8.42) (p = 0.004).

Conclusion: This study concluded that the early emergence of the first primary tooth, as reported by the parent, was associated with an increased risk of developing ECC.

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来源期刊
European Archives of Paediatric Dentistry
European Archives of Paediatric Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.40
自引率
9.10%
发文量
81
期刊介绍: The aim and scope of European Archives of Paediatric Dentistry (EAPD) is to promote research in all aspects of dentistry for children, including interceptive orthodontics and studies on children and young adults with special needs. The EAPD focuses on the publication and critical evaluation of clinical and basic science research related to children. The EAPD will consider clinical case series reports, followed by the relevant literature review, only where there are new and important findings of interest to Paediatric Dentistry and where details of techniques or treatment carried out and the success of such approaches are given.
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