分析乳牙外伤的发生率:来自南巴西 4 岁儿童的队列研究结果。

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Dental Traumatology Pub Date : 2024-11-20 DOI:10.1111/edt.13003
Muriel Denisse Rivera López, Mariana Gonzalez Cademartori, Marília Leão Goettems, Flávio Fernando Demarco, Pedro Curi Hallal, Vanessa Polina Pereira da Costa
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引用次数: 0

摘要

目的:确定与 4 岁儿童牙外伤(TDI)发生率相关的因素:确定与 4 岁儿童牙外伤(TDI)患病率相关的因素:纳入 2015 年佩洛塔斯(巴西)出生队列的参与者。在队列随访期间,通过访谈和体检收集了人口、社会经济、行为和环境数据。4岁时的牙科检查显示存在TDI。使用有向无环图(DAG)构建了一个理论模型。首先进行描述性分析,然后建立 TDI 与各项结果相关的泊松回归模型:对 3650 名 4 岁儿童的数据进行了分析;牙外伤发生率为 20.2%(95% 置信区间 [CI] 18.9%-21.5%)。与男孩相比,女孩的牙外伤发生率较低,这表明女性具有保护作用(相对风险 [RR] 0.80 [95% CI: 0.79-0.91])。在对基于 DAGs 的回归模型进行测试后,年龄身高增加(RR:1.55 [95% CI:1.14-2.09])、过咬合增加(RR:1.45 [95% CI:1.2-1.74])和前开咬合(RR:1.26 [95% CI:1.01-1.56])与 TDI 存在关联:结论:男性性别、身高增加、过咬合和开放性咬合增加是导致4岁时TDI的易感因素。了解这些因素有助于实施有针对性的预防策略,以减少 TDI 及其潜在的长期后果。
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Analysis of the Prevalence of Traumatic Dental Injuries in the Primary Dentition: Findings From a Cohort Study Involving 4-Year-Old Children From South Brazil.

Objective: To identify factors associated with the prevalence of traumatic dental injuries (TDI) in children at 4 years of age.

Methods: Participants from the 2015 Pelotas (Brazil) birth cohort were included. Demographic, socioeconomic, behavioral, and environmental data were collected through interviews and physical examinations during cohort follow-up. Dental examination at 4 years of age revealed the presence of TDI. A theoretical model was constructed using a directed acyclic graph (DAG). A descriptive analysis was performed, followed by Poisson regression models relating TDI to each outcome.

Results: Data from 3650 4-year-old children were analyzed; the prevalence of dental trauma was 20.2% (95% confidence interval [CI] 18.9%-21.5%). The prevalence of TDI was lower among girls compared with boys, suggesting a protective effect of female sex (relative risk [RR] 0.80 [95% CI: 0.79-0.91]). Increased height for age (RR 1.55 [95% CI: 1.14-2.09]), increased overjet (RR 1.45 [95% CI: 1.2-1.74]), and anterior open bite (RR 1.26 [95% CI: 1.01-1.56]) demonstrated an association with TDI after testing regression models based on DAGs.

Conclusion: Male sex, increased height, and increased overjet and open bite were factors predisposing to TDI at 4 years of age. Understanding these factors can contribute to the implementation of targeted prevention strategies for reducing TDI and their potential long-term consequences.

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来源期刊
Dental Traumatology
Dental Traumatology 医学-牙科与口腔外科
CiteScore
6.40
自引率
32.00%
发文量
85
审稿时长
6-12 weeks
期刊介绍: Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.
期刊最新文献
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