苏州7~12岁小学生磨牙切牙矿化不良的流行病学调查
Epidemiological study of molar incisor hypomineralization in primary school students in Soozhow China
隋文 1吴海燕 2袁佳璐 2姚红英 2洪咏龙1
作者信息
- 1. 南方医科大学深圳医院口腔医学中心,广东深圳518101
- 2. 苏州大学附属儿童医院口腔科,江苏苏州215025
- 折叠
摘要
目的:探究苏州市小学生磨牙切牙矿化不良(MIH)的患病情况及可能影响因素.方法:选取苏州市1 145名7~ 12岁小学生为研究对象,依照国际诊断标准进行MIH患病率调查,通过问卷调查了解学生身体健康状况与用药情况、家庭基本情况、母亲孕期身体状况、喂养方式等;并进行统计学分析.结果:1 145名儿童中,MIH患儿为51人,患病率4.45%,男、女间患病率无显著差异.7~8岁儿童患病率(6.25%)明显高于9 ~10岁(2.53%)、11 ~ 12岁(3.31%)年龄组(P<0.05).MIH以界限清晰的不透明斑块为最主要的临床表现,患牙有对称性倾向.MIH与3岁前罹患中耳炎、扁桃体炎及使用抗生素有显著相关,与患者家庭生活背景、喂养方式及母亲孕期身体状况无明显相关性.结论:苏州市7 ~12岁儿童的MIH患病率显著低于其他国家,MIH患病情况与3岁前罹患疾病及使用抗生素相关.
Abstract
AIM:To investigate the prevalence and putative contributing factors of molar incisor hypomineralisation (MIH) in primary school students in Soozhou China.METHODS:1,145 of 7 to 12-year-old primary school students were included for this study and were divided into 3 groups according to age (7-8,9-10 and 11-12 years).The European Academy of Pediatric Dentistry (EAPD) criteria were followed for MIH diagnosis.The structured questionnaire was collected.Statistical analysis of the data was performed using SPSS 13.0 and Kruskal-Wallis Test.RESULTS:The overall MIH prevalence rate was 4.45% with no gender difference.The primary clinical manifestation was demarcated opacity only.The prevalence rate in 7 to 8 year-old group(6.25%) was significantly higher than that in 9 to 10 year-old group (2.53 %) and 11 to 12 year-old group (3.31%) (P < 0.05).The affected teeth were usually symmetrical.MIH prevalence was not significantly different (P > 0.05) among the 4 quadrants of the teeth.MIH occurrence was significantly related with the children's history of otitis media,tonsillitis and antibiotic use in their first 3 years of life.MIH had no correlation with the children's family background,feeding methods and the physical conditions of their mothers during pregnancy.CONCLUSION:The MIH prevalence rate in school age children in Soozhou appears lower than that reported for other countries.The presence of MIH is associated with the children's medical history and the use of antibiotics in their first 3 years of life.
关键词
磨牙切牙矿化不良(MIH)/患病率/影响因素Key words
molar incisor hypomineralisation/prevalence/contributing factors引用本文复制引用
出版年
2017