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Traumatic dental injuries in individuals with cerebral palsy.

机译:脑瘫患者的牙齿外伤。

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BACKGROUND: Cerebral palsy (CP) is one of the most frequent conditions encountered in the daily practice of dentists who treat special-needs individuals and it seems that traumatic dental injuries are often present in these cases. The aim of this study was to investigate and describe the prevalence related to traumatic dental injury (TDI) in individuals with CP attending rehabilitation treatment at the Lar Escola Sao Francisco Rehabilitation Center in Sao Paulo, Brazil. MATERIAL AND METHODS: The sample included 100 individuals with a medical diagnosis of CP (SG) aged 1-15 years (mean 7 years 2 months +/-SD 3 years 4 months) and 100 non-disabled individuals (CG), aged 1-15 years (mean 7 years 5 months +/- SD 4 years 0 month), presenting the same socioeconomic level as SG. Data were collected through clinical examinations according to Andreasen criteria and interviews. RESULTS: According to the Gross Motor Function Classification, the SG presented 34.0% of individuals that walked with or without assistive mobility devices and 66.0% required a wheelchair for mobility. The TDI prevalence observed for CG was 32.0% (n = 32), with 20.0% (n = 20) for SG, showing no statistically significant difference (P = 0.053). For both groups, the teeth most affected were the maxillary central incisors. Crown fracture without pulp exposure was the most frequent type of injury (31.2%) in CG and enamel fracture (30.0%), in SG. The groups differed significantly regarding dental treatment received after TDI (P = 0.012), with CG presenting higher percentages of treated individuals CONCLUSIONS: The data suggest that the TDI prevalence in individuals presenting CP and attending rehabilitation treatment was similar compared with non-disabled individuals, but they received less treatment.
机译:背景:脑瘫(CP)是牙医在日常治疗中遇到的最常见病症之一,这些患者需要治疗特殊需要的人,在这些情况下似乎经常会出现牙齿外伤的情况。这项研究的目的是调查和描述在巴西圣保罗的拉·埃斯科拉·圣弗朗西斯科康复中心接受CP康复治疗的CP患者中与牙齿外伤(TDI)相关的患病率。材料与方法:样本包括100名1-15岁(平均7岁2个月+/- SD 3岁4个月)的医学诊断为CP(SG)的个体和100名1岁的非残疾个体(CG) -15年(平均7年5个月+/- SD 4年0个月),呈现与SG相同的社会经济水平。根据Andreasen的标准和访谈,通过临床检查收集数据。结果:根据大运动功能分类,SG显示有34.0%的人在有或没有辅助移动装置的情况下行走,而66.0%的人需要轮椅才能移动。 CG的TDI患病率为32.0%(n = 32),而SG的TDI患病率为20.0%(n = 20),无统计学差异(P = 0.053)。两组患牙均受上颌中切牙影响最大。在CG中,未暴露牙髓的冠状骨折是最常见的损伤类型(31.2%),而在SG中是牙釉质骨折(30.0%)。各组在接受TDI后接受牙科治疗方面存在显着差异(P = 0.012),其中CG代表接受治疗的个体比例更高结论:数据表明,接受CP和接受康复治疗的个体中TDI的患病率与非残疾个体相似,但他们得到的治疗较少。

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