Kratak sadržajUvod. Povrede zuba su česte u dječijem uzrastu. Dešavaju se u vrijeme intenzivnog opšteg fizičkog i psihičkog razvoja, što posebno komplikuje i otežava kliničku sliku, dijagnostiku, terapiju i prognozu ishoda povrijeđenih zuba. Utisnuće zuba (Intrusio dentis) predstavlja povredu potpornog tkiva koju karakteriše utiskivanje zuba u aksijalnom pravcu u koštano tkivo vilice uz teško oštećenje parodoncijuma. Cilj ovog rada je utvrđivanje etioloških faktora, kliničke slike i ishoda intruzija zuba u cilju predviđanja prognoze na osnovu dosadašnjih podataka.Metode. Istraživanjem su obuhvaćeni medicinski kartoni pacijenata kod kojih je dijagnostikovana intruzija zuba u periodu od 2006. do 2016. godine. Ispitivanjem je obuhvaćeno 17 djevojčica i 37 dječaka, uzrasta od 1 do 15 godina. Na osnovu kliničkih i radiografskih podataka iz medicinskih kartona analizirano je 51 mliječnih i 35 stalnih intrudiranih zuba. Stepen intruzije klasifikovan je kao: blag (manji od 3mm), umjeren (3-7 mm), izražen (veći od 7 mm). U kartonima su se nalazili podaci o komplikacijama i konačnom ishodu intruzija.Rezultati. Intruzija zuba je u najvećem broju slučajeva nastala usljed pada prilikom trčanja (45,59%). Pored intruzije dijagnostikovane su povrede tvrdih zubnih tkiva, mekih tkiva usne duplje i maksile, a od povreda susjednih zuba fraktura krunice zuba (15%), avulzija (13%), luksacija (13%). Postojala je statistički značajna razlika u vremenu proteklom do potpune re-erupcije i mliječnih (p = 0,007) i stalnih zuba (p = 0,001). Najpovoljniji ishod je zabilježen kod zuba čiji je stepen intruzije manji od 3 mm. Komplikacije su se javljale nezavisno od stepena intruzije.Zaključak. Spontana re-erupcija bez komplikacija se najčešće dešava kod zuba čiji je stepen intruzije manji od 3 mm. Komplikacije se javljaju kao posljedica mehaničke traume.
Introduction/Objective. An important moment in oral health care and preventive dentistry is the first dental visit, recommended to be undertaken between the child?s sixth and 12th month of life. Worldwide evidence shows a considerable delay. This study evaluates characteristics of the first dental visit in a public health care center in Novi Sad, Serbia, during 2006?2015 period, and changes in occurrence driven by the healthcare reform. Methods. The study design was retrospective, evaluating available data on age and the main reason for the first dental visit of 270 children, who come to the same dentist and pediatrician in a public health care center during the 2006?2015 period. Results. Collected data determined the third and the fourth year of life as the dominant age (45.8% of children) for the first dental visit in 2006?2010, initiated mostly by a dental check-up (53.8%). During the second period (2011?2015), most of the first visits (31.1%) were done by the age of one, while the main reason for 80.1% of the visits was dental check-up. Conclusion. Considerable progress regarding the first dental visit was made in the observed period, which is, at least partially, due to the health care reform and emphasized preventive versus curative measures, by means of advanced communication between parents and chosen medical staff in prenatal and pediatric clinics.
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