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目的探讨儿童恒前牙外伤发生的因素以及伤后儿童心理变化。方法回顾85例儿童106颗外伤恒前牙相关资料并且采取问卷调查分析伤后患儿心理变化情况。对儿童恒前牙外伤发生的原因、年龄、性别、具体牙位、发生时间等情况进行分析并且采取问卷调查恒前牙伤后儿童心理变化情况得到的结果加以分析。结果 1儿童恒前牙外伤的好发原因多与儿童跑跳嬉闹的天性有关,儿童骑自行车摔倒也是比较常见原因;2最易受伤的年龄主要发生在8~10岁;3最易受伤的牙齿上颌中切牙,受伤方式冠折多见;4男孩受伤发生率明显高于女孩;5好发期大多集中于暑假期大约7,8,9三个月。前牙受伤折断或者缺失后的患儿心理影响:1前牙外伤折断患儿自行主动减少与他人交流,自己尽量避免开口露齿大笑;2前牙折断患儿自尊与自信心比受伤前明显降低。结论儿童恒前牙外伤发生存在一定的规律且与多种因素有关,伤后可导致儿童自尊心,自信心明显降低。
Objective To explore the causes of traumatic injury of children with permanent teeth and psychological changes in children after trauma. Methods The data of 106 cases of permanent anterior teeth in 85 cases of children were retrospectively analyzed. The psychological changes of the children were analyzed by questionnaire. Analysis of the causes, age, sex, specific teeth position, time of occurrence of traumatic tooth injury in children and the result of questionnaire survey on the psychological changes of children after traumatic tooth injury. Results 1 The causes of traumatic injuries of children with permanent teeth were mostly related to the nature of children’s running and jumping. Children were more likely to fall by bicycling. 2 The most vulnerable age mainly occurred in 8 to 10 years old. 3 The most vulnerable The maxillary central incisor of the maxillary incisors was injured more often than the normal one. The incidence of injuries in 4 boys was significantly higher than that of the girls. Most of the early onset was concentrated in summer months of about 7, 8, and 9 months. Children with broken anterior teeth injury or loss of psychological effects: 1 anterior teeth traumatic fracture in children take the initiative to reduce their exchanges with others, try to avoid their own open grin; 2 children with anterior teeth fracture self-esteem and self-confidence than before the obvious reduce. Conclusion The occurrence of traumatic teeth injury in children has certain rules and is related to many factors, which can lead to children’s self-esteem and self-confidence significantly reduced.