摘要
背景口腔疾病已经成为影响煤矿工人身心健康的常见病、多发病,目前尚缺乏煤矿工人口腔楔状缺损患病情况的相关调查研究。目的了解邢台地区煤矿工人牙体楔状缺损情况,探讨楔状缺损发生的病因,为煤矿工人楔状缺损的预防提供依据。方法2017年10月对邢台地区1116名煤矿工人的牙体楔状缺损情况进行调查,按年龄、牙位分布、频数分布、缺损形状和程度、刷牙方式、夜磨牙情况、反酸情况进行统计分析。结果1116名25~55岁煤矿工人中,男性1059名,女性57名,楔状缺损患病率44.35%。随年龄的增长,患病率逐渐增高,其中35岁以下为31.92%,35~44岁为43.63%,45岁以上57.63%。发病率最高的是第一前磨牙,月形缺损达85.52%,1度缺损达74.14%。拉锯式刷牙楔状缺损患病率最高,达53.93%。夜磨牙工人楔状缺损患病率达86.67%;有胃食管反流病史患者楔状缺损患病率高达75.00%。结论矿工牙体楔状缺损与年龄、拉锯式刷牙、夜磨牙和胃食管反流有关。多数工人为月形和1度缺损,可通过早期干预,如纠正刷牙方式为Bass刷牙法、合垫纠正夜磨牙、胃反酸治疗等阻止楔状缺损进一步发展。
Background Oral diseases have become a common and frequently occurring disease affecting the physical and mental health of coal miners,but there is still a lack of relevant investigation and research on the prevalence of teeth wedge-shaped defects in coal miners.Objective To investigate the prevalence and etiology of wedge-shaped defects in coal miners in Xingtai,China,and to provide evidence for the prevention of wedge-shaped defects in coal miners.Methods An investigation of wedge-shaped defects was performed for 1116 coal miners in Xingtai,and a statistical analysis was performed for age,tooth position,frequency distribution,shape and degree of defects,toothbrushing method,bruxism,and gastroesophageal reflux(GER).Results Among the 1116 coal miners aged 25-55 years,there were 1059 male workers and 57 female workers.The prevalence rate of wedge-shaped defects was 44.35%,and gradually increased with age,with 31.92%in the workers aged<35 years,43.63%in the workers aged 35-44 years,and 57.63%in the workers aged>45 years.Moreover,the highest prevalence rate was observed in the first premolar,and the prevalence rates of moon-shaped defect and grade 1 defect were 85.52%and 74.14%,respectively.The workers who brushed their teeth in a sawing motion had the highest prevalence rate of wedge-shaped defects(53.93%).The prevalence rate of wedge-shaped defects reached 86.67%in workers with bruxism and 75.00%in workers with a history of GER.Conclusion Wedge-shaped defects in miners are associated with multiple factors such as age,toothbrushing in a sawing motion,bruxism,and GER.Most workers have moon-shaped defect and grade 1 defect.Early intervention,such as changing toothbrushing method to Bass method,treating bruxism with occlusal splint,and managing GER,can prevent the progression of wedge-shaped defects.
作者
杨改静
秦羽璠
YANG Gaijing;QIN Yufan(Jizhong Energy Xingtai Mining Group General Hospital,Xingtai 054000,Hebei Province,China)
出处
《解放军医学院学报》
CAS
北大核心
2021年第2期167-171,共5页
Academic Journal of Chinese PLA Medical School
基金
邢台市科技计划项目(2020ZC355)。
关键词
煤矿工人
楔状缺损
夜磨牙
反酸
刷牙方法
coal miner
wedge-shaped defect
bruxism
gastroesophageal reflux
toothbrushing method
