高原驻训官兵下颌智齿冠周炎患病现况及影响因素研究  

Prevalence and influencing factors of pericoronitis of mandibular wisdom teeth in troops stationed and trained at plateau

作　　者：田文艳 马彩红 李红 张甜 Tian Wenyan;Ma Caihong;Li Hong;Zhang Tian(Department of Maxillofacial Surgery,Hospital 940,Joint Logistic Support Force of PLA,Lanzhou,Gansu,730050,China)

机构地区：[1]解放军940医院颌面外科,兰州730050

出　　处：《西南国防医药》2020年第10期968-970,共3页Medical Journal of National Defending Forces in Southwest China

基　　金：全军医学科研项目面上项目(CSW12J066)。

摘　　要：目的对高原驻训官兵口腔下颌智齿及冠周炎发生情况、临床表现及影响因素进行分析,为改善驻训官兵口腔卫生健康意识及下颌智齿冠周炎的防治水平提供依据。方法随机抽取2015年1月~2019年10月西藏、青海驻训官兵共计2100名,按年龄分为组1(18~30岁)和组2(30岁以上)分别进行口腔问卷调查及口腔专科检查,对驻训官兵下颌智齿发生率、智齿阻生类型、冠周炎患病率、每日刷牙次数等进行统计分析。结果共入选1978名官兵中,通过筛查下颌智齿发生率为37%,冠周炎的患病率为24.2%,其中近中与水平阻生类型引发冠周炎的概率最大。组1下颌智齿冠周炎患病率明显高于组2。每日刷牙次数少于等于1次官兵智齿冠周炎的发生率明显高于刷牙次数大于1次的官兵。结论高原地区生活及医疗条件有限,且驻训官兵对口腔健康认识不足,智齿冠周炎发生率较高,针对智齿冠周炎的患病因素,实施有效的干预措施,可以减少冠周炎的发生,从而提高部队官兵口腔健康水平。Objective To analyze the prevalence,clinical manifestations and influencing factors of mandibular wisdom teeth and pericoronitis in the oral cavity of the troops stationed and trained at plateau,and provide basis for improving oral health awareness of these troops and prevention and treatment of pericoronitis of mandibular wisdom teeth.Methods A total of 2100 troops stationed and trained in Tibet and Qinghai from January 2015 to October 2019 were randomly selected and divided into group 1(18-30 yrs)and group 2(>30 yrs)according to the age.Questionnaire about oral health and special oral examination were conducted in each group.The incidence of mandibular wisdom teeth,type of impacted wisdom teeth,prevalence of pericoronitis,and daily brushing frequency of the two groups were statistically analyzed.Results A total of 1978 troops were enrolled.After screening,the incidence of mandibular wisdom teeth was 37%,and the prevalence of pericoronitis was 24.2%,among which the pericoronitis was most possibly caused by the proximally and horizontally impacted teeth.The prevalence of pericoronitis of mandibular wisdom teeth in group 1 was significantly higher than that in group 2.The incidence of pericoronitis was significantly higher in the troops with daily brushing frequency≤1 time than in the troops with daily brushing frequency>1 time.Conclusion The troops stationed and trained at plateau have a relatively high incidence of pericoronitis of wisdom teeth due to limited living and medical conditions and their lack of awareness of oral health.Application of effective intervention measures targeting the predisposing factors of pericoronitis of wisdom teeth can reduce the incidence of pericoronitis and improve the oral health of troops.

关 键 词：高原驻训官兵 智齿冠周炎 口腔健康 

分 类 号：R594.3[医药卫生—内科学] R781.3[医药卫生—临床医学]