早期识别经历过逆境的儿童对于及时提供干预措施以改善应对和减少负面后果至关重要。自我报告是识别遭受逆境的儿童的通常做法。然而,信号疾病或其他暴露的存在的生理特征可以提供更客观的识别策略。该协议描述了一项病例对照研究,该研究评估了与没有这种异常的儿童相比,患有牙釉质异常的儿童是否更容易遭受逆境。
对于多伦多一家儿科牙科诊所的150对母子,加拿大,产妇访谈将评估孩子的不良和韧性建设经历。每个孩子,将评估一颗(剥脱或拔除)牙齿是否怀疑牙釉质异常。如果存在异常,孩子是一个案例,如果缺席,孩子是一个控制。牙齿评估方式将包括牙科检查的常规做法(视觉评估)和对识别异常具有更大敏感性的方式。
如果儿童牙齿的结构变化与逆境有关,常规牙科检查可以提供一个机会来筛查儿童的逆境经历。受影响的儿童可以被转介进行随访。
The early identification of children who have experienced adversity is critical for the timely delivery of interventions to improve coping and reduce negative consequences. Self-report is the usual practice for identifying children with exposure to adversity. However, physiological characteristics that signal the presence of disease or other exposures may provide a more objective identification strategy. This protocol describes a case-control
study that assesses whether exposure to adversity is more common in children with tooth enamel anomalies compared to children without such anomalies.
For 150 mother-child pairs from a pediatric dental clinic in Toronto, Canada, maternal interviews will assess the child\'s adverse and resilience-building experiences. Per child, one (exfoliated or extracted) tooth will be assessed for suspected enamel anomalies. If anomalies are present, the child is a case, and if absent, the child is a control. Tooth assessment modalities will include usual practice for dental exams (visual assessment) and modalities with greater sensitivity to identify anomalies.
If structural changes in children\'s teeth are associated with exposure to adversity, routine dental exams could provide an opportunity to screen children for experiences of adversity. Affected children could be referred for follow-up.