温州市区5岁儿童乳牙患龋状况及危险因素分析

摘要
图/表
参考文献
相关文章 (4)

全文: PDF (798 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的：了解温州市5岁儿童乳牙龋流行情况并对其危险因素进行分析，为开展低龄儿童龋病预防保健提供科学依据。方法：采用整群随机抽样的方法，对温州市6所幼儿园693名5岁儿童进行调查，由1名口腔医生参照WHO龋病诊断标准进行龋齿检查，并对儿童家长进行问卷调查，应用卡方检验筛选出乳牙龋病易感者的相关因素，进行logistic回归分析。结果：在693名受检儿童中，乳牙患龋率为72.72%，龋充填率为14.88%，龋均为4.35±4.37，龋面均为10.75±13.30。单因素分析结果显示：家庭经济收入、父母的口腔保健意识和行为、进甜食频率、睡前进食和含奶瓶睡觉与乳牙龋的发病相关（P＜0.05）。最终进入logistic回归模型的因素为进甜食频率、睡前进食、父母的口腔保健意识和行为以及含奶瓶睡觉。结论：温州市5岁儿童乳牙患龋状况较为严重，建议从限制糖的摄入频率、培养良好口腔卫生习惯和提高家长的口腔保健意识等方面入手，预防乳牙龋的发生。

	服务
	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	王锡萍
	梅丽琴
	胡荣党

关键词 ：乳牙龋, 学龄前儿童, 饮食习惯, 口腔卫生, 流行病学, 社会经济地位

Abstract：Objective: To investigate the prevalence and dangerous factors of early childhood caries (ECC) among 5-year-old children in Wenzhou, and provide the scientific foundation for preventing deciduous dental caries. Methods: The sampling method was cluster and random in this study. A total of 693 children aged 5 were selected in the survey, caries check was carried out by a dentist reference WHO caries disease diagnosis criteria, and the questionnaire were completed by the parents. The related factors of dental ECC was analyzed by chi-square test and logistic regression. Results: The prevalence of ECC was 72.72%, and the filling rate was only 14.88%. The mean dmft and dmfs were 4.35 and 10.75 respectively. The key factors for ECC included: family economic income, oral health knowledge of parents, frequency of consumption of sweets, eating before sleep, sleeping with feeding-bottle and whether parents supervised or helped to brush or not. Backwards logistic regression was performed, variables remained in the final model were: frequency of consumption of sweets, eating before sleep, parents?supervising or helping brush or not, sleeping with feeding-bottle or not and oral health knowledge of parents. Conclusion: The prevalence of ECC is high among 5 years old children in Wenzhou. To strength parents?oral health knowledge, limiting amount of eating sugar, and culturing scientific oral hygiene habits are very important for preventing ECC.

Key words： early childhood caries preschool feeding habits oral hygiene prevalence socioeconomic status

收稿日期: 2013-08-06

基金资助:2012年浙江省大学生科技创新活动计划（2012R4 13049）；浙江省教育厅科研基金资助项目（Y201223271）。

通讯作者: 梅丽琴，主治医师，Email：1145336642@qq.com。

作者简介: 王锡萍（1988-），女，浙江平阳人，硕士生。

链接本文:

https://xb.wmu.edu.cn/CN/ 或 https://xb.wmu.edu.cn/CN/Y2014/V44/I2/113

[1] 第三次全国口腔健康流调技术指导组.第三次全国口腔健康流行病学抽样调查方案[M]. 北京: 人民卫生出版社, 2005: 2-30.

[2] 齐小秋. 第三次全国口腔健康流行病学抽样调查[M]. 北京:人民卫生出版社, 2008: 58-60.

[3] 张辉, 韩永成, 侯玮, 等. 北京市5岁儿童乳牙龋病抽样调查报告[J]. 北京口腔医学, 2009, 17(2): 109-112.

[4] 冯靳秋, 沈庆平, 米君国. 上海5岁儿童乳牙患龋状况及危险因素分析[J]. 口腔医学, 2009, 29(12): 652-655.

[5] 李扬, 张晔, 邹静, 等. 厦门市3～6岁儿童患龋危险因素分析[J]. 国际口腔医学杂志, 2009, 36(6): 635-638, 642.

[6] Marshall TA, Levy SM, Broffitt B, et al. Dental caries and beverage consumption in young children[J]. Pediatrics, 2003,112(3Pt1): e184-191.

[7] Bowen WH, Lawrence RA. Comparison of the cariogenicityof cola, honey, cow milk, human milk, and sucrose[J].Pediatrics, 2005, 116(4): 921-926.

[8] Kawashita Y, Fukuda H, Kawasaki K, et al. Pediatrician-recommended use of sports drinks and dental caries in 3-year-old children[J]. Community Dent Health, 2011, 28 (1): 29-33.

[9] Llena C, Forner L. Dietary habits in a child population inrelation to caries experience[J]. Caries Res, 2008, 42(5):387-393.

[10] Kashket S, De Paola DP. Cheese consumption and the development and progression of dental caries[J]. Nutr Rev, 2002,60(4): 97-103.

[11] Valaitis R, Hesch R, Passarelli C, et al. A systematic reviewof the relationship between breastfeeding and early childhood caries[J]. Can J Public Health, 2000, 91(6): 411-417.

[12] Mitrakul K, Vonqsavan K, Suratanachaikul P. Prevalence ofStreptococcus mutans and Lactobacillus fermentum and their association with caries and dietary habits in preschool Thai children[J]. Eur Arch Paediatr Dent, 2013, 14(2): 83-87.

[13] Hale KJ, American Academy of Pediatrics Section on Pediatric Dentistry. Oral health risk assessment timing and establishment of the dental home[J]. Pediatrics, 2003, 111 (pt1): 1113-1116.

[14] Li Y, Caufield PW. The fidelity of initial acquisition ofmutans streptococci by infants from their mothers[J]. J Dent Res, 1995, 74(2): 681-685.387-393.

[10] Kashket S, De Paola DP. Cheese consumption and the development and progression of dental caries[J]. Nutr Rev, 2002,60(4): 97-103.

[11] Valaitis R, Hesch R, Passarelli C, et al. A systematic review of the relationship between breastfeeding and early child-hood caries[J]. Can J Public Health, 2000, 91(6): 411-417.

[12] Mitrakul K, Vonqsavan K, Suratanachaikul P. Prevalence of Streptococcus mutans and Lactobacillus fermentum and their association with caries and dietary habits in preschool Thaichildren[J]. Eur Arch Paediatr Dent, 2013, 14(2): 83-87.

[13] Hale KJ, American Academy of Pediatrics Section on Pedi-atric Dentistry. Oral health risk assessment timing and establishment of the dental home[J]. Pediatrics, 2003, 111 (pt1): 1113-1116.

[14] Li Y, Caufield PW. The fidelity of initial acquisition of mutans streptococci by infants from their mothers[J]. J Dent Res, 1995, 74(2): 681-685.