摘要
目的:了解澳门地区幼儿乳牙患龋状况及其龋病活跃性,并作两者间关系分析,填补该地区资料的空白。方法:对澳门生活环境、经济条件等有较大差异的两所幼儿园2～4岁930名幼儿作龋蚀程度检查和记录;其中910名幼儿并作龋病活跃性检测SCAT,依据牙菌斑产酸能力强度分度。统计分析患龋率,龋均dft、龋蚀严重度指数CSI和SCAT。结果:①2～4岁930名幼儿乳牙患龋率为42.5%、dft1.93、CSI6.35,性别间无显著性差异(P>0.05)。②患龋率、dft、CSI在年龄组间均有显著性差异。③两幼儿园间,患龋率、dft、CSI均有明显差异。④910名幼儿SCAT0度和1度占68.68%,2度和3度占31.32%。⑤两幼儿园间SCAT各度的分布有明显差异。⑥SCAT各度间,患龋率、dft、CSI均有明显差异,dft、CSI与SCAT相关性有显著意义。结论:①澳门幼儿患龋状况不容忽视。应抓紧低年龄幼儿的龋病防治工作。②儿童所处的不同生活条件可影响患龋状况,普及科普知识、维护口腔卫生、开展定期防治等的推广尤有必要。③SCAT能反映患龋状况的敏感度,在筛选幼儿龋病高危群体、有的放矢开展龋病防治计划工作中,既能节省人力、财力、又能提高效率。
Objective：To investigate the caries status and evaluate the caries activity in deciduous teeth of children in Macao,as well as analyze their relationship. Research outcome will fill the local data blank. Method：930 children of 2～4 year-old from two kindergartens with relative difference in living environment and economic condition were enrolled in this study. The caries status were checked and recorded. SCAT test were done in 910 children which is graded according to acid production power of dental plaque. Caries prevalence,dft,CSI （ caries severity index）and SCAT results were analysized. Result：①.Total caries prevalence,mean dft and CSI were 42.5 %,1.93 and 6.35 of 930 children of 2～4 year-old without gender difference（P 0.05）.②.There was statistical difference among different age groups in caries prevalence,dft,CSI.③. There was statistical difference between two kindergartens in caries prevalence,dft,CSI. ④.SCAT result：68.68 % of 910 children were graded 0 and 1 degree while 31.32 % of them graded 2 and 3 degree. ⑤.There was statistical difference in SCAT results of children between two kindergartens.⑥ .Statistically differences were found in caries prevalence,dft and CSI among SCAT degree groups. The correlations were also found between SCAT and dft or CSI. Conclusion：①.Caries status of children in Macao would not be neglected. It indicated that caries prevention should be carried out in children of younger age. ②.Living conditions of children will be a risk factor to caries status. Popularization of dental knowledge,better oral health and regular caries prevention are necessary. ③.SCAT test might reflect the caries susceptibility. It will be useful in screening caries high-risk group of children and carrying out targeted caries prevention programs in an economic and effective way.
出处
《临床口腔医学杂志》
2010年第5期259-263,共5页
Journal of Clinical Stomatology
基金
澳门特别行政区政府卫生局资助
关键词
幼儿
乳牙
龋病
龋病活跃性
children
deciduous teeth
caries
caries activity
