华西口腔医学杂志

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780名5岁儿童乳牙患龋情况调查分析

李克增1, 李雪1, 胡德渝1, 范旭1, 聂琳2   

  1. 1.四川大学华西口腔医院预防科, 四川成都610041; 2.杭州市哼哈口腔医院, 浙江杭州310013
  • 收稿日期:2008-02-25 修回日期:2008-02-25 出版日期:2008-02-20 发布日期:2008-02-20
  • 通讯作者: 李雪,Tel:028- 85501457
  • 作者简介:李克增(1982-),男,河南人,硕士

Prevalence of deciduous tooth caries in 780 children aged 5 years

LI Ke- zeng1, LI Xue1, HU De- yu1, FAN Xu1, NIE Lin2   

  1. 1. Dept. of Preventive Dentistry, West China College of Stomatology, Sichuan University, Chengdu 610041, China; 2. Hangzhou Hengha Dental Hospital, Hangzhou 310013, China
  • Received:2008-02-25 Revised:2008-02-25 Online:2008-02-20 Published:2008-02-20
  • Contact: LI Xue,Tel:028- 85501457

摘要:

目的了解四川省5岁儿童乳牙患龋情况,为制定龋病防治规划提供参考依据。方法根据世界卫生组织《口腔健康调查基本方法》(第4版),参照第三次全国口腔健康流行病学抽样调查方案,在四川省3个城市、3个农村随机抽样选取调查点,共调查780名5岁儿童的患龋情况,并将调查结果与第二次全国口腔健康流行病学抽样调查结果进行比较。结果四川省5岁儿童乳牙患龋率为58.72%,龋均为2.77,龋齿充填率为2.32%;乳牙患龋率和龋均在男性和女性、城市和农村儿童之间的差异均不具有统计学意义,而乳牙龋齿充填率则存在性别和地区间的差异。与第二次全国口腔健康流行病学抽样调查结果相比,四川省5岁儿童乳牙患龋率和龋均的差异均无统计学意义(P>0.05),而龋齿充填率有所下降(P<0.05)。结论四川省5岁儿童乳牙龋齿患病率仍然较高,而龋齿充填率相对较低,今后儿童龋病防治工作应加强乳牙保健的口腔卫生宣传教育,提高家长对乳牙龋充填重要性的认识,促进乳牙的治疗。

关键词: 龋病, 乳牙, 患病率

Abstract:

Objective The aim of this survey was to obtain some information about the prevalence of deciduous tooth caries of 5 - year - old children in Sichuan province. Methods Based on World Health Organization and national oral health survey standards, dental caries prevalence and treatment needs were investigated randomly in selected children of Sichuan province in 2005. And the differences between this survey result and the dental caries prevalence of 5- year - old children of Sichuan province in 1995 were compared. Results The prevalence rate of deciduous tooth caries of 5- year- old children in Sichuan province was 58.72%. The mean number of dmft of 5- year- old was 2.77. The filling rate was only 2.32%. The prevalence rate and mean dmft of deciduous tooth caries showed no significant difference between different area and gender; but the children came from city showed significant higher filling rate than those from countryside, so did the female children compared with the male children. Compared these results with the dental caries of 5- year - old children in Sichuan province in 1995, the prevalence rate and mean dmft of deciduous tooth caries in Sichuan province in 2005 had no significant difference, but the filling rate decreased significantly. Conclusion The deciduous tooth caries prevalence rate of 5- year - old children is still relatively high in Sichuan province; there remains a proportion of active untreated decays. The dental health care education to the parents and teachers should be emphasized. In order to get the earlier diagnosis and treatment, regular examination and prevention method should be conducted.

Key words: dental caries, deciduous tooth, prevalence