| 从化地区7~9岁儿童第一恒磨牙窝沟封闭效果研究 |
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| 引用本文： | 朱文珍,武胜南,李少琼,江幸欣.从化地区7~9岁儿童第一恒磨牙窝沟封闭效果研究[J].华南预防医学,2022,48(9):1045-1048. |
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| 作者姓名： | 朱文珍 武胜南 李少琼 江幸欣 |
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| 作者单位： | 1.南方医科大学口腔医院,广东 广州 510900;2.南方医科大学第五附属医院 |
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| 基金项目： | 国家自然科学基金(81600900) |
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| 摘 要： | 目的分析从化地区7~9岁儿童第一恒磨牙窝沟封闭效果及其影响因素。方法选取2019年1月至2020年12月在南方医科大学第五附属医院接受第一恒磨牙窝沟封闭的7~9岁儿童为研究对象,在封闭完成后6、12个月进行第一恒磨牙窝沟封闭效果的评估,采用单因素、多因素分析封闭剂脱落的影响因素。结果从化地区7~9岁儿童完成第一恒磨牙窝沟封闭人数873例(窝沟封闭牙齿数3012颗),6个月、12个月复查发现脱落率分别为10.13%、11.95%。年龄、软垢指数(DI)、刷牙频率、饮食甜品及碳酸饮料频率、龋面数不同与从化地区7~9岁儿童窝沟封闭剂脱落率有关(P<0.05或P<0.01)。多因素Logistic回归分析结果显示,DI越大、饮食甜品及碳酸饮料频率≥2次/d、龋面数越多的7~9岁儿童窝沟封闭后6个月或12个月发生脱落风险较高,而年龄越大、刷牙频率≥2次/d的7~9岁儿童窝沟封闭后6个月或12个月发生脱落风险较低(P<0.05或P<0.01)。结论从化7~9岁儿童第一恒磨牙窝沟封闭效果与年龄、口腔卫生情况、饮食习惯、龋面数、刷牙频率有关,应建立良好的刷牙习惯及饮食习惯,从而降低窝沟封闭剂脱落风险。
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| 关 键 词： | 儿童 恒磨牙 窝沟封闭 龋齿预防 |
| 收稿时间： | 2022-03-02 |
Effect analysis of first permanent molar fossa and furrow sealing in children aged 7-9 years in Conghua District |
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| ZHU Wen-zhen,WU Sheng-nan,LI Shao-qiong,JIANG Xing-xin.Effect analysis of first permanent molar fossa and furrow sealing in children aged 7-9 years in Conghua District[J].South China JOurnal of Preventive Medicine,2022,48(9):1045-1048. |
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| Authors: | ZHU Wen-zhen WU Sheng-nan LI Shao-qiong JIANG Xing-xin |
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| Affiliation: | 1. Stomatdogical Hospital of Southern Medical, Guangzhou 510900, China;2. The Fifth Affiliated Hospital of Southern Medical University |
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| Abstract: | Objective To analyze the sealing effect of the first permanent molar fossa and furrow in children aged 7-9 years in Conghua District, and explore its influencing factors. Methods Children aged 7-9 years who received the first permanent molar fossa and furrow sealing in the Fifth Affiliated Hospital of Southern Medical University from January 2019 to December 2020 were selected as the research objects. The sealing effect of the first permanent molar fossa and furrow was evaluated at 6 and 12 months after the sealing. Further univariate and multivariate analysis were used to analyze the influencing factors of occluder shedding. Results In this study, 873 patients （3 012 teeth） completed the first permanent molar fossa and furrow sealing, and the rate of occluder shedding was 10.13% and 11.95% at 6 and 12 months, respectively. Age, debris index （DI）, frequency of brushing teeth, frequency of eating desserts and carbonated drinks, and number of caries were related to occluder shedding in children aged 7-9 years in Conghua area （P < 0.05 or P < 0.01）. Multivariate stepwise Logistic regression showed that children aged 7-9 years with greater DI, frequency of taking desserts and carbonated drinks ≥ 2 times/day, and more caries surfaces had a higher risk of occluder shedding, while with older age and frequency of toothbrushing ≥ 2 times/day had a lower risk of occluder shedding after 6 months or 12 months of fossa and furrow sealing （P<0.05 or P <0.01）. Conclusions The effect of first permanent molar fossa and furrow sealing in children aged 7-9 years is related to age, oral hygiene, eating habits, number of caries, and frequency of toothbrushing. Good brushing habits and eating habits should be established to reduce the risk of occluder shedding. |
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| Keywords: | Children Permanent molar Fossa and furrow sealing Dental caries prevention |
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