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滨海新区儿童口腔氟牙症和龋齿流行病学调查
引用本文:孙莲莲,李长春△. 滨海新区儿童口腔氟牙症和龋齿流行病学调查[J]. 天津医药, 2016, 44(9): 1169-1171. DOI: 10.11958/20150326
作者姓名:孙莲莲  李长春△
作者单位:天津市第五中心医院口腔科(邮编 300450)
基金项目:天津市滨海新区卫生局科技项目(2012BWKY003)
摘    要:
目的 调查滨海新区适龄儿童氟斑牙与窝沟龋的患病情况, 探讨氟斑牙与窝沟龋的关系, 为氟斑牙与窝沟龋的防治提出指导意见。 方法 参考《WHO 口腔健康调查基本方法》(第四版), 并参照第三次全国口腔流行病学调查方法, 采用横断面调查研究方法对 3 778 名 7~ 9 岁教育水平相近的儿童进行氟斑牙与窝沟龋情况进行调查。结果 样本中氟牙症发生率<10%, 社区氟牙症指数(CFI) 为 0.075。 男学生第一恒磨牙的患龋率和龋均分别是 15.57%、0.46, 而女学生第一恒磨牙的患龋率和龋均分别是 17.41%、0.58。 男女间第一恒磨牙患龋率(χ2=2.345, P> 0.05)和龋均无差异。 不同年级组患龋率(χ2=172.576,P< 0.05)和龋均有差异,两者均随年级的增长而上升。 结论 天津市经过多年改水降氟工程之后, 在本地区儿童氟斑牙检出率及氟斑牙指数已经呈现下降趋势; 患龋率可能与第一恒磨牙的萌出率存在相关性。

关 键 词:氟斑牙  窝沟龋  氟牙症指数  患龋率  龋均  
收稿时间:2015-11-27
修稿时间:2016-02-22

Epidemiological investigation of dental fluorosis and dental caries in children from binhai new area
SUN Lianlian,LI Changchun△. Epidemiological investigation of dental fluorosis and dental caries in children from binhai new area[J]. Tianjin Medical Journal, 2016, 44(9): 1169-1171. DOI: 10.11958/20150326
Authors:SUN Lianlian  LI Changchun△
Affiliation:Department of Dentistry, the Fifth Central Hospital of Tianjin, Tianjin 300450, China
Abstract:
Objective To investigate the incidence of dental fluorosis and pit caries in school-age children from binhai new area of Tianjin, and to discuss the relationship between dental fluorosis and pit caries, providing the guidance for the prevention and treatment of them. Methods Referring to WHO’ s“Oral Health Surveys Basic Methods” (Fourth Edition) and protocols of the third national oral epidemiology investigation, 3 778 children aged 7 to 9 year-old with similar levels of education were investigated for their dental fluorosis and fissure caries using the cross sectional survey method. Results The data showed that the incidence of dental fluorosis was less than 10% in the samples, and the community fluorosis index (CFI) was 0.075. The caries prevalence rate and mean decayed missing filled tooth (DMFT) of first permanent molars were 15.57% and 0.46 in male students, and those were 17.41% and 0.58 in female students. There were no significant differences in the caries prevalence rate and DMFT of first molar between male and female children (χ2 =2.345, P > 0.05). There were statistically significant differences in the caries rate and DMFT between different age groups (χ2=172.576, P < 0.05), and both increased with age. Conclusion After years of defluoridation project in Tianjin, the detection rate and index of dental fluorosis in children have showed a downward trend. The caries prevalence rate may be related to the eruption rate of the first permanent molar.
Keywords:dental fluorosis  fissure caries  dental fluorosis index  caries prevalence rate  DMFT  
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