3129名孕妇口腔健康状况的调查和分析

目的 本文按照世界卫生组织１９８７年制定的口腔健康调查基本方法＾「１」,对３１２９名孕妇采取随机抽样的方法,了７１５名孕妇的口腔健康状况。结果 总患龋率为４９．０９％,患得龈均为１．２３,患者的龈炎患病率、牙石检出率分别为７７．４８％、５０．９０％。结论 妊娠造成孕妇口腔健康状况下降,龈病、牙龈炎患病率增高,提示加强孕妇口腔卫生宣传,早期发现,早期治疗的重要性。     

西安地区537名妊娠期妇女口腔健康状况调查

目的 了解西安地区妊娠期妇女口腔健康状况及其影响因素,为西安地区妊娠期妇女口腔卫生保健工作提供指导.方法 用分层和整群抽样结合的方法进行抽样,按照世界卫生组织口腔健康调查方法及全国第3次口腔健康流行病学调查方法,对西安城市和乡镇共537名妊娠期女性进行口腔健康检查.结果 537名妊娠期女性患龋率为40.4％,龋均为1.52 ±2.11,牙龈出血和牙结石检出率分别为87.2％、89.6％.结论 西安地区妊娠期妇女口腔健康状况较差,建议加强妊娠期妇女的口腔保健工作.     

4311名不同民族大学新生口腔健康状况调查研究

目的:通过调查不同民族大学新生口腔健康状况探索龋病与牙周疾病发生的相关性并指导大学生口腔预防保健。方法:采取WHO口腔健康调查方法并参考全国第三次口腔流行病学调查方案,对西北民族大学4311名新生的口腔健康状况进行检查,检查项目包括龋病、牙龈炎、牙结石等。结果:4311名大学新生龋病、牙龈炎、牙结石患病率分别为38.60%、32.87%、47.83%. 统计分析表明,男生和女生龋病、牙龈炎、牙结石患病率分别为(30.96%、45.88%;37.56%、28.46%;54.78%、41.29%)差异均具有统计学意义(P＜0.01;藏族、蒙古族、维吾尔族患龋率分别为(58.19%、51.05%、50.42%)与汉族患龋率(36.68%)之间的差异有统计学意义(P=0.000),龋病发病率明显高于汉族;维吾尔族(39.08%)与汉族牙龈炎患病率(30.30%)间的差异也具有统计学意义(P<0.01);蒙古族(36.82%)与汉族牙结石检出率(45.86%)间的差异具有统计学意义(P<0.01)。 结论:大学新生口腔健康状况不佳,尤其是少数民族大学新生,需要加强大学新生的口腔宣传教育和预防保健,提高大学生口腔健康水平。     

沈阳市961名老年干部牙健康状况调查

目的了解并分析沈阳市老年干部牙健康状况。方法按第二次全国口腔健康流行病学抽样调查标准,对沈阳市961名60岁以上的老年干部进行口腔健康调查,结果用SPSS软件处理。结果患龋率为67.12%,患龋者的龋均随着年龄的增长而逐渐增高(P<0.05),龋齿全部充填率为33.18%。缺牙率为80.65%,人均失牙7.38颗,人均保留牙的数目与年龄呈负相关(P<0.01)。无牙牙合率为10.20%,无牙牙合与牙列缺损的修复率分别为98.98%和36.04%。牙周健康状况与年龄呈负相关(P<0.01)。结论牙列缺失及缺损是老年人常见的口腔疾患,龋病和牙周病是其主要原因。加强老年人的口腔保健意识,是提高口腔疾病治疗成功率的重要环节,进而增进老年人的全身健康。     

60例原位心脏移植患者口腔健康状况调查

目的:调查分析心脏移植患者口腔健康状况,为心脏移植患者口腔疾病防治提供依据.方法:选择60例心脏移植成功患者,按术后时间分为2组(术后＜1年组和术后＞1年组),设计口腔健康状况调查表,对患者进行口腔健康和卫生行为进行问卷调查,检查患龋情况及指数牙61(-)6(｜)6(-)16的牙周状况,包括:菌斑指数,菌斑检出率,牙石...     

武汉市1009名孕妇牙周状况调查

目的:了解武汉市孕妇的牙周状况及其影响因素。方法:采用横断面研究的方法,按照纳入标准抽取2006-05—12在省妇幼保健院进行孕检或生产的已作婚姻登记的妇女1009名。调查方法包括问卷调查和临床牙周检查。运用卡方检验及Logistic回归分析的统计学方法对数据进行分析。结果:受检孕妇的牙龈炎和牙周炎患病率分别为74.8%和37.2%。大于30岁者患牙周炎的危险度比值(oddsratio,OR)为1.6;学历较低者患牙龈炎的OR为1.4;月收入为中或低水平的孕妇患牙周疾病的几率较大,牙龈炎OR分别为1.5和2.1,牙周炎OR分别为1.1和1.7;孕前近1年内没有口腔就诊行为的孕妇,患牙龈炎和牙周炎的OR分别为2.3和2.1;孕前或孕期患有全身性疾病的孕妇,患牙龈炎和牙周炎的OR分别为1.8和2.2;孕期有过吸烟和饮酒行为的孕妇患牙周炎的OR分别为3.8和1.6。结论:牙周疾病较易发生于年龄较大、学历和月收入较低、口腔健康行为较差、孕前或孕期患有全身性疾病及有吸烟或饮酒行为的孕妇,应加强对这部分孕妇的口腔健康教育。     

北京海淀区幼儿园儿童牙周健康状况调查

目的调查北京海淀区幼儿园儿童的牙周健康状况,分析牙龈炎与儿童性别、年龄、家庭环境、饮食与卫生习惯等因素之间的关系。方法采取按比例概率、分层、整群和单纯随机的方法抽取海淀区幼儿园儿童共1374名,其中3岁678名,4岁和5岁各348名,进行牙周健康状况调查和家长问卷调查。采用描述性、单因素和多因素等统计方法分析调查资料。结果3、4、5岁年龄组幼儿牙龈炎患病率分别为96.3%、95.7%、94.0%,牙龈出血的平均牙数分别为6.37、5.59和5.41颗。多因素分析显示,影响幼儿牙龈炎易感性的因素有儿童年龄、家长的文化程度和家长是否辅助儿童刷牙等。结论北京海淀区幼儿园儿童的牙周健康状况应予重视,有必要加强针对幼儿园儿童的牙周健康促进工作。     

北京东城区高三学生牙周健康状况调查

目的 调查北京东城区高三学生的牙周健康状况.方法 对参加高考前体检的750名北京东城区高三学生进行牙周检查,检测牙石、探诊出血、探诊深度以及附着丧失情况,评价牙龈炎和牙周炎的发病率.结果牙龈炎的总体检出率为73.5%,男女学生发病率分别为76.7%和69.2%,差异有统计学意义(P=0.027).牙周炎的总检出率为10.9%,其中男生为11.8%,女生为9.8%,性别差异没有统计学意义(P=0.474).结论 北京东城区高三学生的牙龈炎检出率较高,男生高于女生.牙周炎检出率相对较低,男女生间没有明显差异.     

上海市长宁区845例孕妇口腔健康状况调查分析

目的调查上海市长宁区怀孕中期孕妇口腔卫生状况及患病情况。方法对2009年4月—2010年8月来本院产检的845例孕妇进行问卷调查及临床检查。结果孕妇患龋率43.67%,牙龈炎发病率84.38%,牙周炎的发病率8.28%,孕前口腔保健率22.2%。食物软垢和牙结石是引起牙龈炎和牙周炎的主要原因。结论应加强孕前及怀孕期间的口腔健康教育。     

孕妇牙周健康状况与早产的相关性研究

目的 通过调查孕妇牙周状况和分娩结局,探讨牙周感染与早产的关系。 方法 选择2012年在无锡市妇幼保健院进行孕检孕妇674名,进行临床牙周检查,记录简化口腔卫生指数(OHI-S)、龈沟出血指数（SBI）、探诊深度(PD)和临床附着丧失(CAL),追踪妊娠结局,运用卡方检验,t检验和Spearman检验的统计学方法对数据进行分析。 结果 ①早产组孕妇牙周炎患病率（36.1%）高于足月妊娠组（21.4%）;②早产组孕妇牙周指标OHI-S、SBI、PD、CAL均高于足月妊娠组（P﹤0.05）;③孕妇牙周指标OHI-S、PD、CAL与分娩孕周呈负相关关系（P﹤0.05）。 结论 孕妇牙周感染与早产之间存在着相关性,可能是早产的危险因素之一,应做好孕期口腔健康教育。     

Oral health status in Belgian 3- to 5-year-old children

The aim of this study was to determine the need for oral health care in young Belgian children in the municipality of Leuven, Belgium. The sample consisted of 750 boys and girls (3 years=200, 4 years=200 and 5 years=350). Clinical examination was carried out by one examiner and duplicate recordings were made on 10% of the sample. The clinical examination included recording of: (1) plaque index; (2) gingival index; (3) caries index; and (4) fluorosis index. Plaque and gingival indices were recorded at six sites of smooth surfaces on selected teeth. Occlusal plaque was also registered. Before the clinical examination for caries and fluorosis, the children had their teeth professionally cleaned with toothbrushes and dental floss and dried by means of gauze bandages. In all age groups, the percentage of plaque-free sites was of the order of 60% and sound gingiva was identified at 83% of the recorded sites. The percentages of caries-free children were 69% (3 years), 57% (4 years) and 52% (5 years). The mean deft scores (standard error) were 1.37 (±0.21), 1.76 (±0.21) and 2.03 (±0.17). The corresponding mean defs scores were 2.04 (±0.44), 2.46 (±0.35) and 3.75 (±0.42). Non-cavitated active lesions, included in the defs scores, represented about 50% of all caries lesions. Early signs of dental fluorosis were identified in 19% (3 years), 17% (4 years) and 9% (5 years) of children. The need for oral health care in the population studied is mainly related to non-operative treatment procedures aimed at controlling the progression of disease. Received: 1 August 1997 / Accepted: 13 February 1998     

Awareness of the Presence of Dental Caries and Gingival Inflammation in Young Adult Males

A comparison was made of the caries prevalence and gingival conditions of 167 Army recruits as assessed by themselves and as determined through a detailed clinical and radiographic study. the results showed that the subjects were surprisingly well aware of the amount of caries in their teeth while their knowledge of gingivitis and its symptoms was close to nil. Clinically gingivitis and gingival bleeding was found in all subjects. However, only 2 % of the examinees were aware of their gingivitis in spite of the fact that as many as 46 % had noticed gingival bleeding. In an earlier study the toothbrushing frequency of the same subjects was found to be low. It was now suggested that an improved general knowledge of gingivitis and its symptoms, of the close correlation between poor oral hygiene and gingival inflammation, and of the reversible character of incipient gingivitis might result in an essential improvement in the general standard of oral hygiene. This, in turn, would also decrease the caries susceptibility of the teeth.     

Dental Care for Pregnant Women

BackgroundThe authors conducted a study to examine factors associated with general dentists' provision of care for pregnant women and the extent to which they provide comprehensive dental care.MethodsThe authors mailed an 86-item questionnaire to 1,000 practicing general dentists in North Carolina. Survey domains included provider knowledge about pregnancy and dental health, dental treatment practices, barriers to providing care, outcome expectancy, and personal and practice demographics. The primary dependent variables the authors analyzed were whether dentists provided any treatment to pregnant women and, among those who did, the extent to which they provided comprehensive services. The authors performed multivariate regression analyses to determine factors associated with dentists' provision of care to pregnant women (P < .05).ResultsA total of 513 surveys were returned (a response rate of 51.3 percent), of which 495 surveys had complete responses. The authors included the completed surveys in their analyses. The mean age of the respondents was 46 years. The results of multivariate analysis showed that respondents who perceived a lack of demand for services among pregnant women and provided preconception counseling were less likely to provide any treatment for pregnant patients than were those who perceived a demand for services and who did not provide preconception counseling, respectively. Dentists who were male, had a low knowledge score, provided preconception counseling and treated largely white populations of patients were less likely than female dentists, those who had moderate or high knowledge scores, and those who treated a population of minority patients to provide comprehensive care for pregnant women.ConclusionsMost general dentists in private practice provide care for pregnant women, but the authors found notable gaps in dental provider knowledge and comprehensive dental services available for pregnant women.Clinical ImplicationsAlthough many general dentists provide some dental care to pregnant women, more should be done to ensure that this care is comprehensive.     

400名海军特勤人员口腔健康调查报告

目的研究海军特勤人员口腔健康情况,为海军特勤人员口腔疾病的的防治提供依据。方法参照全军口腔健康调查方案的检查标准,对海军某部400名特勤人员患龋、牙周健康、第三磨牙萌出情况进行检查并记录,用SPSS11.5软件对所得数据进行统计学分析。结果400名海军特勤人员患龋率40.3%,牙周健康率11.8%,第三磨牙阻生齿检出率22.8%。乡村兵源和城镇兵源海军特勤人员龋均（t=0.610,P=0.542）和患龋率（χ2=0.139,P=0.709）差异无统计学意义;牙周健康率的差异无统计学意义（χ2=0.553,P=0.539）;第三磨牙阻生齿检出率的差异无统计学意义（χ2=0.472,P=0.506）。结论海军特勤人员口腔健康状况不容乐观,需要改善口腔医疗条件、加强口腔疾病预防工作、尽快建立口腔疾病防治程序。     

Oral Health Status and Literacy/Knowledge Amongst Pregnant Women in Shanghai

BackgroundThe changes in hormones, diet, and hygiene associated with pregnancy are associated with oral diseases. There is insufficient awareness of the importance of oral health during pregnancy. This study investigated the oral health status and knowledge amongst pregnant women in Shanghai.MethodsThis cross-sectional study enrolled pregnant women at the Shanghai Red House Obstetrics & Gynecology Hospital in December 2020. The Fourth National Oral Health Questionnaire was used to evaluate the oral health status. Decayed/missing/filled teeth (DMFT) were the sum of the number of decayed, missing due to caries, and filled teeth. The chi-square test and Kruskal–Wallis test were used to compare the groups.ResultsA total of 224 pregnant women were enrolled. The rates of dental caries were 69.8%, periodontal health was 1.8%, calculus detection was 95.6%, shallow periodontal pocket was 51.1%, deep periodontal pocket was 4.9%, regular oral examination was 22.8%, correct brushing was 49.6%, and prepregnancy oral examination was 20.1%. DMFT was 2.27, and the caries filling ratio was 45.4%. The number of missing teeth increased with age (P < .001). Only 26.3% used dental floss more than once a day, 47.3% rinsed the mouth more than twice a day, and 46.9% cleaned their tongue coating every week. In addition, 99% of the pregnant women agreed that “oral health was vital to their lives” and 97.7% agreed that “regular oral examination was necessary.”ConclusionsThe oral health status amongst pregnant women in Shanghai was poor, but oral health awareness and attitudes were relatively high.     

上海市某卫校学生口腔卫生习惯与患龋状况的调查分析

目的 建立17～19岁学生龋齿发病基线资料,探讨龋病与口腔卫生习惯等相关性。方法 采用WHO标准检查1027名女学生牙齿,以DMFT评价龋状况,同时对学生进行口腔卫生习惯问卷调查。结果 学生患龋率为54％,DMFT为1.3;龋病与每日刷牙次数、每次刷牙所用时间及牙齿软垢指数没有显著相关性,而与经常使用含氟牙膏有显著相关性(P<0.05);有睡前吃零食习惯和经常喝碳酸饮料者在患龋人群中的比例明显高于非龋人群(P<0.01);刷牙时出血者在有龋人群中的比例低于无龋人群(P<0.01);认为定期检查无所谓及治疗时疼痛者在有龋人群中的比例高于无龋人群;认为无必要定期检查及牙病能够忍受者在无龋人群中的比例高于有龋人群(P<0.01);评价自身牙齿健康者在无龋人群中的比例高于有龋者;对自身牙齿不满意者在有龋人群中的比例高于无龋者(P<0.01)。结论 加强学生口腔卫生观念、改变不良生活习惯和口腔卫生习惯,有益于降低龋齿发病率。     

Oral Hygiene Practices and Dental Service Utilization Among Pregnant Women

BackgroundDaily oral hygiene and regular dental visits are important components of oral health care. The authors&apos; objective in this study was to examine women&apos;s oral hygiene practices and use of dental services during pregnancy.MethodsThe authors developed a written oral health questionnaire and administered it to 599 pregnant women. They collected demographic information, as well as data on oral hygiene practices and use of dental services during pregnancy. They used χ² and multivariable logistic regression models to assess associations between oral hygiene practice and dental service use during pregnancy and to identify maternal predictor variables.ResultsOf the 599 participants, 83 percent (n = 497) reported brushing once or twice per day. Twenty-four percent (n = 141) reported flossing at least once daily; Hispanic women were more likely to floss than were white or African American women (28 percent [52 of 183] versus 22 percent [54 of 248] versus 19 percent [23 of 121], respectively, P < .001). Seventy-four percent (n = 442) of the participants reported having received no routine dental care during pregnancy. Hispanic women were significantly less likely than were black or white women to receive routine dental care during pregnancy (13 percent versus 21 percent versus 36 percent, respectively, P < .001). The authors found that being older than 36 years, being of Hispanic race or ethnicity, having an annual income of less than $30,000, flossing infrequently and receiving no dental care when not pregnant were significantly associated with lack of routine dental care during pregnancy (adjusted odds ratios, 95 percent confidence intervals: 2.56 [1.33–4.92]; 2.19 [1.11–4.29]; 2.02 [1.12–3.65]; 1.86 [1.13–3.07]; and 4.35 [2.5–7.69], respectively). A woman&apos;s lack of receiving routine dental care when not pregnant was the most significant predictor of lack of receiving dental care during pregnancy.ConclusionRacial, ethnic and economic disparities related to oral hygiene practices and dental service utilization during pregnancy exist.Clinical ImplicationsMedical and dental care providers who treat women of reproductive age and pregnant women need to develop policy strategies to address this population&apos;s access barriers to, and use of, dental care services.     

3 516名大学生口腔健康状况调查

目的调查大学生口腔健康状况以指导大学生口腔保健。方法按照1997年WHO《口腔健康调查基本方法》,对西北民族大学3 516名大学生的口腔健康状况进行检查,检查项目包括龋病、牙结石和牙颌异常等。结果1）大学生的患龋率为47.87%,龋均为1.29,龋齿充填率为20.42%;城市大学生、女大学生患龋情况较农村大学生、男大学生严重。2）牙结石检出率为79.78%,平均区段数为3.75;农村大学生、男大学生的牙结石检出情况较城市大学生、女大学生严重。3）牙颌异常比较突出的问题是切牙段拥挤（53.30%）,上、下前牙排列最不规则（42.58%、50.60%）和磨牙前后错位（31.09%）;城市和农村大学生在下颌前牙排列最不规则、上前牙覆盖、磨牙前后错位上的差异具有统计学意义（P<0.01）,其他各项指标在城乡和性别上的差异均无统计学意义（P>0.05）。结论大学生口腔健康状况不佳,需要加强对大学生口腔疾病“早发现、早预防、早治疗”的宣传,提高大学生口腔健康状况水平。