ADA 龋病风险评估在3~6 岁儿童龋病分级管理中的应用效果

目的 应用ADA龋病风险评估对3~6岁儿童进行龋病分级管理，并对其临床应用效果进行评价。 方法 选取2020年7月-10月在天津医科大学口腔医院儿童口腔科就诊的120例3~6岁患儿，随机分为试验 组和对照组，每组60例。试验组依据美国牙科协会（ADA）提出的ADA龋病风险评估系统进行评估，并 根据风险等级，进行个性化、多维度的早期生物学预防和临床治疗，对照组给予基础的口腔临床治疗。 观察两组干预1年后的龋病发病情况。结果 试验组患龋率为88.33%，高于对照组的86.67%，差异无统计 学意义（P ＞0.05）；经过龋病分级管理1年后试验组龋病发病率为3.33%，新增龋均为0.05，低于对照组的 18.33%、0.22，差异有统计学意义（P ＜0.05）。结论 应用ADA龋病风险评估对3~6岁儿童进行龋病分级管 理可以有效降低龋病的发病率。

Application Effect of ADA Caries Risk Assessment in Caries Classification Management of Children Aged 3-6 Years Old

Objective To apply ADA caries risk assessment for caries classification management in children aged 3-6 years old, and to evaluate its clinical application effect. Methods A total of 120 children aged 3-6 years old who were treated in the Department of Pediatric Stomatology, Stomatological Hospital of Tianjin Medical University from July to October 2020 were randomly divided into experimental group and control group, with 60 children in each group. The experimental group was evaluated according to the ADA caries risk assessment system proposed by the American Dental Association (ADA), and individualized and multi-dimensional early biological prevention and clinical treatment were carried out according to the risk level. The control group was given basic oral clinical treatment. The incidence of dental caries in the two groups was observed after 1 year of intervention. Results The caries rate of the experimental group was 88.33%, which was higher than 86.67% of the control group, and the difference was not statistically significant (P >0.05). After 1 year of caries classification management, the incidence of caries in the experimental group was 3.33%, and the new caries was 0.05, which was lower than 18.33% and 0.22 in the control group, the difference was statistically significant (P <0.05). Conclusion ADA caries risk assessment can effectively reduce the incidence of caries in children aged 3-6 years old.