Tickle M, Williams M, Jenner T, Blinkhorn A
South Cheshire Health, Chester.
Br Dent J. 1999 Feb 13;186(3):135-7. doi: 10.1038/sj.bdj.4800042.
To compare the dental caries' experience and treatment received by 5-year-old children registered with a GDP.
Retrospective case note review of all 5-year-old children registered with seven GDPs.
The study was carried out in 1996/7 in Wirral and North Cheshire in the north west of England.
Clinical, demographic and attendance data were collected from each practice using a common data abstraction form. Subjects were categorised according to regular/irregular attenders, and into five groups ranging from affluent to deprived using the Super Profiles geodemographic classification. The relationships between disease experience, treatment, attendance and socioeconomic status were compared using cross-tabulations, t-tests and multiple linear regression.
The dental records of 430 5-year-old children were available for analysis. Irregular attenders had significantly higher dmft, dt and mt, and fewer filled teeth. Only 29% of disease experience of regular attenders was treated by restoration. Both socioeconomic status and visiting behaviour exerted significant independent effects on dmft, but dental attendance alone had a significant effect on ft.
Significant inequalities remain in the disease experience and service use of young children. Regularly attending children have less than a third of their diseased teeth restored. Consensus is needed across the profession on the care of the diseased deciduous dentition.
比较在全科牙医处注册的5岁儿童的龋齿患病情况及接受的治疗。
对在7位全科牙医处注册的所有5岁儿童进行回顾性病例记录审查。
该研究于1996/1997年在英格兰西北部的威尔拉尔和北柴郡进行。
使用通用数据提取表从每个诊所收集临床、人口统计学和就诊数据。根据是否定期就诊对研究对象进行分类，并使用超级概况地理人口分类法将其分为从富裕到贫困的五组。使用交叉表、t检验和多元线性回归比较疾病患病情况、治疗、就诊情况和社会经济地位之间的关系。
有430名5岁儿童的牙科记录可供分析。不定期就诊者的dmft、dt和mt显著更高，补牙数量更少。定期就诊者中只有29%的患病情况通过修复治疗。社会经济地位和就诊行为对dmft均有显著的独立影响，但仅就诊行为对ft有显著影响。
幼儿在疾病患病情况和服务利用方面仍存在显著不平等。定期就诊儿童的患病牙齿中只有不到三分之一得到修复。整个行业需要就乳牙龋齿的治疗达成共识。
