Gizani S, Vinckier F, Declerck D
Catholic University Leuven, School for Dentistry, Oral Pathology and Maxillofacial Surgery, Department of Operative Dentistry, Belgium.
Clin Oral Investig. 1999 Mar;3(1):35-40. doi: 10.1007/s007840050076.
The aim of the present study was to describe in detail the distribution of caries lesions among tooth types and surfaces in the primary dentition of young children with different levels of disease. A total of 125 children (between 2 and 6 years old) attending the pediatric dental clinic of the University Hospital of Leuven was allocated to three groups based on their caries experience: dmft = 1-5 formed the low caries experience group (LC, n = 27), dmft = 6-9 the moderate caries experience group (MC, n = 61) and those with dmft > = 10 the high caries experience group (HC, n = 37). Caries experience (at patient level, tooth and tooth surface level) and oral hygiene were evaluated. Oral health habits were recorded using a questionnaire (completed by parents). Caries lesions were not evenly distributed among different tooth types. Teeth most frequently affected were lower (first and second) primary molars. Primary incisors were rarely found to be carious. The distribution of the lesions followed a comparable pattern, irrespective of the disease level of the child. Decay on primary canines and buccal/lingual surfaces of primary molars was strongly indicative of a high caries experience. There was a clear link with reported oral hygiene habits and the use of a pacifier and baby bottle with sugared content.
本研究的目的是详细描述不同疾病程度幼儿乳牙列中龋损在牙型和牙面的分布情况。共有125名（2至6岁）在鲁汶大学医院儿科牙科诊所就诊的儿童，根据其龋病经历被分为三组：dmft = 1 - 5构成低龋病经历组（LC，n = 27），dmft = 6 - 9为中度龋病经历组（MC，n = 61），dmft >= 10者为高龋病经历组（HC，n = 37）。评估了龋病经历（患者层面、牙齿和牙面层面）以及口腔卫生状况。使用问卷（由家长填写）记录口腔健康习惯。龋损在不同牙型中分布不均。最常受影响的牙齿是下颌（第一和第二）乳磨牙。很少发现乳前牙患龋。无论儿童的疾病程度如何，龋损的分布模式相似。乳尖牙以及乳磨牙颊/舌面的龋坏强烈提示高龋病经历。报告的口腔卫生习惯以及使用安抚奶嘴和含糖奶瓶与之有明显关联。
