Ramos-Gomez F J, Tomar S L, Ellison J, Artiga N, Sintes J, Vicuna G
Department of Pediatric Dentistry, University of California, San Francisco, USA.
ASDC J Dent Child. 1999 Nov-Dec;66(6):395-403, 366.
This study estimated the prevalence of early childhood caries (ECC) and related behavioral risk factors in a population of low-income, Mexican-American children in Stockton, California.
We collected data for 220 children ages six years or less using a parent-completed questionnaire and clinical dental examinations during the Su Salud Health and Education Fair in July 1995. We employed five case definitions of ECC: buccal or lingual caries on one or two primary maxillary incisors; caries on any surface of one or two primary maxillary incisors; and five decayed, missing (due to caries), or filled primary teeth.
The prevalence of ECC ranged from 12.3 percent to 30.5 percent, depending upon the case definition. More than 17 percent of children age two years had one primary maxillary incisor affected by caries on the buccal or lingual surface; 13.2 percent had two affected. Mean age at weaning from breast--or bottle-feeding and patterns of bottle use during sleep did not differ significantly between children with ECC and those without. There were no clear patterns of cariogenic food frequency and disease status.
Our findings question whether feeding patterns with human breast milk, formula, or bovine milk are sufficient etiologic factors for this condition.
本研究评估了加利福尼亚州斯托克顿市低收入墨西哥裔美国儿童群体中幼儿龋齿（ECC）的患病率及相关行为风险因素。
1995年7月，在“苏萨尔健康与教育博览会”期间，我们通过家长填写的问卷和临床牙科检查，收集了220名6岁及以下儿童的数据。我们采用了ECC的五种病例定义：一颗或两颗上颌乳切牙的颊面或舌面龋齿；一颗或两颗上颌乳切牙任何表面的龋齿；以及五颗龋坏、缺失（因龋齿）或充填的乳牙。
根据病例定义，ECC的患病率在12.3%至30.5%之间。超过17%的两岁儿童有一颗上颌乳切牙的颊面或舌面患龋齿；13.2%的儿童有两颗患龋齿。患ECC的儿童和未患ECC的儿童在断奶（从母乳喂养或奶瓶喂养）的平均年龄以及睡眠期间奶瓶使用模式方面没有显著差异。在致龋食物频率和疾病状况方面没有明显模式。
我们的研究结果对母乳、配方奶或牛奶的喂养模式是否是导致这种情况的充分病因因素提出了质疑。
