Pitts N B, Evans D J, Nugent Z J
Dental Health Services Research Unit, University of Dundee, Scotland.
Community Dent Health. 2000 Mar;17(1):48-53.
This paper reports the results of standardised clinical caries examinations of 121.550 14-year-old children from across the United Kingdom, Jersey and the Isle of Man. These 1998/99 coordinated surveys are the latest in a series which seeks to monitor the dental health of children and to assess the delivery of dental services.
The criteria and conventions of the British Association for the Study of Community Dentistry were used. Representative samples were drawn from participating health authorities and boards and caries was diagnosed at the caries into dentine (D3) threshold using a visual method without radiography or fibreoptic transillumination.
These demonstrated, once again, a wide variation in prevalence across the United Kingdom, with mean values for D3MFT for the current English regional offices (of the National Health Service) and the other UK countries ranging from 1.17 in West Midlands to 3.65 in Northern Ireland. The mean value for D3MFT across the United Kingdom was 1.76 (D3T=0.59, MT=0.15, FT=1.02). Overall, 54% of children had evidence of caries experience at the dentinal level (D3MFT>0), although the means ranged between 43% (South East) and 78% (Northern Ireland). The mean D3MFT for those with disease at this threshold was 3.24. Trends over time demonstrate an improvement of 10% in overall D3MFT for Great Britain since 1994/95, compared to the 21% seen over the previous four year period. Over recent years the overall trend in this age group seems to be towards lower values. However, there has been no improvement in mean MT since 1994/95, while FT and care index have fallen. The number of fillings provided in 1998/99 and thus the care index, remains low, on average across the UK, only 58% of the dentinal caries experience identified by survey examinations of permanent teeth was seen as fillings (range in individual districts and boards: 34% to 83%).
Taken together, these findings demonstrate the continuing need for more effective preventive strategies and treatment services for this important age group.
本文报告了来自英国、泽西岛和马恩岛的121550名14岁儿童的标准化临床龋齿检查结果。这些1998/99年的协调调查是旨在监测儿童牙齿健康并评估牙科服务提供情况的系列调查中的最新一次。
采用了英国社区牙科研究协会的标准和惯例。从参与的卫生当局和委员会中抽取代表性样本，使用目视方法在未进行放射照相或光纤透照的情况下，将龋齿诊断为龋坏至牙本质（D3）阈值。
这些结果再次表明，英国各地的患病率差异很大，目前英国国家医疗服务体系的英格兰地区办事处和其他英国国家的D3MFT平均值，从西米德兰兹的1.17到北爱尔兰的3.65不等。英国的D3MFT平均值为1.76（D3T = 0.59，MT = 0.15，FT = 1.02）。总体而言，54%的儿童在牙本质水平有龋齿经历（D3MFT>0），尽管平均值在43%（东南部）至78%（北爱尔兰）之间。在此阈值下患有疾病的儿童的平均D3MFT为3.24。随着时间的推移，与前四年期间21%的改善率相比，自1994/95年以来，英国总体D3MFT改善了10%。近年来，这个年龄组的总体趋势似乎是朝着更低的值发展。然而，自1994/95年以来，平均MT没有改善，而FT和护理指数有所下降。1998/99年提供的补牙数量以及护理指数仍然很低，在英国平均而言，通过恒牙调查检查发现的牙本质龋齿经历中，只有58%被视为补牙（各地区和委员会的范围：34%至83%）。
综上所述，这些发现表明，对于这个重要的年龄组，持续需要更有效的预防策略和治疗服务。
