du Plessis J B
SADJ. 2000 Jun;55(6):308-12.
The oral health status and treatment needs of the community at Mahonisi were determined in order to plan a health care programme. The caries experience, occlusal status, fluorosis prevalence and prosthetic status and needs were determined according to the WHO pathfinder methodology (1987). The dmft for the 4- 5- and 6-year-old children was 0.33 and 0.67 respectively. The DMFT ranged from 0 in the 12- and 15-year-old children to 4.2 in the 65-years-and-older age group. Among the 12-, 15- and 18-year-old pupils 73% had good occlusions, 18% had slight and 9% more serious anomalies. Of the 152 subjects examined for fluorosis only 2 exhibited very mild dental fluorosis. No soft-tissue lesions were seen in the adult sample, but 10 cases were seen in the schoolchildren. No edentulous person was seen, but 4 people needed extraction of all their remaining teeth. A need for 7 partial dentures was recorded. The simplified oral hygiene index (OHI-S) ranged from 1.45 in the 4- 5-year-old children to 4.47 in the oldest group. The zero DMFT scores for the 12- and 15-year-old children are exceptional and need to be further investigated. It is recommended that the teachers in the pre-school and some of the primary school be trained to provide oral hygiene instruction to the children.
为了规划一项医疗保健计划，对马霍尼西社区的口腔健康状况和治疗需求进行了评估。根据世界卫生组织的探索性方法（1987年）确定了龋病经历、咬合状况、氟斑牙患病率以及修复状况和需求。4至5岁儿童的乳牙龋均（dmft）分别为0.33和0.67。恒牙龋均（DMFT）在12至15岁儿童中为0，在65岁及以上年龄组中为4.2。在12岁、15岁和18岁的学生中，73%咬合良好，18%有轻度异常，9%有更严重的异常。在接受氟斑牙检查的152名受试者中，只有2人表现出非常轻微的氟斑牙。在成人样本中未发现软组织病变，但在学童中发现了10例。未发现无牙患者，但有4人需要拔除所有剩余牙齿。记录显示需要7副局部义齿。简化口腔卫生指数（OHI-S）在4至5岁儿童中为1.45，在最年长者中为4.47。12岁和15岁儿童的DMFT得分为零这一情况很特殊，需要进一步调查。建议对学前教育机构和部分小学的教师进行培训，以便为儿童提供口腔卫生指导。
