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[一项关于北京儿童乳牙和恒牙龋病状况的八年纵向研究]

[An eight-year longitudinal study for caries status on primary and permanent dentitions in Beijing children].

作者信息

Wang Wei-jian, Li Yi-hong, Bian Jin-you

机构信息

Department of Preventive Dentistry, Peking University School of Stomatology, Beijing 100081, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2003 Jul;38(4):279-81.

Abstract

OBJECTIVE

To study whether the caries status of the primary dentition correlated with status of the permanent in the same cohort over an eight-year period. To determine whether the caries status of the primary dentition can be used to predict caries in the permanent dentition.

METHODS

A total of 362 children, 3 - 4 years old in the baseline study in 1992 were re-examined in 2000 based on WHO criteria and methods.

RESULTS

Statistically significant associations were observed between the caries prevalence in primary and permanent teeth (P < 0.01) and between DMFT(s) and dmft(s) (P < 0.01). Children who had caries in the primary teeth were nearly three times more likely to have caries in the permanent teeth (RR = 2.6,95% CI = 1.4 - 4.7, P < 0.001). The highest sensitivity (93.9%) for prediction caries in the permanent dentition was found in caries presence on any of the eight primary molars, for which the relative ratio was 3.3 (95% CI = 1.8 - 6.1, P < 0.001) and the positive prediction value was 85.4%.

CONCLUSION

The study determinate clearly that caries status in the primary teeth can be used as a risk indicator for predicting caries in the permanent dentition.

摘要

目的

研究在八年期间同一队列中乳牙的龋病状况与恒牙的龋病状况是否相关。确定乳牙的龋病状况是否可用于预测恒牙的龋病。

方法

1992年基线研究中3至4岁的362名儿童于2000年根据世界卫生组织的标准和方法进行了重新检查。

结果

观察到乳牙和恒牙的龋病患病率之间(P < 0.01)以及恒牙龋失补指数(DMFT)和乳牙龋失补指数(dmft)之间存在统计学上的显著关联(P < 0.01)。乳牙患龋的儿童恒牙患龋的可能性几乎是其三倍(相对危险度RR = 2.6,95%可信区间CI = 1.4 - 4.7,P < 0.001)。预测恒牙龋病的最高敏感度(93.9%)出现在八颗乳牙磨牙中的任何一颗有龋病的情况,其相对比为3.3(95%CI = 1.8 - 6.1,P < 0.001),阳性预测值为85.4%。

结论

该研究明确确定乳牙的龋病状况可作为预测恒牙龋病的风险指标。

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