Katz L, Ripa L W, Petersen M
J Clin Pediatr Dent. 1992 Winter;16(2):124-8.
The purposes of this study were to determine the prevalence of nursing caries in 3- to 5-year-old Head Start (HS) children on St. Thomas, U.S. Virgin Islands and to assess the reliability of examiners with different dental backgrounds. A dentist, hygienist, and nondental HS personnel participated in a 1/2 day training session (lecture and workshop) and then independently conducted visual examinations for caries of the maxillary anterior teeth including nursing caries. Twenty-three HS personnel examined a total of 375 children; the dentist and hygienist examined a random sample of 74 and 73 children, respectively. Seventy-one children received all three independent examinations. Reliability was assessed by percent agreement, sensitivity, specificity, and kappa value. The dentist found 41% of the children had caries of the maxillary incisors, which included nursing caries. The percentage of children with nursing caries was 12%. There was strong-to-good diagnostic agreement between the dentist and hygienist. The HS personnel also found that 12% of the children had nursing caries, but the diagnostic agreement between the dentist and HS personnel was only good-to-fair.
本研究的目的是确定美属维尔京群岛圣托马斯岛3至5岁的启蒙计划（HS）儿童中奶瓶龋的患病率，并评估具有不同牙科背景的检查者的可靠性。一名牙医、一名口腔卫生士和非牙科的HS工作人员参加了为期半天的培训课程（讲座和研讨会），然后独立对上颌前牙龋（包括奶瓶龋）进行视觉检查。23名HS工作人员共检查了375名儿童；牙医和口腔卫生士分别对74名和73名儿童进行了随机抽样检查。71名儿童接受了所有三项独立检查。通过一致性百分比、敏感性、特异性和kappa值评估可靠性。牙医发现41%的儿童患有上颌切牙龋，其中包括奶瓶龋。患奶瓶龋的儿童比例为12%。牙医和口腔卫生士之间存在强到良好的诊断一致性。HS工作人员也发现12%的儿童患有奶瓶龋，但牙医和HS工作人员之间的诊断一致性仅为良好到中等。
