Morgan M V, Wright F A, Matram Z N, Sundoro E, Chesters R K
School of Dental Science, University of Melbourne, Australia.
Community Dent Health. 1992 Jun;9(2):171-9.
Indonesia is a developing country with few dental services and a population at risk to deteriorating oral health. Five hundred and ninety-one 12 and 15 year-old children drawn from a low fluoride (F- less than 0.1 ppm) urban area of Jakarta, Indonesia were examined for dental caries, fluorosis, and periodontal diseases. In addition, a questionnaire was administered investigating socio-demographic background, use of dental services, and preventive oral care. Although the severity of dental caries experience was moderate, untreated caries on the occlusal surface formed the highest proportion of the dental caries experience. CPITN examination revealed a large proportion of the subjects had calculus as their highest score, combined with a substantial number of sites which exhibited bleeding on probing. Questionnaire data revealed a high home use of fluoridated toothpaste by the subjects but a predominant use of dental services for pain relief. Findings from this study suggest a need for primary preventive programmes focusing on occlusal sealants and plaque control.
印度尼西亚是一个发展中国家,牙科服务稀缺,其人口面临口腔健康恶化的风险。从印度尼西亚雅加达一个低氟(氟含量低于0.1 ppm)的城市地区抽取了591名12岁和15岁的儿童,对他们进行龋齿、氟斑牙和牙周疾病检查。此外,还发放了一份调查问卷,调查社会人口背景、牙科服务使用情况和预防性口腔护理情况。尽管龋齿经历的严重程度为中度,但咬合面未治疗的龋齿在龋齿经历中所占比例最高。社区牙周指数(CPITN)检查显示,很大一部分受试者的最高得分是牙结石,同时有大量部位在探诊时出血。调查问卷数据显示,受试者在家中大量使用含氟牙膏,但主要是为了缓解疼痛才去看牙科服务。这项研究的结果表明,需要开展以窝沟封闭剂和牙菌斑控制为重点的初级预防项目。