Whelton H, Crowley E, O'Mullane D, Donaldson M, Kelleher V, Cronin M
Oral Health Services Research Centre, University Dental School and Hospital, Wilton, Cork, Ireland.
Community Dent Health. 2004 Mar;21(1):37-44.
A national survey of oral health of children and adolescents was carried out in the Republic of Ireland (RoI) in 2001/2002.
To compare the prevalence of caries between child and adolescent residents in fluoridated and non-fluoridated communities in the RoI whilst controlling for disadvantage. To compare caries levels amongst disadvantaged and non-disadvantaged groups with and without water fluoridation. To report the changes in caries levels between the 1960s and 2002 in RoI. To report the changes in dental fluorosis levels between 1984 and 2002.
Cross sectional oral health survey of a representative, random, stratified sample of 17,851 5-, 8-, 12- and 15-year-old children and adolescents in RoI. WHO examination criteria with the addition of visible, non-cavitated dentine caries were used for recording caries. Fluorosis was measured using Dean's Index.
In the RoI the mean dmft/DMFT scores for 5-, 8-, 12-, and 15-year-olds were 1.2, 0.3, 1.1 and 2.3. For those with domestic water fluoridation since birth the scores were 1.0, 0.3, 1.1 and 2.1 respectively. In non-fluoridated areas of RoI the mean dmft/DMFT scores for 5-, 8-, 12-, and 15-year-olds was 1.7, 0.3, 1.3 and 3.2, respectively. For 5-, 12- and 15-year-old age groups dental caries levels were lower amongst children with fluoridated domestic water supplies (all p<0.0001). The prevalence of dental fluorosis has increased in RoI since 1984. 23% and 36% of 8- and 15-year olds respectively in fluoridated areas had Dean's Index scores at the questionable or greater level in 2002, compared with 6% and 5% respectively in 1984.
Caries levels are lower among children with fluoridated domestic water supplies. Decay levels are much lower in 2002 than they were in 1984 and in the 1960s. The oral health of the less well off is worse than that of the rest of the population. The prevalence of dental fluorosis is higher amongst children and adolescents with fluoridated water supplies. Comparisons with 1984 data show an increase in the prevalence of fluorosis since that time.
2001/2002年在爱尔兰共和国（RoI）开展了一项全国儿童和青少年口腔健康调查。
比较RoI中氟化社区和非氟化社区儿童及青少年居民的龋齿患病率，同时控制不利因素。比较有无饮水氟化的弱势群体和非弱势群体的龋齿水平。报告RoI从20世纪60年代到2002年龋齿水平的变化。报告1984年至2002年氟斑牙水平的变化。
对RoI中17851名5岁、8岁、12岁和15岁儿童及青少年的代表性随机分层样本进行横断面口腔健康调查。采用世界卫生组织的检查标准并增加可见的非龋洞性牙本质龋来记录龋齿情况。使用迪恩指数测量氟斑牙。
在RoI中，5岁、8岁、12岁和15岁儿童的平均乳牙龋失补牙面数/恒牙龋失补牙面数（dmft/DMFT）得分分别为1.2、0.3、1.1和2.3。对于自出生以来饮用含氟家庭用水的儿童，得分分别为1.0、0.3、1.1和2.1。在RoI的非氟化地区，5岁、8岁、12岁和15岁儿童平均dmft/DMFT得分分别为1.7、0.3、1.3和3.2。对于5岁、12岁和15岁年龄组，饮用含氟家庭供水的儿童龋齿水平较低（所有p<0.0001）。自1984年以来，RoI的氟斑牙患病率有所上升。2002年，氟化地区8岁和15岁儿童中分别有23%和36%的迪恩指数得分处于可疑或更高水平，而1984年分别为6%和5%。
饮用含氟家庭供水的儿童龋齿水平较低。2002年的龋齿水平比1984年和20世纪60年代低得多。经济条件较差者的口腔健康状况比其他人群差。饮用氟化水的儿童和青少年中氟斑牙患病率较高。与1984年的数据相比，自那时以来氟斑牙患病率有所上升。
