Martins Ronald Jefferson, Garbin Cléa Adas Saliba, Garbin Artênio José Isper, Moimaz Suzely Adas Saliba, Saliba Orlando
Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista, Araçatuba, Brazil.
Cad Saude Publica. 2006 May;22(5):1035-41. doi: 10.1590/s0102-311x2006000500016. Epub 2006 Apr 28.
This study analyzes the DMF and DEF indices, SiC index, and percentage of caries-free public schoolchildren in the municipality of Bilac, São Paulo State, Brazil, in 1998, 2000, 2002, and 2004. The same methodology was employed (WHO-1997) in all the surveys. Kappa test was carried out at each stage, and the minimal and maximum inter-examiner agreement values obtained were 0.86 and 0.89, respectively, while minimal intra-examiner agreement values were 0.91. DEF indices decreased slightly in the years 1998 and 2004. There was a continuous reduction in the DMF index, as well as the phenomenon of polarization at 12 years of age. The rate was 5.28 in 1998, decreasing to 4.11 in 2000, 3.47 in 2002, and 2.62 in 2004. Inversely, the proportion of caries-free 5-year-olds increased from 37.9% in 1998 to 40% in 2000 and 2002 and 45.3% in 2004. In conclusion, there has been a decrease in dental caries in 12 year-old public schoolchildren in the municipality.
本研究分析了巴西圣保罗州比拉克市1998年、2000年、2002年和2004年公立学校儿童的恒牙龋失补指数（DMF）、乳牙龋失补指数（DEF）、龋均指数（SiC）以及无龋儿童的百分比。所有调查均采用相同的方法（世界卫生组织，1997年）。在每个阶段都进行了卡帕检验，检查者间一致性的最小值和最大值分别为0.86和0.89，而检查者内一致性的最小值为0.91。1998年和2004年，DEF指数略有下降。DMF指数持续下降，同时在12岁儿童中出现了两极分化现象。该比率在1998年为5.28，2000年降至4.11，2002年为3.47，2004年为2.62。相反，5岁无龋儿童的比例从1998年的37.9%增至2000年和2002年的40%，以及2004年的45.3%。总之，该市1
