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不同社会经济地位儿童的第一磨牙萌出与菌斑产酸性的关系。

First molar eruption related to plaque acidogenicity in children of different socio-economic status.

作者信息

Delgado-Angulo Elsa K, Prado-Armas Johana, Bernabé Eduardo

机构信息

Department of Dentistry of the Child and Adolescent, Universidad Peruana Cayetano Heredia, Lima, Peru.

出版信息

Acta Odontol Scand. 2006 Jun;64(3):134-40. doi: 10.1080/00016350500419990.

Abstract

OBJECTIVE

The aim of this study was to evaluate the association between the eruption stage of the lower first permanent molar and dental plaque acidogenicity. Socio-economic status (SES), gender, and oral hygiene condition were also variables considered.

MATERIAL AND METHODS

230 children between 6 and 8 years of age were recruited from one public and one private primary school with different SES in Lima, Peru. Clinical examinations were performed to assess lower first permanent molar eruption stage, plaque acidogenicity, and oral hygiene condition. Bivariate associations were analyzed through chi-square tests and the variable interactions were analyzed through a hierarchical log-linear analysis with backward elimination.

RESULTS

21.8% of the population had highly acidogenic plaque, 34.3% acidogenic plaque, and 43.9% non-acidogenic plaque. Of the lower first permanent molars, 46.1% were fully erupted, whereas 53.9% were partially erupted. According to the final log-linear model, children with fully erupted molars and non-acidogenic plaque are less frequent in low than in high SES. Also, the frequency of children with partially erupted molars and acidogenic to highly acidogenic plaque is higher in males than in females. Finally, fully erupted molars and non-acidogenic plaque are more frequent in children with good hygiene than in children with moderate to poor hygiene.

CONCLUSIONS

Association between eruption stage of the lower first permanent molar and plaque acidogenicity was not significant in a bivariate context. However, in a multivariate context, socio-economic status, oral hygiene condition, and gender had an impact on the association between the two main variables.

摘要

目的

本研究旨在评估下颌第一恒磨牙萌出阶段与牙菌斑产酸性之间的关联。社会经济地位(SES)、性别和口腔卫生状况也是所考虑的变量。

材料与方法

从秘鲁利马一所公立和一所私立小学招募了230名6至8岁的儿童,这两所学校的社会经济地位不同。进行临床检查以评估下颌第一恒磨牙的萌出阶段、牙菌斑产酸性和口腔卫生状况。通过卡方检验分析双变量关联,并通过带有向后剔除的分层对数线性分析来分析变量间的相互作用。

结果

21.8%的人群有高产酸性牙菌斑,34.3%有产酸性牙菌斑,43.9%有非产酸性牙菌斑。在下颌第一恒磨牙中,46.1%已完全萌出,而53.9%为部分萌出。根据最终的对数线性模型,低社会经济地位组中完全萌出磨牙且有非产酸性牙菌斑的儿童比高社会经济地位组更少。此外,部分萌出磨牙且有产酸性至高产酸性牙菌斑的儿童中,男性的比例高于女性。最后,口腔卫生良好的儿童中完全萌出磨牙且有非产酸性牙菌斑的情况比口腔卫生中等至较差的儿童更常见。

结论

在双变量情况下,下颌第一恒磨牙萌出阶段与牙菌斑产酸性之间的关联不显著。然而,在多变量情况下,社会经济地位、口腔卫生状况和性别对这两个主要变量之间的关联有影响。

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