Yee Robert, McDonald Neil, Helderman Wim H van Palenstein
Oral Health Programme, United Mission to Nepal, Kathmandu.
Int Dent J. 2006 Aug;56(4):196-202. doi: 10.1111/j.1875-595x.2006.tb00094.x.
To report on gains in oral health and improved quality of life of 12-13-year-old Nepali schoolchildren five and six years after the introduction of fluoride toothpaste in 1999.
Cross sectional baseline surveys in 1999 and 2001, and follow up surveys in 2004 and 2005 were multi-stage cluster sampling in design.
Urban and rural schools in Central, Far Western, Mid Western and Western Developmental Regions of Nepal.
2,770, 12-13-year-olds in 1999 and 1,001, 12-13-year-olds in 2004 were examined regionally. 637 12-13-year-olds from Kathmandu valley and 448 12-13-year-olds from Tansen municipality were examined in 1999. The same schools in Kathmandu valley and Tansen were visited in 2005 and 761 and 482 12-13-years from Kathmandu valley and Tansen were examined. 6,064 8-15-year-olds in 2001 and 1,001 12-13-year-olds in 2004 participated in the collection of information on oral hygiene practice and quality of life.
Examinations were carried out by trained and calibrated examiners using the WHO diagnostic criteria for caries and questionnaires were interview administered by trained interviewers.
Advocacy for fluoride toothpaste between 1997 and 2002.
There was a 26.6% decline in caries prevalence and 38.0% decrease in 12-13-year old DMFT from 1999 to 2004 throughout four of five regions of Nepal. Approximately 65-75% of the 12-13-year-olds used fluoride toothpaste from 1999 to 2004. School specific data reveals a reduction in DMFT of 43.8% in Tansen and 53.6% in the Kathmandu valley from 1999 to 2005. From 2001 to 2004, report of oral pain decreased by 10%.
The most likely reason for the decline in dental caries and reduction in oral pain is the widespread consumption of fluoride toothpaste by the 12-13-year-old schoolchildren.
报告1999年引入含氟牙膏五到六年之后，尼泊尔12 - 13岁学童口腔健康状况的改善及生活质量的提高情况。
1999年和2001年的横断面基线调查以及2004年和2005年的随访调查均采用多阶段整群抽样设计。
尼泊尔中部、远西部、中西部和西部发展区的城乡学校。
1999年对2770名12 - 13岁儿童进行了区域检查，2004年对1001名12 - 13岁儿童进行了区域检查。1999年对加德满都谷地的637名12 - 13岁儿童和丹森市的448名12 - 13岁儿童进行了检查。2005年对加德满都谷地和丹森的同一批学校进行了回访，检查了加德满都谷地的761名和丹森的482名12 - 13岁儿童。2001年6064名8 - 15岁儿童和2004年1001名12 - 13岁儿童参与了口腔卫生习惯和生活质量信息的收集。
由经过培训和校准的检查人员依据世界卫生组织龋齿诊断标准进行检查，由经过培训的访谈人员进行问卷调查。
1997年至2002年期间推广含氟牙膏。
在尼泊尔五个地区中的四个地区，1999年至2004年期间，龋齿患病率下降了26.6%，12 - 13岁儿童的龋失补牙面数（DMFT）下降了38.0%。1999年至2004年期间，约65% - 75%的12 - 13岁儿童使用含氟牙膏。学校特定数据显示，从1999年到2005年，丹森市的DMFT下降了43.8%，加德满都谷地下降了53.6%。从2001年到2004年，口腔疼痛报告减少了10%。
龋齿患病率下降和口腔疼痛减轻最可能的原因是12 - 13岁学童广泛使用了含氟牙膏。
