Badel Tomislav, Restek-Despotusić Snjezana, Kern Josipa, Keros Jadranka, Segović Sanja
Zavod za stomatolosku protetiku, Stomatoloski fakultet, Sveuiliste u Zagrebu, Zagreb, Hrvatska.
Acta Med Croatica. 2006 Sep;60(4):315-8.
The aim of this study was to evaluate oral health of Croatian army recruits, and subsequently, by DMFT index and FST index, to point to dental status of each recruit and to make the diagnosis and treatment plan accordingly.
A total of 248 randomly chosen Croatian Army recruits aged 19-29 underwent examination at a dental office in Koprivnica barracks. Their oral health status was clinically observed and evaluated by use of DMFT and FST indexes. The quality of dental treatment and number of restorations were estimated according to the formula: FTx100/DFT. The study included recruits who had no decayed teeth (DMFT=0), and all teeth, apart from wisdom teeth, were examined. The subjects were divided according to age and place of residence (urban, rural), all of them living in central Croatian counties. They were also interviewed about their dietary habits, and personal oral and dental care. The methods of nonparameter statistics were used due to abnormal data distribution.
Healthy teeth were found in 4% of study subjects. The median value of DMFT was 6, and of FST index 25. There were no statistically significant differences in the indices according to either residence or age of recruits. A statistically significant difference was recorded between DT and FST index (p<0.05) according to educational level and understanding of the dietary role of carbohydrates reflected in caries development. Restorations were present in 18.6% of the recruits, i. e. their teeth were well treated, without any further carious lesions.
The results of epidemiological studies, carried out in many countries, have revealed a decreased number of caries resulting from overall preventive measures that were taken from early childhood. Specific socioeconomic factors play an important role in Croatia as well as in other transition countries.
The values of DMFT indexes recorded in recruits from other countries tend to be considerably lower than those in Croatian Army recruits. In populations with a high caries incidence it is more appropriate to use FST index. The study of caries in heterogeneous populations such as recruits points to the need of taking more effective preventive measures in childhood and adolescence.
本研究旨在评估克罗地亚军队新兵的口腔健康状况，随后通过龋失补牙指数（DMFT）和龋补牙面指数（FST）指出每名新兵的牙齿状况，并据此制定诊断和治疗计划。
总共248名年龄在19至29岁之间的随机选取的克罗地亚军队新兵在科普里夫尼察军营的牙科诊所接受了检查。通过使用DMFT和FST指数对他们的口腔健康状况进行了临床观察和评估。根据公式FTx100/DFT估算牙科治疗质量和修复体数量。该研究纳入了没有龋齿（DMFT = 0）的新兵，除智齿外的所有牙齿均接受了检查。受试者根据年龄和居住地（城市、农村）进行了划分，他们都生活在克罗地亚中部各县。还就他们的饮食习惯以及个人口腔和牙齿护理情况对他们进行了访谈。由于数据分布异常，使用了非参数统计方法。
在4%的研究对象中发现了健康牙齿。DMFT的中位数为6，FST指数的中位数为25。根据新兵的居住地或年龄，这些指数没有统计学上的显著差异。根据教育水平以及对碳水化合物在龋齿发展中饮食作用的理解，DT和FST指数之间记录到了统计学上的显著差异（p<0.05）。18.6%的新兵有修复体，也就是说他们的牙齿得到了良好治疗，没有任何进一步的龋损。
在许多国家进行的流行病学研究结果显示，由于从幼儿期就采取了全面的预防措施，龋齿数量有所减少。特定的社会经济因素在克罗地亚以及其他转型国家也起着重要作用。
其他国家新兵的DMFT指数值往往远低于克罗地亚军队新兵的指数值。在龋齿发病率高的人群中，使用FST指数更为合适。对新兵等异质人群的龋齿研究表明，需要在儿童期和青少年期采取更有效的预防措施。
