Tsai Aileen I, Chen Chien-Yuan, Li Lung-An, Hsiang Chia-Lan, Hsu Kuang-Hung
Department of Pediatric Dentistry, Chang Gung Children's Hospital, Linkou Medical Center, Taoyuan, Taiwan.
Community Dent Oral Epidemiol. 2006 Dec;34(6):437-45. doi: 10.1111/j.1600-0528.2006.00293.x.
The purpose of this study was to investigate the prevalence, patterns, and etiological factors for caries in children.
A total of 981 children less than 6 years of age were examined using a dental mirror and explorer. A parent or a caregiver was asked to complete a questionnaire regarding information about the child, the household, and oral hygiene. The prevalence and patterns of dental caries including pit and fissure caries, facial/lingual caries, molar proximal caries, and facial/lingual molar proximal lesions, were analyzed. Each child was classified as caries free or as having one of these four caries patterns.
Weighted mean deft was 0.14 at age 2, 2.58 at age 3, 4.41 at age 4, 6.94 at age 5, and 7.31 at age 6. Weighted mean defs was 4.71, 8.44, 16.45 and 18.64 at ages 3, 4, 5, and 6, respectively. By age 2, 5.09% of children had caries. By age 6, 89.38% of children had caries. By age 3, 30.02% of children fitted the facial and lingual pattern of caries and by age 6, 52.90% of children fit the 'facial-lingual and molar-proximal' pattern, indicating extensive smooth surface decay. The total prevalence of early childhood caries was 56%. Multivariate-adjusted odds ratios identified factors associated with the high caries experience of the young children and found caries was strongly associated with the lack of proper tooth brushing and high consumption of sweets. Higher caries scores were also associated with areas of low urbanization.
The findings of this survey indicated a high level of untreated caries among children in Taiwan.
本研究旨在调查儿童龋齿的患病率、模式及病因。
使用牙镜和探针检查了981名6岁以下儿童。要求家长或看护人填写一份关于孩子、家庭及口腔卫生信息的问卷。分析了龋齿的患病率及模式，包括窝沟龋、颊/舌面龋、磨牙邻面龋以及颊/舌面磨牙邻面损害。每个孩子被分类为无龋或患有这四种龋齿模式之一。
2岁时加权平均乳牙龋失补牙面数（deft）为0.14，3岁时为2.58，4岁时为4.41，5岁时为6.94，6岁时为7.31。3岁、4岁、5岁和6岁时加权平均乳牙龋补牙面数（defs）分别为4.71、8.44、16.45和18.64。到2岁时，5.09%的儿童患有龋齿。到6岁时，89.38%的儿童患有龋齿。到3岁时，30.02%的儿童符合颊面和舌面龋齿模式，到6岁时，52.90%的儿童符合“颊舌面和磨牙邻面”模式，表明平滑面广泛龋坏。幼儿龋齿的总患病率为56%。多变量调整后的优势比确定了与幼儿高龋齿经历相关的因素，发现龋齿与缺乏正确刷牙及高糖摄入量密切相关。较高的龋齿得分也与城市化程度低的地区有关。
本次调查结果表明台湾儿童中未经治疗的龋齿水平较高。
