Rihs Lilian Berta, Sousa Maria da Luz Rosário de, Cypriano Silvia, Abdalla Nádja Moscoso, Guidini Danielle Duo Ngatsuka, Amgarten Carolina
Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Avenida Limeira 901, Piracicaba, SP 13414-018, Brazil.
Cad Saude Publica. 2007 Mar;23(3):593-600. doi: 10.1590/s0102-311x2007000300018.
This study aimed to verify caries activity and analyze caries experience, treatment needs, and enamel defects in 5-year-old preschool children in Indaiatuba, São Paulo State, Brazil. 624 children were selected by systematic random sampling in 2004. WHO criteria were used to measure caries experience and treatment needs. Nyvad et al. diagnostic criteria were used to analyze caries activity. Mann-Whitney and chi-square tests were used to analyze the results, with 5% significance. 40.5% of schoolchildren displayed caries activity. The dfmt was 1.62 (95%CI: 1.35-1.89). Among children with dfmt > 0, the index was 3.81 (95%CI: 3.36-4.26), and 91.4% of these children presented caries activity. Care Index was 12.3%. These results suggest that treatment measures and health promotion should continue to be prioritized, since the control measures and caries interruption during the initial stages are well known. Dental care should especially target schoolchildren with more significant caries experience.
本研究旨在验证巴西圣保罗州因代亚图巴市5岁学龄前儿童的龋齿活动情况，并分析其龋齿经历、治疗需求和牙釉质缺陷。2004年通过系统随机抽样选取了624名儿童。采用世界卫生组织标准来衡量龋齿经历和治疗需求。使用尼瓦德等人的诊断标准来分析龋齿活动情况。结果分析采用曼-惠特尼检验和卡方检验，显著性水平为5%。40.5%的学童表现出龋齿活动。龋失补牙面数（dfmt）为1.62（95%置信区间：1.35 - 1.89）。在dfmt > 0的儿童中，该指数为3.81（95%置信区间：3.36 - 4.26），其中91.4%的儿童表现出龋齿活动。保健指数为12.3%。这些结果表明，由于在初始阶段的控制措施和龋齿阻断方法是众所周知的，治疗措施和健康促进仍应继续作为优先事项。牙科保健应特别针对龋齿经历更显著的学童。
