Bailleul-Forestier Isabelle, Lopes Karine, Souames Mourad, Azoguy-Levy Sylvie, Frelut Marie-Laure, Boy-Lefevre Marie-Laure
Paediatric Dentistry, Garancière Hotel-Dieu Hospital, AP-HP, University Paris 7, Diderot, France.
Int J Paediatr Dent. 2007 Sep;17(5):358-63. doi: 10.1111/j.1365-263X.2007.00848.x.
The present study assessed caries experience in an adolescent population being treated for severe obesity. The DMFT indices of a group of obese adolescents (n = 41) and a group of nonobese adolescents (n = 41) were compared.
The parameters examined in this transversal study were body mass index (BMI) and the number of decayed, missing, and filled teeth (DMFT). The obese and nonobese groups were matched by age, gender, and parental socio-occupational category. Differences between the two groups were assessed using nonparametric tests.
There was a significant association between BMI and DMFT indices (P = 0.01) in the severely obese group. The obese adolescents were more likely to have caries than the nonobese ones.
The severely obese children (n = 16) had a high level of caries experience. Given the tremendous increase in the prevalence of obesity in children, dentists should promote a healthy diet not only to prevent dental decay but also to reduce the risk for obesity. Dentists should participate in multidisciplinary medical teams managing obese adolescents.
本研究评估了正在接受重度肥胖治疗的青少年人群的龋齿患病情况。比较了一组肥胖青少年（n = 41）和一组非肥胖青少年（n = 41）的龋失补牙指数（DMFT）。
本横断面研究中检测的参数为体重指数（BMI）以及龋、失、补牙数（DMFT）。肥胖组和非肥胖组按年龄、性别和父母社会职业类别进行匹配。使用非参数检验评估两组之间的差异。
在重度肥胖组中，BMI与DMFT指数之间存在显著关联（P = 0.01）。肥胖青少年比非肥胖青少年更易患龋齿。
重度肥胖儿童（n = 16）有较高的龋齿患病水平。鉴于儿童肥胖患病率的大幅上升，牙医不仅应推广健康饮食以预防龋齿，还应降低肥胖风险。牙医应参与管理肥胖青少年的多学科医疗团队。
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