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一组5岁意大利儿童的龋齿患病率及牙面分布情况。

Caries prevalence and tooth surface distribution in a group of 5-year-old Italian children.

作者信息

Ferro R, Besostri A, Olivieri A

机构信息

Dental Unit, Regional Centre for the Study, the Prevention and the Therapy of Dental Diseases of Veneto Region, Cittadella Hospital, Cittadella (PD), Italy.

出版信息

Eur Arch Paediatr Dent. 2009 Jan;10(1):33-7. doi: 10.1007/BF03262665.

Abstract

AIM

This was to investigate caries experience and patterns in a sample of 5-year-old children attending nursery schools in the Veneto Region (Italy).

STUDY DESIGN

Cross sectional study.

METHODS

The study was carried out between September 2005 and May 2006 with 348 randomly selected 5-year-old children. Two calibrated dentists using an artificial light, a plane dental mirror and a dental probe performed clinical dental examination. World Health Organisation (WHO) diagnostic criteria for dental caries: dmft, dmfs and SiC indexes were used to measure the severity of the disease.

STATISTICS

dmfs scores were analysed either as a continuous continuous (calculating means and standard deviations) or as a categorical variable (providing proportions). Pearson's chi square test for comparison between groups and Wilcoxon signed-rank test for distribution of dmfs scores between pairs of contiguous molars were used.

RESULTS

The most commonly affected teeth were primary molars, (78% of the overall sample), especially in the mandible. The surfaces of molars most often affected were the occlusal (52%). Proximal surfaces were affected more in first than in second primary molars. Dental caries occurred most often in the maxilla. The frequency of caries in anterior teeth was low (12%).

CONCLUSIONS

Caries experience in the primary dentition showed a symmetrical distribution localized on primary molars, most often in their occlusal surface. Caries in anterior teeth was uncommon.

摘要

目的

本研究旨在调查意大利威尼托地区幼儿园5岁儿童样本中的龋齿患病情况及模式。

研究设计

横断面研究。

方法

本研究于2005年9月至2006年5月进行,随机选取348名5岁儿童。两名经过校准的牙医使用人工光源、平面口腔镜和牙科探针进行临床口腔检查。采用世界卫生组织(WHO)的龋齿诊断标准:dmft、dmfs和SiC指数来衡量疾病的严重程度。

统计学方法

dmfs评分作为连续变量(计算均值和标准差)或分类变量(提供比例)进行分析。采用Pearson卡方检验进行组间比较,采用Wilcoxon符号秩检验分析相邻磨牙对之间dmfs评分的分布情况。

结果

最常受影响的牙齿是乳磨牙(占总样本的78%),尤其是在下颌。磨牙最常受影响的表面是咬合面(52%)。第一乳磨牙的邻面比第二乳磨牙受影响更严重。龋齿最常发生在上颌。前牙龋齿的发生率较低(12%)。

结论

乳牙列中的龋齿患病情况呈对称分布,主要集中在乳磨牙,最常见于其咬合面。前牙龋齿并不常见。

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