Ferro R, Besostri A, Olivieri A
Dental Unit, Regional Centre for the Study, the Prevention and the Therapy of Dental Diseases of Veneto Region, Cittadella Hospital, Cittadella (PD), Italy.
Eur Arch Paediatr Dent. 2009 Jan;10(1):33-7. doi: 10.1007/BF03262665.
This was to investigate caries experience and patterns in a sample of 5-year-old children attending nursery schools in the Veneto Region (Italy).
Cross sectional study.
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.
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.
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%).
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.
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。
横断面研究。
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。
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。
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%)。
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。