van Gemert-Schriks M C M, van Amerongen W E, ten Cate J M
Department of Cariology, Endodontology, Pedodontology, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam, The Netherlands.
Community Dent Health. 2009 Jun;26(2):116-20.
The aim of this study was to establish the oral health status of children living throughout the Interior of Suriname in order to define needs for dental care in line with WHO goals and guidelines.
In this cross sectional study, dental caries was recorded according to the criteria of the WHO. Decayed, missing and filled (DMF)-teeth (T) and surfaces (S) indices for caries prevalence were used. A total of 951 children from four different regions and between 5-15 years of age, were examined. There was an approximately equal distribution of boys and girls. The children were divided into three age categories.
The mean dmfs in the youngest children (5-7.5 yrs) was 11.81 (SD 11.19) and the mean dmft 5.16 (SD 3.93). 17.2% of the children was caries free. Statisticaly significant regional, racial and gender differences were found The mean dmfs of children in the middle age category (7.5-10 yrs) was 5.37 (SD 6.42) and the mean DMFS was 0.84 (SD 1.30). A mean DMFS of 2.31 (SD 4.97) was recorded in the oldest children. No regional, racial or gender differences were found in the last two categories.
The results indicate that caries prevalence in young children in the Interior of Suriname is high according to the criteria of the WHO. In contrast, children in older age groups were found to experience low to moderate caries levels. This finding has consequences for the organisation and planning of future oral health care which should be focused on young children.
本研究旨在确定苏里南内地儿童的口腔健康状况,以便根据世界卫生组织的目标和指南确定牙科护理需求。
在这项横断面研究中,根据世界卫生组织的标准记录龋齿情况。使用龋齿患病率的龋、失、补(DMF)牙(T)和牙面(S)指数。共检查了来自四个不同地区、年龄在5至15岁之间的951名儿童。男孩和女孩的分布大致相等。这些儿童被分为三个年龄组。
最年幼儿童(5至7.5岁)的平均dmfs为11.81(标准差11.19),平均dmft为5.16(标准差3.93)。17.2%的儿童无龋齿。发现存在统计学上显著的地区、种族和性别差异。中年组(7.5至10岁)儿童的平均dmfs为5.37(标准差6.42),平均DMFS为0.84(标准差1.30)。最年长儿童的平均DMFS为2.31(标准差4.97)。在后两个年龄组中未发现地区、种族或性别差异。
结果表明,根据世界卫生组织的标准,苏里南内地幼儿的龋齿患病率较高。相比之下,发现年龄较大组的儿童龋齿水平较低至中等。这一发现对未来口腔卫生保健的组织和规划具有影响,应侧重于幼儿。