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龋齿对青春期前儿童身体生长的影响。

The influence of dental caries on body growth in prepubertal children.

机构信息

Department of Cariology Endodontology Pedodontology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands,

出版信息

Clin Oral Investig. 2011 Apr;15(2):141-9. doi: 10.1007/s00784-010-0380-3. Epub 2010 Jan 29.

Abstract

Dental decay and dental treatment are suggested to be related to body growth in children. The aim of this study was first to assess the relation between dental caries and body proportions cross-sectionally in a Suriname caries child population and secondly to investigate whether dental treatment had a significant influence on body growth of these children in a randomised controlled trial using different treatment strategies. Three hundred eighty 6-year-old children with untreated dental decay participated in the study. Caries prevalence and presence of dentogenic infections were recorded. All children were randomly assigned to four different treatment groups ranging from full dental treatment to no invasive treatment at all. Body growth was evaluated by children's height, weight and body mass index. Participants were evaluated after 6 months and 1, 2 and 3 years. Cross-sectionally, negative correlations were observed between anthropometric measures and the number of untreated carious surfaces and caries experience of the children. Next, no significant differences in growth pattern between the treatment groups were observed. Based on these results, it is suggested that caries activity is a negative predictor for body growth in children and dental intervention does not show significant improvement within 3 years.

摘要

龋齿和牙科治疗被认为与儿童的身体生长有关。本研究的目的首先是在苏里南龋齿儿童人群中横向评估龋齿与身体比例之间的关系,其次是使用不同的治疗策略在随机对照试验中调查牙科治疗是否对这些儿童的身体生长有显著影响。380 名 6 岁未接受治疗的龋齿儿童参加了这项研究。记录了龋齿的患病率和牙源性感染的存在情况。所有儿童均随机分配到四个不同的治疗组,从全面的牙科治疗到完全不侵入性治疗不等。通过儿童的身高、体重和体重指数来评估身体生长情况。参与者在 6 个月、1 年、2 年和 3 年后进行评估。横向研究发现,儿童的身高、体重和 BMI 与未经治疗的龋齿数量和龋齿严重程度呈负相关。接下来,治疗组之间的生长模式没有显著差异。基于这些结果,建议龋齿活动是儿童身体生长的负面预测因素,而在 3 年内,牙科干预并没有显示出显著的改善。

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