Community Oral Health, Level 8, University of Glasgow Dental School, 378 Sauchiehall Street, Glasgow, G2 3JZ.
Br Dent J. 2010 Aug 28;209(4):E5. doi: 10.1038/sj.bdj.2010.723.
To report on the dental health of three-year-old children in Greater Glasgow, and to examine the amount of dental caries associated with deprivation in this young age group.
Dental inspections in nursery schools.
The national inspection programme using BASCD criteria was extended to include an additional group of nursery attending three-year-olds in Greater Glasgow in 2006/7 and 2007/8. Caries experience was analysed by logistic regression models and ROC plots.
Fourteen percent of this population was sampled in 2006/7 and 19% in 2007/8 (usable data n = 1,711 in 2006/7, 2,428 in 2007/8). Mean d(3)mft was 1.1 in 2006/7 and 1.0 in 2007/8. The prevalence of caries experience was 26% in 2006/7 and 25% in 2007/8 (33% and 32%, respectively, for children in deprived areas). The adjusted odds-ratio for caries experience for children living in the most deprived areas was 2.90 (2.31, 3.64), p <0.001. There was a high rate of caries in the upper anterior teeth.
It was feasible to conduct large scale caries surveys of three-year-olds in a nursery setting. Poor dental health and inequality commence early in life. Caries prevention should be targeted toward deprived families from birth.
报告大格拉斯哥地区三岁儿童的口腔健康状况，并研究该年龄段儿童因贫困而导致的龋齿严重程度。
幼儿园的口腔检查。
2006/7 年和 2007/8 年，全国使用 BASCD 标准的检查项目延伸至格拉斯哥地区更大范围的幼儿园，纳入了更多的三岁儿童。使用逻辑回归模型和 ROC 图分析龋齿患病情况。
2006/7 年和 2007/8 年分别有 14%和 19%的人群被抽取作为样本（2006/7 年的有效数据 n = 1711，2007/8 年的有效数据 n = 2428）。2006/7 年和 2007/8 年平均 d(3)mft 分别为 1.1 和 1.0。2006/7 年和 2007/8 年龋齿患病的流行率分别为 26%和 25%（生活在贫困地区的儿童的龋齿患病率分别为 33%和 32%）。居住在最贫困地区的儿童发生龋齿的调整比值比为 2.90（2.31，3.64），p <0.001。上前牙的龋齿发病率很高。
在幼儿园环境中进行大规模的三岁儿童龋齿调查是可行的。贫困地区儿童的口腔健康状况较差，且不平等现象在生命早期就已出现。应从出生起就针对贫困家庭开展龋齿预防工作。
