Joseph C, Velley A M, Pierre A, Bourgeois D, Muller-Bolla M
ERIC Laboratory, Claude Lyon 1 University, France.
Eur Arch Paediatr Dent. 2011 Oct;12(5):256-63. doi: 10.1007/BF03262818.
To describe the dental health status of 6-year-old children using the ICDAS-II advanced method and to evaluate the association between the known caries risk factors with the cavitated caries lesion (WHO basic method) or with both non-cavitated and cavitated caries lesion caries (ICDAS II).
In this cross-sectional study, a questionnaire was used to evaluate oral health and dietary habits of children. A clinical examination and a Cario analysis test (Pierre Fabre Oral care) were performed.
Logistic regression analyses were used to assess the association between caries and daily tooth-brushing, dietary habits, visible plaque and salivary factors.
There were 341 children (52% female and 6.25+/-0.46 years of age) in this study. Using the ICDAS-II advanced method, 39% of the children were caries-free. This proportion was larger (67.2%) using the WHO method. In multivariate models, visible dental plaque and Streptococcus mutans count were associated with caries experience registered as ICDAS-II codes 1-6 or codes 3-6. The absence of daily tooth-brushing with fluoridated toothpaste was associated only with caries experience ICDAS-II codes 3-6.
The use of WHO or ICDAS-II method changed the proportion of caries-free children but not the clinical caries risk factors associated with caries experience.
采用国际龋病检测和评估系统第二版（ICDAS-II）先进方法描述6岁儿童的口腔健康状况，并评估已知龋病风险因素与龋洞性龋损（世界卫生组织基本方法）或与非龋洞性和龋洞性龋损（ICDAS II）之间的关联。
在这项横断面研究中，使用问卷评估儿童的口腔健康和饮食习惯。进行了临床检查和龋病分析测试（皮尔法伯口腔护理）。
采用逻辑回归分析评估龋病与每日刷牙、饮食习惯、可见牙菌斑和唾液因素之间的关联。
本研究中有341名儿童（52%为女性，年龄6.25±0.46岁）。采用ICDAS-II先进方法，39%的儿童无龋。使用世界卫生组织方法时，这一比例更高（67.2%）。在多变量模型中，可见牙菌斑和变形链球菌计数与登记为ICDAS-II代码1-6或代码3-6的龋病经历相关。未使用含氟牙膏每日刷牙仅与ICDAS-II代码3-6的龋病经历相关。
使用世界卫生组织或ICDAS-II方法改变了无龋儿童的比例，但未改变与龋病经历相关的临床龋病风险因素。
