Sicilia A, Noguerol B, Hernández R, Cobo J, Ainamo J, Bascones A, Lucas V, López Arranz J S
Escuela de Estomatologia, Universidad de Oviedo.
Av Odontoestomatol. 1990 Jun;6(6):343-9, 351-2.
The aim of this study was to examine the relationship between differences in dental attendance and oral hygiene patterns and dental caries and periodontal treatment needs. 1469 young people, aged 7, 12 and 15-19 years, and representing the urban (60%) and rural (40%) population from Spain were evaluated. Dental caries and periodontal treatment needs were registered according to the index D.M.F.T. and C.P.I.T.N., following the criteria of W.H.O. Regular dental attendance was observed in 16.6% of subjects examined, and only 9.4 saw a dentist regularly for dental prophylaxis. Statistical analyses showed that while the more frequent the dental visits, the lower the rate of caries, and periodontal treatment needs, the higher, however, the average number of fillings and the D.M.F.T. scores. These individuals had the higher number of functioning teeth, restored or sound, but they also had the disadvantage of having higher levels of disease experience. By the other way the individuals who saw the dentist regularly for dental prophylaxis presented the lower caries rate and periodontal treatment needs, the fewer tooth loss, and also an important reduction in the D.M.F.T. scores. Similar observations had been made in the individuals who brush their teeth frequently or with a correct technique. The results suggested that while frequent dental visits do not apparently help to prevent the onset of further dental disease, we can achieve this goal with regular preventive oriented dental therapy.
本研究的目的是探讨看牙频率和口腔卫生模式的差异与龋齿及牙周治疗需求之间的关系。对1469名年龄在7岁、12岁以及15 - 19岁之间的年轻人进行了评估,他们代表了西班牙城市(60%)和农村(40%)的人口。根据世界卫生组织的标准,按照龋失补牙指数(D.M.F.T.)和社区牙周指数治疗需要量(C.P.I.T.N.)记录龋齿和牙周治疗需求。在接受检查的受试者中,16.6%有规律地看牙,只有9.4%定期看牙医进行牙齿预防保健。统计分析表明,看牙越频繁,龋齿率和牙周治疗需求越低,然而,补牙的平均数量和龋失补牙指数(D.M.F.T.)得分越高。这些人有更多的功能牙,无论是修复后的还是完好的,但他们也有疾病经历水平较高的劣势。另一方面,定期看牙医进行牙齿预防保健的人龋齿率和牙周治疗需求较低,牙齿缺失较少,龋失补牙指数(D.M.F.T.)得分也有显著降低。在经常刷牙或刷牙技术正确的人群中也有类似的观察结果。结果表明,虽然频繁看牙显然无助于预防进一步的牙齿疾病,但通过定期的预防性牙科治疗我们可以实现这一目标。