Werner Stephanie L, Phillips Ceib, Koroluk Lorne D
College of Dentistry, University of Kentucky, Lexington, KY, USA.
Pediatr Dent. 2012 Jan-Feb;34(1):23-7.
The purpose of this study was to investigate dental caries and body mass index (BMI percentile) in pediatric dental patients.
A 3-year retrospective review of patient records included all 6- to 9-year-olds seen for a new patient examination who had at least 1 recall examination. Decayed permanent teeth (DT) and primary teeth (dt), plaque score, gingival score, height, and weight were recorded at the initial examination and each recall visit. BMI percentile was categorized into underweight/healthy weight (UH), overweight (OW), and obese (OB).
A total of 230 subjects were seen for the initial examination: approximately 13% were OB, 15% were OW, and 72% were UH, while approximately 12% had permanent caries and 46% had primary caries. The presence of caries in permanent teeth at the initial exam was not significantly different between BMI groups (P=.41). OW and OB children had less primary tooth caries than UH children. (P=.04) The presence of new carious lesions at recall exams in primary teeth (P=.35) and permanent teeth (P=.96) was not significantly different between BMI groups.
A smaller proportion of obese and overweight children initially presented with primary tooth caries than underweight/healthy weight children.
本研究旨在调查儿童牙科患者的龋齿情况和体重指数（BMI百分位数）。
对患者记录进行为期3年的回顾性研究，纳入所有6至9岁接受新患者检查且至少有1次复诊检查的儿童。在初次检查和每次复诊时记录恒牙龋坏数（DT）、乳牙龋坏数（dt）、菌斑评分、牙龈评分、身高和体重。BMI百分位数分为体重过轻/健康体重（UH）、超重（OW）和肥胖（OB）。
共有230名受试者接受了初次检查：约13%为OB，15%为OW，72%为UH，约12%有恒牙龋，46%有乳牙龋。初次检查时恒牙龋的存在在BMI组之间无显著差异（P = 0.41）。OW和OB儿童的乳牙龋比UH儿童少（P = 0.04）。在复诊检查中，乳牙（P = 0.35）和恒牙（P = 0.96）新龋损的存在在BMI组之间无显著差异。
与体重过轻/健康体重儿童相比，肥胖和超重儿童最初出现乳牙龋的比例较小。
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