Jipa Ilia Teodora, Amariei Corneliu I
Department of Preventive Dentistry and Orthodontics, Ovidius University, Constanta, Romania.
Oral Health Dent Manag. 2012 Mar;11(1):39-45.
The aim of this study was to investigate the oral health status of children aged 6-12 years old living in the Danube Delta Biosphere Reserve.
The entire population of 6-12-year-olds living in the Reserve was targeted. A cross-sectional study consisting of dental examinations based on World Health Organization (WHO) 1997 criteria was performed in 2011. Dental caries, periodontal (gingival) health, oral hygiene, orthodontic status, and dental fluorosis were assessed at the children?s schools by one examiner.
A total of 595 children were examined. The overall mean DMFT was 2.01 (range 0-13) and 32.9% of children had caries-free permanent teeth. The mean DMFT for 12-year-olds was 2.46. Gingival bleeding was found in 32.8% of the children and oral hygiene worsened with age. Only 8% of 12-year-olds were free of dental plaque. There was a low need for orthodontic treatment (89% of children were Index of Orthodontic Treatment Need grade 1 or 2) and only 2% had any noticeable fluorosis.
The oral health status of children living in the Danube Delta Biosphere Reserve can be classified as quite poor, especially due to the low number of caries-free children and the high prevalence of children with gingival bleeding and poor or fair oral hygiene. Malocclusion and fluorosis do not appear to be public health problems for this population. Considering the poor economic development of the region, with bad access to dental services, special health education programmes are necessary in order to reach the WHO oral health goals for 2020.
本研究旨在调查生活在多瑙河三角洲生物圈保护区的6至12岁儿童的口腔健康状况。
以生活在该保护区的所有6至12岁儿童为研究对象。2011年开展了一项横断面研究，依据世界卫生组织（WHO）1997年标准进行牙科检查。由一名检查人员在孩子们的学校评估龋齿、牙周（牙龈）健康、口腔卫生、正畸状况和氟斑牙情况。
共检查了595名儿童。总体平均龋失补牙数（DMFT）为2.01（范围0至13），32.9%的儿童恒牙无龋。12岁儿童的平均DMFT为2.46。32.8%的儿童存在牙龈出血，且口腔卫生状况随年龄增长而变差。12岁儿童中只有8%没有牙菌斑。正畸治疗需求较低（89%的儿童正畸治疗需求指数为1级或2级），只有2%有明显的氟斑牙。
生活在多瑙河三角洲生物圈保护区的儿童口腔健康状况可被归类为相当差，尤其是无龋儿童数量少，牙龈出血以及口腔卫生差或一般的儿童患病率高。错牙合畸形和氟斑牙对该人群似乎不是公共卫生问题。考虑到该地区经济发展较差，获得牙科服务的机会有限，有必要开展特殊的健康教育项目，以实现世界卫生组织2020年的口腔健康目标。
