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班加罗尔市一所学校中3至6岁儿童龋病指数与尼瓦德新龋病诊断标准的比较。

Comparison of def index with Nyvad's new caries diagnostic criteria among three to six years old children in a school at Bangalore city.

作者信息

Shankar S, Naveen N, Kruthika M, Vinay S, Shaikh Hidayathulla

机构信息

Deparment of Public Health Dentistry, KSR Institute of Dental Science and Research, Thokkavadi, Thiruchengode, India.

出版信息

Indian J Dent Res. 2012 Mar-Apr;23(2):135-9. doi: 10.4103/0970-9290.100414.

Abstract

BACKGROUND

Dental caries is a multifactorial disease with varying clinical picture and its diagnostic criteria is complicated, when initial lesion is considered. Hence, there is a need for an index which measures cavitated, non-cavitated, and initial lesion in dental caries. So, the purpose of this study was to compare the of def index with Nyvad's new diagnostic criteria.

MATERIALS AND METHODS

A total of 249 school children in the age group of three to six years were selected for the study from Sajjan Rao School at Bangalore city. Children teeth were cleaned and dried with cotton rolls and chip blower. The dental caries examinations were conducted under standardized conditions using plane mouth mirrors and explorers with the help of artificial illumination. The diagnostic criteria used were deft and d, e, and f component of Nyvad's new caries diagnostic criteria. Mann Whitney 'U' test was used to compare the two indexes at five percent significant level.

RESULTS

The mean value for deft was 2.48 and the mean for d, e, and f component of Nyvad's new caries diagnostic criteria was 3.18 which shows statistically significant difference with P value of <0.05.

CONCLUSION

The result obtained by Nyvad's new caries diagnostic criteria produces values much higher than those with def caries index system. Hence, Nyvad's new caries diagnostic criteria can be used to diagnose dental caries at the initial stages, which in turn will reflect exact prevalence of caries.

摘要

背景

龋齿是一种具有多种临床表现的多因素疾病,当考虑其初始病变时,其诊断标准较为复杂。因此,需要一种能够测量龋齿的龋洞型、非龋洞型和初始病变的指数。所以,本研究的目的是比较def指数与尼瓦德(Nyvad)新诊断标准。

材料与方法

从班加罗尔市的萨贾恩·拉奥学校选取了249名3至6岁的学童作为研究对象。用棉卷和吹屑器清洁并吹干儿童的牙齿。在标准化条件下,借助人工照明,使用平面口镜和探针进行龋齿检查。所使用的诊断标准为乳牙龋失补牙面数(deft)以及尼瓦德新龋齿诊断标准的d、e和f部分。采用曼-惠特尼U检验在5%的显著水平下比较这两个指数。

结果

deft的平均值为2.48,尼瓦德新龋齿诊断标准的d、e和f部分的平均值为3.18,显示出具有统计学意义的差异,P值<0.05。

结论

尼瓦德新龋齿诊断标准所获得的结果产生的值远高于def龋齿指数系统的值。因此,尼瓦德新龋齿诊断标准可用于在初始阶段诊断龋齿,这反过来将反映龋齿的确切患病率。

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