Subramaniam P, Babu Kl G, Nagarathna J
Professor, Department of Pedodontics and Preventive Dentistry, The Oxford Dental College, Hospital and Research Centre, Bangalore, India.
J Dent (Tehran). 2012 Summer;9(3):207-14. Epub 2012 Sep 30.
There are various risk factors which play an essential role in the multifactorial disease "dental caries." Although absence of interdental spaces in the primary dentition may increase the risk of dental caries, not many studies have been carried out to assess this correlation. This study was performed to assess the relationship between interdental spacing and dental caries in primary dentition.
Five hundred 4-6 year-old children were enrolled into this study. Dental caries was recorded using the criteria given by Warren et al. Following this, impressions were made for the upper and lower arches and dental casts were poured. Interdental spaces were measured on the dental casts using a digital verniercaliper. The data obtained were subjected to statistical analysis.
The number of sites with interdental spaces was higher in the maxillary arch in comparison to the mandibular arch. The highest number of interdental spaces was observed between the maxillary anteriors. The number of demineralized, but non-cavitated tooth surfaces (d(1))were higher than the number of cavitated tooth surfaces. This difference was significant in the mandibular anterior segment. Dental caries showed a negative correlation with interdental spacing. A significant correlation was found between dental caries and interdental spacing in the posterior segment of the mandibular arch.
This study showed that children with no interdental spacing in the primary dentition are at higher risk for dental caries.
在多因素疾病“龋齿”中,有多种风险因素起着至关重要的作用。虽然乳牙列中牙间隙缺失可能会增加患龋齿的风险,但尚未开展许多研究来评估这种相关性。本研究旨在评估乳牙列中牙间隙与龋齿之间的关系。
五百名4 - 6岁儿童纳入本研究。按照沃伦等人给出的标准记录龋齿情况。在此之后,制取上下牙弓的印模并灌注石膏模型。使用数字游标卡尺在石膏模型上测量牙间隙。对获得的数据进行统计分析。
上颌牙弓中存在牙间隙的部位数量比下颌牙弓多。在上颌前牙之间观察到的牙间隙数量最多。脱矿但未龋坏的牙面(d(1))数量高于龋坏牙面的数量。这种差异在下颌前牙段具有显著性。龋齿与牙间隙呈负相关。在下颌牙弓后段,龋齿与牙间隙之间存在显著相关性。
本研究表明,乳牙列中没有牙间隙的儿童患龋齿的风险更高。