Meyer Karen, Khorshidi-Böhm Mansoureh, Geurtsen Werner, Günay Hüsamettin
Department of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany,
Clin Oral Investig. 2014 Apr;18(3):863-72. doi: 10.1007/s00784-013-1059-3. Epub 2013 Jul 28.
Objective was to analyze the effects of a long-term prevention program on dental and oral health of adolescents.
The entire study was subdivided into five phases. Phase I comprised an individual preventive care during pregnancy, phase II assessed mothers and their children until the age of 3, and in phase III until the age of 6. In phase IV, 13- to 14-year-old teenagers were investigated. In phase V, 18-19-year-old adolescents were examined (18.4 ± 0.4 years, n = 26). All phases consisted of an examination, education, and treatment based on the concept of an "early oral health care promotion." The control group consisted of randomly selected adolescents of the same age (n = 35). The following clinical parameters were assessed: DMF-T/DMF-S, HI, PBI, PSI, and Streptococcus mutans/lactobacilli concentration in saliva.
The adolescents of the prevention group revealed a share of 92.3 % caries-free dentition. Mean DMF-T was 1.4 ± 2.6. The control group showed a significantly higher mean DMF-T of 3.8 ± 3.2 (p < 0.05) and revealed 71.4 % of caries-free dentition. The prevention group showed a significant lower PSI of 1.2 ± 0.8 compared to the control group (2.1 ± 0.4) (p < 0.05).
An "early oral health care promotion" starting during pregnancy may cause a sustained and long-term improvement of the oral health of young adults.
Prevention programs starting during pregnancy may establish an improved health behavior. Caries, periodontitis, and dietary complications in mother and child can be avoided by improving maternal oral health and by a tooth-friendly diet.
分析一项长期预防计划对青少年牙齿和口腔健康的影响。
整个研究分为五个阶段。第一阶段包括孕期的个体预防护理，第二阶段评估母亲及其子女直至3岁，第三阶段直至6岁。在第四阶段，对13至14岁的青少年进行调查。在第五阶段，对18至19岁的青少年进行检查（年龄18.4±0.4岁，n = 26）。所有阶段均包括基于“早期口腔健康促进”概念的检查、教育和治疗。对照组由随机选择的同年龄青少年组成（n = 35）。评估以下临床参数：DMF-T/DMF-S、HI、PBI、PSI以及唾液中变形链球菌/乳酸杆菌浓度。
预防组青少年无龋牙列的比例为92.3%。平均DMF-T为1.4±2.6。对照组的平均DMF-T显著更高，为3.8±3.2（p < 0.05），无龋牙列比例为71.4%。与对照组（2.1±0.4）相比，预防组的PSI显著更低，为1.2±0.8（p < 0.05）。
从孕期开始的“早期口腔健康促进”可能会使年轻人的口腔健康得到持续和长期的改善。
孕期开始的预防计划可能会建立更好的健康行为。通过改善母亲的口腔健康和采用有利于牙齿的饮食，可以避免母婴的龋齿、牙周炎和饮食并发症。
