Uceda Paola R, Sanzone Lauren A, Phillips Ceib L, Roberts Michael W
Private general practice, 6334 Seton House, Charlotte, NC 28277.
Department of Pediatric Dentistry, School of Dentistry, University of North Carolina, Chapel Hill, NC 27599-7450, USA.
Open Dent J. 2013 Dec 13;7:175-80. doi: 10.2174/1874210601307010175. eCollection 2013.
Dental caries is a multifactorial disease that includes behavioral and cultural components. The study's purpose was to determine the caries experienced (as measured by dmft) in a group of 2-5 y/o children, assess their family and home environment including consumption of fluoridated drinking water, use of a fluoride containing dentifrice, and level of caregiver formal education. Parents of children referred for dental treatment under general anesthesia and who either spoke and read English or Spanish were recruited and consent obtained. Selected information on the family home, parental education and selected fluoride contact data was obtained. An oral clinical examination of the child assisted by intraoral radiographs was completed and the number of decayed, missing, filled primary teeth (dmft) recorded for each child. Bitewings were obtained if posterior or anterior teeth contacts were closed but only periapical radiographs were obtained if contacts were open. Children of English speaking caregivers had statistically more dmft after controlling for the effect of the child's age and years of parental education (p=0.04). English speaking families had lived in their current home longer and the parent had more formal education than did the Spanish speaking parent. When available, the English children drank municipal tap water more often than did the Spanish children. Spanish speaking parents often chose bottled drinking water. No difference between the two groups was found in the use of tap water for cooking or the use of fluoridated dentifrice. In conclusion, increased parent education, language spoken by the parents and time living in the current home were not associated with lower dmft. Drinking fluoridated drinking water did not affect the dmft. However, using fluoridated water when available to cook and using fluoride containing dentifrice by both groups may have been mutually beneficial.
龋齿是一种包括行为和文化因素的多因素疾病。该研究的目的是确定一组2至5岁儿童的龋齿经历（以dmft衡量），评估他们的家庭和家庭环境，包括饮用含氟饮用水的情况、使用含氟牙膏的情况以及照顾者的正规教育水平。招募了在全身麻醉下接受牙科治疗且会说和读英语或西班牙语的儿童的家长，并获得了他们的同意。获取了有关家庭住址、父母教育程度和选定的氟接触数据的信息。在口腔内X光片的辅助下完成了对儿童的口腔临床检查，并记录了每个儿童的乳牙龋坏、缺失、充填数（dmft）。如果后牙或前牙接触紧密，则拍摄咬合翼片；如果接触不紧密，则仅拍摄根尖片。在控制了儿童年龄和父母受教育年限的影响后，说英语的照顾者的孩子的dmft在统计学上更多（p = 0.04）。说英语的家庭在当前住所居住的时间更长，并且父母比说西班牙语的父母接受的正规教育更多。如果有市政自来水，说英语的儿童比说西班牙语的儿童更常饮用。说西班牙语的父母通常选择瓶装饮用水。两组在使用自来水做饭或使用含氟牙膏方面没有差异。总之，父母教育程度的提高、父母所说的语言以及在当前住所居住的时间与较低的dmft无关。饮用含氟饮用水不会影响dmft。然而，两组在有条件时使用含氟水做饭以及使用含氟牙膏可能是互利的。
