Phyo Aung Zaw Zaw, Chansatitporn Natkamol, Narksawat Kulaya
Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Southeast Asian J Trop Med Public Health. 2013 Nov;44(6):1108-14.
We conducted a cross sectional study among children aged 12-13 years in Yongon, Myanmar to assess the oral health status and oral hygiene habits. The studied 220 students were from two high schools, one urban and the other rural. We conducted an oral health examination following WHO criteria and used a self-administrated questionnaire. The prevalence rate of dental caries among the study population was 53.2%. The mean number of decayed, missing and filled teeth (DMFT) was 1.7 +/- 2.1 teeth per person (decayed, 1.5 +/- 1.9); missing 0.0 +/- 0.2; filled, 0.1 +/- 0.4). Multivariate analysis revealed significant risk factors for dental caries were: the geographical location of the school (adjusted OR=2.24; 95% CI: 1.01-4.94), occupational status of the father (adjusted OR=2.83; 95% CI: 1.05-7.62) and the child's attitude about dental caries (adjusted OR=2.35; 95% CI: 1.18-4.67). Knowledge and oral hygiene habits were not associated with dental caries. The results of this study suggest the need to change from restoration orientated dentistry to dental public health care services, to reduce of the high level of dental caries in this age group.
我们在缅甸永冈对12至13岁的儿童进行了一项横断面研究,以评估他们的口腔健康状况和口腔卫生习惯。所研究的220名学生来自两所高中,一所位于城市,另一所位于农村。我们按照世界卫生组织的标准进行了口腔健康检查,并使用了一份自填式问卷。研究人群中龋齿的患病率为53.2%。每人龋失补牙(DMFT)的平均数为1.7±2.1颗牙(龋坏,1.5±1.9;缺失,0.0±0.2;补牙,0.1±0.4)。多变量分析显示,龋齿的显著危险因素为:学校的地理位置(调整后的比值比=2.24;95%置信区间:1.01-4.94)、父亲的职业状况(调整后的比值比=2.83;95%置信区间:1.05-7.62)以及儿童对龋齿的态度(调整后的比值比=2.35;95%置信区间:1.18-4.67)。知识和口腔卫生习惯与龋齿无关。本研究结果表明,需要从以修复为主的牙科转向牙科公共卫生服务,以降低该年龄组的高龋齿水平。