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[小学儿童第一恒磨牙萌出、龋病发病率与龋病患病情况之间的相关性]

[Correlations between first molar eruption, caries incidence and caries experience in primary school children].

作者信息

Yaegaki K, Masuda T, Suetaka T, Akamatu T

出版信息

Shigaku. 1989 Aug;77(2):672-81.

PMID:2489321
Abstract

A follow-up study was made on the results of oral health examinations which had been conducted for six years on a total of 871 primary school children in the 1st grade (age, 6 years) till they became sixth graders (460 boys and 411 girls). The findings are as follows: 1. When they were first graders, the oral health examination revealed their 56% had erupted the upper first molar, and 73% the lower first molar. 2. The incidence of caries in the upper first molar had occurred mostly between one and two years after eruption. After three to four years, more than half of the pupils had this particular tooth decayed. In the case of the lower first molar, caries had started to develop within one year after eruption. After two years, caries was evident in more than half of the examinees. 3. In the sixth graders, the number of DMF teeth per child came to 3.9 and the DMF teeth rate stood at 17%. Both the number of DMF teeth and the DMF teeth rate were larger in girls than in boys. The rate for an intact first molar teeth were 32% in the upper jaw and 15% in the lower jaw. These rates were lower in girls than in boys. 4. The shorter the period between the eruption of the first molars in both jaws and the caries incidence, the larger the number of the DMF teeth and the DMF teeth rate at sixth graders. For the prevention of caries in permanent teeth, special care should be taken during the short period of time following eruption.

摘要

对871名一年级(6岁)小学生进行了为期六年的口腔健康检查,直至他们成为六年级学生(460名男生和411名女生),并对检查结果进行了跟踪研究。结果如下:1. 一年级时,口腔健康检查显示,56%的学生上颌第一磨牙已萌出,73%的学生下颌第一磨牙已萌出。2. 上颌第一磨牙的龋齿发病率大多在萌出后一至两年内出现。三至四年后,超过半数的学生这颗牙齿龋坏。下颌第一磨牙在萌出后一年内开始出现龋齿。两年后,超过半数的受检者有明显龋齿。3. 六年级学生中,每个孩子的龋失补牙数(DMF)为3.9,龋失补牙率为17%。女生的龋失补牙数和龋失补牙率均高于男生。上颌完整第一磨牙的比例为32%,下颌为15%。这些比例女生低于男生。4. 上下颌第一磨牙萌出至龋齿发病的间隔时间越短,六年级学生的龋失补牙数和龋失补牙率越高。为预防恒牙龋齿,在牙齿萌出后的短时间内应特别注意。

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