有特殊医疗需求的学龄前儿童的预防性口腔保健经历。
Preventive dental health care experiences of preschool-age children with special health care needs.
作者信息
Huebner Colleen E, Chi Donald L, Masterson Erin, Milgrom Peter
机构信息
Department of Health Services, Northwest Center to Reduce Oral Health Disparities, University of Washington, Seattle, Washington.
出版信息
Spec Care Dentist. 2015 Mar-Apr;35(2):68-77. doi: 10.1111/scd.12084. Epub 2014 Jul 31.
PURPOSE
This study examined the preventive dental health care experiences of young children with special needs and determined the feasibility of conducting clinical dental examinations at a community-based early intervention services center.
METHODS
Study methods included 90 parent interviews and dental examinations of their preschool-age children.
RESULTS
Thirteen percent of the children received optimal preventive care, defined as twice daily tooth brushing with fluoridated toothpaste and two preventive dental visits in the prior 12 months; 37% experienced care that fell short in both areas. Optimal care was more common among children of parents who reported tooth brushing was not a struggle and those with a personal dentist. Parents' opinion of the study experience was generally positive.
CONCLUSIONS
Few children with special needs receive effective preventive care early, when primary prevention could be achieved. Barriers to optimal care could be readily addressed by the dental community in coordination with early intervention providers.
目的
本研究调查了有特殊需求幼儿的预防性牙齿保健经历，并确定在社区早期干预服务中心进行临床牙齿检查的可行性。
方法
研究方法包括对90位家长进行访谈，并对他们学龄前儿童进行牙齿检查。
结果
13%的儿童接受了最佳预防性护理，定义为每天用含氟牙膏刷牙两次，且在过去12个月内进行两次预防性牙齿就诊；37%的儿童在这两个方面的护理均未达标。在报告刷牙不存在困难的家长的孩子以及有私人牙医的孩子中，最佳护理更为常见。家长对研究体验的看法总体上是积极的。
结论
很少有有特殊需求的儿童在能够实现一级预防的早期接受有效的预防性护理。牙科界与早期干预提供者协作，可轻松解决最佳护理的障碍。
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