4年后格陵兰一项国家龋齿防治策略的影响。

The impact of a national caries strategy in Greenland after 4 years.

作者信息

Ekstrand Kim R, Qvist Vibeke

机构信息

Section of Cariology & Endodontics and Pediatric Dentistry & Clinical Genetics, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

出版信息

Int J Paediatr Dent. 2015 Jul;25(4):255-66. doi: 10.1111/ipd.12138. Epub 2014 Oct 17.

DOI:10.1111/ipd.12138

PMID:25323848

Abstract

AIMS

(1) To describe dental health - and financial goals to be achieved with a national caries strategy in Greenland (CSG) implemented in 2008; (2) to describe the principles of CSG; (3) to report caries outcome data for the 3-and 9-year-olds in 1996, in 2008 (baseline), and in 2012; and (4) to assess the effect of CSG on the same age.

GOALS AND RESULTS

Ad (1) Caries status recorded ≥ 85% of the children; 3-year-olds in 2012:defs = 0 ≥ 80%, defs > 8 ≤ 5%; 9-year-olds in 2012: DMFS = 0 ≥ 80%;DMFS > 4 ≤ 5%. CSG should not increase the cost compared to the old programme. Ad (2) CSG focused on predetermined visits/examinations, risk-related visits, oral health promotion, and predetermined fluoride and sealing policies. Ad (3) 75% and 88% of the total cohorts of 3- and 9-year-olds in 2012 were recorded, respectively. Seventy-six percent of the 3-year-olds showed defs = 0 in 2012 compared to 64% in 2008 (P < 0.0001). DMFS = 0 data for the 9-year-olds were 65% vs 57% (P = 0.003). The cost for running CSG was comparable to the cost before 2008. Ad (4) The annual percentage increase of children with defs/DMFS = 0 after implementation of CSG was twice as high as during 1996-2008.

CONCLUSION

The caries status improves significantly from 2008 to 2012 exemplified in the 3- and 9-year-olds without increasing the costs.

摘要

目的

（1）描述通过2008年在格陵兰实施的国家龋齿战略（CSG）要实现的牙齿健康和财务目标；（2）描述CSG的原则；（3）报告1996年、2008年（基线）和2012年3岁和9岁儿童的龋齿结果数据；（4）评估CSG对同一年龄段儿童的影响。

目标与结果

关于（1）记录≥85%儿童的龋齿状况；2012年3岁儿童：无龋（defs = 0）≥80%，龋失补牙面数（defs）>8≤5%；2012年9岁儿童：恒牙龋失补牙面数（DMFS）= 0≥80%；DMFS>4≤5%。与旧方案相比，CSG不应增加成本。关于（2）CSG侧重于预定的就诊/检查、与风险相关的就诊、口腔健康促进以及预定的氟化物和窝沟封闭政策。关于（3）2012年分别记录了3岁和9岁儿童总队列的75%和88%。2012年76%的3岁儿童无龋（defs = 0），而2008年为64%（P<0.0001）。9岁儿童DMFS = 0的数据分别为65%和57%（P = 0.003）。实施CSG的成本与2008年之前的成本相当。关于（4）实施CSG后无龋/无恒牙龋失补牙面数（defs/DMFS = 0）儿童的年增长率是1996 - 2008年期间的两倍。