一群学龄前难民儿童的龋齿负担及转诊途径的效果

Caries burden and efficacy of a referral pathway in a cohort of preschool refugee children.

作者信息

Nicol P, Anthonappa R, King N, Slack-Smith L, Cirillo G, Cherian S

机构信息

School of Paediatrics and Child Health, The University of Western Australia, Perth, Australia.

出版信息

Aust Dent J. 2015 Mar;60(1):73-9. doi: 10.1111/adj.12269.

DOI:10.1111/adj.12269

PMID:25721281

Abstract

BACKGROUND

This study aimed to assess the early caries experience and the efficacy of a community based dental referral pathway in preschool refugees in Western Australia.

METHODS

Preschool refugee children referred to the Western Australian paediatric hospital Refugee Health Clinic were prospectively screened for caries by a paediatric dentist before being referred to community dental clinics. Dental forms and medical records were audited to assess decayed, missing and filled teeth (dmft), medical data and dental services engagement. Poisson regression analysis determined the contribution of count variables to the final model.

RESULTS

Among the 105 screened children (54% male, median age 3.2 years, 41% Burmese), community dental clinic engagement was low (46%, n=48). Of the 62% with caries (n=65/105, mean dmft 5.2, SD 4.1), 45% were recommended for specialist dental services and 48% were treated. After adjustment for age, gender and total number of teeth, caries incidence was significantly associated with BMI-for-age Z score (p=0.02).

CONCLUSIONS

Preschool refugee caries burden was high. The community dental referral pathway was ineffective compared to co-located intersectorial dental screening. Specialist dental service needs are high in this cohort and require a targeted approach.

摘要

背景

本研究旨在评估西澳大利亚州学龄前难民的早期龋齿情况以及基于社区的牙科转诊途径的效果。

方法

转诊至西澳大利亚州儿童医院难民健康诊所的学龄前难民儿童，在被转诊至社区牙科诊所之前，由一名儿科牙医对其进行龋齿的前瞻性筛查。对牙科表格和病历进行审核，以评估龋齿、缺失牙和补牙情况（dmft）、医疗数据以及牙科服务参与情况。泊松回归分析确定计数变量对最终模型的贡献。

结果

在105名接受筛查的儿童中（54%为男性，中位年龄3.2岁，41%为缅甸人），社区牙科诊所的参与率较低（46%，n = 48）。在患有龋齿的62%儿童中（n = 65/105，平均dmft为5.2，标准差为4.1），45%被建议接受专科牙科服务，48%接受了治疗。在对年龄、性别和牙齿总数进行调整后，龋齿发病率与年龄别BMI Z评分显著相关（p = 0.02）。