Llena C, Leyda A, Forner L, Garcet S
Department of Dentistry, University of Valencia, Valencia (Spain).
Rockefeller University, Valencia (Spain).
Eur J Paediatr Dent. 2015 Mar;16(1):7-12.
An investigation was conducted in a population of paediatric patients with a high risk of caries in order to assess the association between caries history (CH) and the number of early carious lesions (ECLs) and the frequency and timing of cariogenic food and beverage intake, sugar-containing medication, the frequency and efficacy of tooth brushing, and the use of topical fluorides.
Study design: descriptive study. One hundred children aged 6-15 years with≥ ECL of a permanent tooth and not enrolled in any dental health educational or preventive programme were selected. For diagnosis it was used an explorer according to the ICDAS II criteria. The participants completed a closed-list questionnaire on the frequency and timing of cariogenic food intake.
There was a nonsignificant tendency to present more ECLs and a greater CH among patients who consumed cariogenic foods and beverages. A significant relationship (p<0.05) was observed between cariogenic beverages and the number of ECL or CH. Using the number of ECLs as dependent variable, regular fluoridated rinses (p=0.003), frequent sugar-containing medication (p=0.007), and cariogenic beverage consumption (p=0.024) were identified as explanatory parameters in the linear regression model.
The Student t-test was used to compare ECL and CH with dietetic factors, fluoridated rinses, sugar- containing medicines, and the frequency and efficacy of tooth brushing. Linear regression analysis correlated the number of ECLs to the mentioned explanatory variables.
The frequent consumption of sugary beverages and medications, and failure to regularly use fluoridated rinses, were positively correlated to an increased number of ECLs in patients with a high prevalence of caries.
对患龋风险高的儿科患者群体进行调查，以评估龋病史（CH）与早期龋损（ECL）数量、致龋食物和饮料摄入频率及时间、含糖药物、刷牙频率和效果以及局部用氟之间的关联。
研究设计：描述性研究。选取100名6至15岁、恒牙有≥1个ECL且未参加任何口腔健康教育或预防项目的儿童。根据ICDAS II标准使用探针进行诊断。参与者完成一份关于致龋食物摄入频率和时间的封闭式问卷。
食用致龋食物和饮料的患者中，出现更多ECL和更高CH的趋势不显著。观察到致龋饮料与ECL数量或CH之间存在显著关系（p<0.05）。以ECL数量作为因变量，在线性回归模型中，定期使用含氟漱口水（p=0.003）、频繁服用含糖药物（p=0.007）和饮用致龋饮料（p=0.024）被确定为解释参数。
采用Student t检验比较ECL和CH与饮食因素、含氟漱口水、含糖药物以及刷牙频率和效果。线性回归分析将ECL数量与上述解释变量相关联。
在龋齿高发患者中，频繁饮用含糖饮料和服用药物以及未定期使用含氟漱口水与ECL数量增加呈正相关。
