Tao Dan-Ying, Hao Gu, Lu Hai-Xia, Tian Yu, Feng Xi-Ping
Department of Preventive and Pediatric Dentistry, Ninth People's Hospital, School of Medicine, Shanghai Key Basic Research Academic Discipline, Shanghai Jiao Tong University, Shanghai, China.
J Public Health Dent. 2015 Fall;75(4):291-7. doi: 10.1111/jphd.12098. Epub 2015 May 7.
To analyze the status quo of dental erosion in 3- to 6-year-old children in Shanghai.
A stratified, cluster, multistage random sampling methods was applied to 3- to 6-year-old children in Shanghai in 2012. Both questionnaire and clinical oral examination were performed in the survey. The questionnaire included general information, such as age, gender, parental education, dietary habit, oral health behavior, general medical health, and socioeconomic status. The clinical examination focused on the eroded tooth surface and dental erosion extent. SPSS v19.0 software package was utilized for statistical analysis.
A total of 1,837 children aged 3-6 years were randomly selected in Shanghai. The overall dental erosion prevalence was 15.1 percent. Among different age groups, a relatively high prevalence of 17.1 percent was found in the 4-year-old group, and a relatively low prevalence of 12.0 percent was observed in the 3-year-old group. Surprisingly, there was no significant difference among the four age groups. The occurrence of dental erosion was influenced by habits of vinegar/coffee/tea consumption, mother's educational background, birthplace, and regurgitation (P < 0.05).
The dental erosion prevalence in 3- to 6-year-old children in Shanghai appears to be close to that of other Chinese provinces as well as that observed in most of surveys carried out in different parts of the world. Efforts should be made to raise public awareness about the disease. Moreover, further studies targeted to explore the relationship between dental erosion and risk factors are needed. It is also necessary to establish a unified diagnostic standard for future epidemiological investigations.
分析上海3至6岁儿童牙齿侵蚀的现状。
2012年对上海3至6岁儿童采用分层、整群、多阶段随机抽样方法。调查中同时进行问卷调查和临床口腔检查。问卷包括年龄、性别、父母教育程度、饮食习惯、口腔健康行为、一般医疗健康状况和社会经济地位等一般信息。临床检查重点关注牙齿侵蚀表面和牙齿侵蚀程度。使用SPSS v19.0软件包进行统计分析。
在上海随机选取了1837名3至6岁儿童。牙齿侵蚀总体患病率为15.1%。在不同年龄组中,4岁组患病率相对较高,为17.1%,3岁组患病率相对较低,为12.0%。令人惊讶的是,四个年龄组之间没有显著差异。牙齿侵蚀的发生受食用醋/咖啡/茶的习惯、母亲的教育背景、出生地和反流的影响(P < 0.05)。
上海3至6岁儿童牙齿侵蚀患病率似乎与中国其他省份以及世界不同地区进行的大多数调查中观察到的患病率相近。应努力提高公众对该疾病的认识。此外,需要进一步开展针对性研究以探索牙齿侵蚀与危险因素之间的关系。为未来的流行病学调查建立统一的诊断标准也很有必要。