López-Gómez Sandra Aremy, Villalobos-Rodelo Juan José, Ávila-Burgos Leticia, Casanova-Rosado Juan Fernando, Vallejos-Sánchez Ana Alicia, Lucas-Rincón Salvador Eduardo, Patiño-Marín Nuria, Medina-Solís Carlo Eduardo
Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca, Mexico.
Epidemiology Department, ISSSTE, Culiacan, Mexico.
Sci Rep. 2016 Feb 26;6:21147. doi: 10.1038/srep21147.
We determine the relationship between premature loss of primary teeth and oral hygiene, consumption of soft drinks, dental care and previous caries experience. This study focused on 833 Mexican schoolchildren aged 6-7. We performed an oral examination to determine caries experience and the simplified oral hygiene index. The dependent variable was the prevalence of at least one missing tooth (or indicated for extraction) of the primary dentition; this variable was coded as 0 = no loss of teeth and 1 = at least one lost primary tooth. The prevalence of at least one missing tooth was 24.7% (n = 206) (95% CI = 21.8-27.7). The variables that were associated with the prevalence of tooth loss (p < 0.05) included: the largest number of decayed teeth (OR = 1.11), the largest number of filled teeth (OR = 1.23), the worst oral hygiene (OR = 3.24), a lower frequency of brushing (OR = 1.60), an increased consumption of soda (OR = 1.89) and use of dental care (curative: OR = 2.83, preventive: OR = 1.93). This study suggests that the premature loss of teeth in the primary dentition is associated with oral hygiene, consumption of soft drinks, dental care and previous caries experience in Mexican schoolchildren. These data provide relevant information for the design of preventive dentistry programs.
我们确定了乳牙过早缺失与口腔卫生、软饮料消费、牙齿护理及既往龋齿经历之间的关系。本研究聚焦于833名6至7岁的墨西哥学童。我们进行了口腔检查以确定龋齿经历和简化口腔卫生指数。因变量是乳牙列中至少有一颗牙齿缺失(或建议拔除)的患病率;该变量编码为0 = 无牙齿缺失,1 = 至少有一颗乳牙缺失。至少有一颗牙齿缺失的患病率为24.7%(n = 206)(95%可信区间 = 21.8 - 27.7)。与牙齿缺失患病率相关(p < 0.05)的变量包括:龋坏牙齿的最大数量(比值比 = 1.11)、补牙的最大数量(比值比 = 1.23)、最差的口腔卫生状况(比值比 = 3.24)、较低的刷牙频率(比值比 = 1.60)、汽水消费量增加(比值比 = 1.89)以及牙齿护理的使用情况(治疗性:比值比 = 2.83,预防性:比值比 = 1.93)。本研究表明,墨西哥学童乳牙列中的牙齿过早缺失与口腔卫生、软饮料消费、牙齿护理及既往龋齿经历有关。这些数据为预防牙科项目的设计提供了相关信息。