Prendergast M J, Williams S A, Curzon M E
Community Dent Health. 1989 Sep;6(3):223-32.
A number of recent studies have reported higher levels of caries experience in the primary dentition of Asian when compared with white Caucasian children. However, in order to take account of the diversity of socio-cultural and religious backgrounds, an Asian 'sample' should be specified. The present study examined caries prevalence among three distinct groups of five-year-old children, Pakistani Muslim, Indian Gujurati Muslim and white Caucasian. All were resident in districts of urban deprivation in Dewsbury. Significantly more of the 200 white Caucasian children examined were found to be caries-free (50 per cent) compared with 35 per cent of the Pakistani (n = 242) and 31 per cent of the Indian group (n = 159). Extensive caries was seen far more frequently in the Asians. Only 5 per cent of the white Caucasian children had rampant caries (dmft less than/= 10), but 13 per cent of the Pakistani and 21 per cent of the Indian group were so affected. Mean caries prevalence values were also higher among the Asian children. There was little difference in the levels of disease between the two Asian groups, except for rampant caries, which was higher among Indian children. All groups had more teeth decayed than treated. However, the white Caucasian girls had the lowest mean values of caries experience and the highest proportion of f/m teeth, indicating the most favourable level of restorative care. There was extensive untreated disease in all the Asian groups. The findings show that improved prevention and treatment facilities are required for young children, especially those from these Asian communities. Health education programmes and treatment facilities must be culturally acceptable and accessible. Both developments could be co-ordinated by the community dental service, the treatment facility most frequently used by these Asian communities at present.
最近的一些研究报告称，与白种儿童相比，亚洲儿童乳牙列的龋齿患病率更高。然而，为了考虑社会文化和宗教背景的多样性，应该明确一个亚洲“样本”。本研究调查了三组不同的五岁儿童的龋齿患病率，分别是巴基斯坦穆斯林儿童、印度古吉拉特穆斯林儿童和白种儿童。所有儿童都居住在德斯伯里的城市贫困地区。在接受检查的200名白种儿童中，发现无龋儿童的比例显著更高（50%），而巴基斯坦儿童（n = 242）的这一比例为35%，印度儿童（n = 159）为31%。亚洲儿童中广泛龋齿的情况更为常见。只有5%的白种儿童患有猖獗性龋齿（dmft小于或等于10），但巴基斯坦儿童中有13%，印度儿童中有21%受此影响。亚洲儿童的平均龋齿患病率也更高。除了猖獗性龋齿在印度儿童中更高外，两个亚洲组之间的疾病水平差异不大。所有组的牙齿龋坏数量都多于治疗数量。然而，白种女孩的龋齿患病率平均值最低，f/m牙的比例最高，这表明她们接受修复治疗的水平最理想。所有亚洲组都存在大量未经治疗的龋齿。研究结果表明，幼儿，尤其是来自这些亚洲社区的幼儿，需要改善预防和治疗设施。健康教育项目和治疗设施必须在文化上是可接受的且易于获得。这两方面的发展都可以由社区牙科服务来协调，社区牙科服务是目前这些亚洲社区最常使用的治疗设施。
