Department of Paediatric and Community Dentistry, Philipps-University Marburg, Georg-Voigt-Str. 3, 35039, Marburg, Germany.
Dental Public Health Service, Rhein-Kreis Neuss, Elsa-Brändström-Straße 19, 41540, Dormagen, Germany.
Clin Oral Investig. 2019 Jan;23(1):187-197. doi: 10.1007/s00784-018-2426-x. Epub 2018 Mar 26.
Since early childhood caries (ECC) is a major disease in the public health sector, an interdisciplinary prevention concept to avert this disease was developed, launched in a project region, and evaluated. It was examined whether the emergence of ECC could be prevented or curbed with the newly developed program.
The program encompasses seven pulses of information from an interdisciplinary team (gynecologists, midwives, pediatricians, dentists, municipal social services, and the public health office). The primary dependent variables were caries experience and prevalence among the 3- to 4-year-olds who took part in the ECC prevention program, compared to children of the same age without such measures. The effect of the prevention program was assessed by means of a "historical" comparison. The dental diagnoses were performed by two calibrated dentists based on the "ICDAS collapsed." Data on diet and preventive behavior were gathered using a standardized parental questionnaire. The significance was tested using the nonparametric Mann-Whitney U test.
There were 661 3- to 4-year-olds in the control group and 706 in the test group. The mean dmf-t for the control group (0.92) was significantly higher than that for the test group (0.46). While 78.8% of the children examined in the control group exhibited predominantly sound primary dentition, this was the case for 86.3% of the test group. The proportion of children with S-ECC was 7.9% in the test group and 14.5% in the control group. The test group differed significantly from the control group both in terms of reported diet and dental hygiene habits.
The interdisciplinary prevention program presented here is an effective concept for preventing ECC and considerably helps reduce problems in the treatment of small children.
由于幼儿龋（ECC）是公共卫生领域的主要疾病，因此开发了一种跨学科的预防概念来预防这种疾病，并在项目区域内推出并进行了评估。研究了使用新开发的方案是否可以预防或控制 ECC 的发生。
该方案涵盖了来自跨学科团队（妇科医生、助产士、儿科医生、牙医、市社会服务机构和公共卫生办公室）的七轮信息。主要的因变量是参加 ECC 预防计划的 3 至 4 岁儿童的龋齿患病情况和流行率，与未采取此类措施的同龄儿童进行比较。通过“历史”比较评估预防计划的效果。两名经过校准的牙医根据“ ICDAS 合并”进行了牙科诊断。使用标准化的父母问卷收集了有关饮食和预防行为的数据。使用非参数 Mann-Whitney U 检验检验了显著性。
对照组有 661 名 3 至 4 岁儿童，实验组有 706 名儿童。对照组的平均 dmft 值（0.92）明显高于实验组（0.46）。在对照组中，78.8％的受检儿童的主要恒牙牙列基本完好，而实验组中这一比例为 86.3％。实验组中患有 S-ECC 的儿童比例为 7.9％，对照组为 14.5％。实验组在饮食和口腔卫生习惯方面与对照组有显著差异。
这里提出的跨学科预防方案是预防 ECC 的有效概念，可极大地帮助减少对幼儿治疗的问题。
