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龋病评估谱与治疗:它会引领未来的流行病学调查吗?

Caries Assessment Spectrum and Treatment: Would It direct Future Epidemiological Surveys?

作者信息

Bhoopathi Praveen H, Voruganti Sreenivas, Suma Nukala S, Samudrala Tejaswini, Kamath B Vinayak, Jahagirdar Abhishek

机构信息

Dental Public Health Unit, Faculty of Dentistry, AIMST University, Bedong, Kedah Darul Aman, Malaysia, Phone: +60149092688, e-mail:

Department of Public Health Dentistry, Kamineni Institute of Dental Sciences, Hyderabad, Telangana, India.

出版信息

J Contemp Dent Pract. 2018 May 1;19(5):546-553.

PMID:29807965
Abstract

AIM

To evaluate caries spectrum among 12- and 15-year-old Indian children using the Caries Assessment Spectrum and Treatment (CAST) index.

MATERIALS AND METHODS

An epidemiological survey of the schoolchildren was carried out in a district in India. A stratified cluster random sampling method was used to select the sample. The caries prevalence of the surveyed population was obtained by using this CAST tool. Chi-square test was used to verify the association between dental fluorosis, socioeconomic status, and age and caries experience. Mann-Whitney U-test was used to compare the caries experience between the two age groups.

RESULTS

A total of 2,610 children were examined. The majority of the schoolchildren (12 years: 74.2%, 15 years: 75.5%) were healthy concerning their caries experience and the prevalence of the other codes was minimal. The prevalence of dentin carious lesions and the percent of restorable teeth was greater among the 15-year-olds. The mean decayed, missing, and filled teeth (DMFT) of 12- and 15-year-old subjects was calculated to be 0.22 and 0.29 respectively.

CONCLUSION

The currently surveyed population showed a low caries prevalence and the use of the tool highlighted the caries spectrum in an impressive way.

CLINICAL SIGNIFICANCE

A well-designed tool to assess the carious spectrum of an individual or a community, thus enabling the responsible stakeholders to plan an appropriate care that is necessary.

摘要

目的

使用龋病评估谱与治疗(CAST)指数评估12岁和15岁印度儿童的龋病谱。

材料与方法

在印度一个地区对学童进行了一项流行病学调查。采用分层整群随机抽样方法选取样本。使用该CAST工具获得被调查人群的龋病患病率。采用卡方检验来验证氟斑牙、社会经济地位、年龄与龋病经历之间的关联。采用曼-惠特尼U检验比较两个年龄组之间的龋病经历。

结果

共检查了2610名儿童。大多数学童(12岁:74.2%,15岁:75.5%)在龋病经历方面是健康的,其他代码的患病率很低。15岁儿童中牙本质龋损的患病率和可修复牙齿的百分比更高。12岁和15岁受试者的龋失补牙面均数(DMFT)分别计算为0.22和0.2从。

结论

目前的被调查人群显示出低龋病患病率,并且该工具的使用以令人印象深刻的方式突出了龋病谱。

临床意义

一种设计良好的工具,用于评估个体或社区的龋病谱,从而使相关利益者能够规划必要的适当护理。

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