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评估儿童治疗前及治疗18个月后的口腔健康状况。

Evaluation of oral health status of children in pretreatment and after treatment for 18 month.

作者信息

Ulu Güzel K Görkem, Akyildiz Melis, Doğusal Gülçin, Keleş Sultan, Sönmez Işil

机构信息

Department of Paediatric Dentistry, Faculty of Dentistry, Adnan Menderes University, Aydin, Turkey.

Department of Paediatric Dentistry, Faculty of Dentistry, Bezmialem Foundation University, Istanbul, Turkey.

出版信息

Cent Eur J Public Health. 2018 Sep;26(3):199-203. doi: 10.21101/cejph.a5079.

Abstract

OBJECTIVE

Dental caries is an important public health issue worldwide. In developing countries preventive dentistry is not common; hence, oral and dental health problems continue to generate serious economic and social issues. The aim of this study was to assess oral health and the incidence of dental caries in systemically healthy children aged 3-14 years, provide education on oral hygiene motivation, conduct the necessary preventive and restorative procedures, and reassess caries development at the 6-, 12-, and 18-month post-treatment follow-up.

METHODS

Systemically healthy children aged 3-14 years who applied to the Paediatric Dentistry Clinic, Faculty of Dentistry, Adnan Menderes University (ADU) were included in the study. The subjects were evaluated for oral health status and incidence of dental caries based on surveys and clinical examination, motivation for oral hygiene with necessary training, completion of preventive and restorative treatments, and development of dental caries at the 6-, 12-, and 18-month post-treatment follow-up.

RESULTS

The study included 320 patients, aged 3-14 years (mean age 8.08 ± 3.45 years). In children included in the study, the average decayed (d), missing (m) and filled (f) primary teeth (dmft) value was 3.81 (min-max: 0-16), decayed (D), missing (M) and filled (F) permanent teeth (DMFT) value, 1.49 (min-max: 0-6), decayed (d), missing(m) and filled(f) primary teeth surface (dmfs) value, 10.11 (min-max: 0-40), and decayed (D), missing (M) and filled (F) permanent teeth surface (DMFS) value, 2.09 (min-max: 0-12).

CONCLUSIONS

For the protection and maintenance of oral and dental health in dentistry, preventive approaches should be the first concern and conservative therapeutic methods should be given priority after occurrence of any dental pathology. In addition, one-time examinations are not sufficient, and children should be examined at least twice a year. This study showed that the incidence of dental caries declined in children who underwent periodical examination and preventive dental treatment.

摘要

目的

龋齿是全球重要的公共卫生问题。在发展中国家,预防性牙科并不普遍;因此,口腔和牙齿健康问题继续引发严重的经济和社会问题。本研究的目的是评估3至14岁全身健康儿童的口腔健康状况和龋齿发病率,提供口腔卫生动机教育,进行必要的预防和修复程序,并在治疗后6个月、12个月和18个月的随访中重新评估龋齿发展情况。

方法

纳入阿德南·曼德雷斯大学(ADU)牙科学院儿科牙科诊所就诊的3至14岁全身健康儿童。通过调查和临床检查评估受试者的口腔健康状况和龋齿发病率,提供必要培训以激发口腔卫生动机,完成预防和修复治疗,并在治疗后6个月、12个月和18个月的随访中评估龋齿发展情况。

结果

该研究纳入了320名年龄在3至14岁(平均年龄8.08±3.45岁)的患者。在纳入研究的儿童中,乳牙龋(d)、失(m)、补(f)牙数(dmft)的平均值为3.81(最小值 - 最大值:0 - 16),恒牙龋(D)、失(M)、补(F)牙数(DMFT)的值为1.49(最小值 - 最大值:0 - 6),乳牙龋面(d)、失(m)、补(f)数(dmfs)的值为10.11(最小值 - 最大值:0 - 40),恒牙龋面(D)、失(M)、补(F)数(DMFS)的值为2.09(最小值 - 最大值:0 - 12)。

结论

在牙科领域,为保护和维护口腔及牙齿健康,预防方法应是首要关注点,在出现任何牙齿病变后应优先采用保守治疗方法。此外,一次性检查是不够的,儿童应每年至少接受两次检查。本研究表明,接受定期检查和预防性牙科治疗的儿童龋齿发病率有所下降。

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