Chen Kitty J, Gao Sherry S, Duangthip Duangporn, Lo Edward C M, Chu Chun Hung
Department of Operative Dentistry, Faculty of Dentistry, The University of Hong Kong, Hong Kong.
Department of Public Health, Faculty of Dentistry, The University of Hong Kong, Hong Kong.
J Investig Clin Dent. 2019 Feb;10(1):e12376. doi: 10.1111/jicd.12376. Epub 2018 Nov 30.
The aim of the present review was to describe the updated prevalence of early childhood caries (ECC) among 5-year-old children globally. Two independent reviewers performed a systematic literature search to identify English publications from January 2013 to December 2017 using MEDLINE, ISI Web of Science, and Scopus. Search MeSH key words were "dental caries" and "child, preschool". The inclusion criteria were epidemiological surveys reporting the caries status of 5-year-old children with the decayed, missing, and filled primary teeth (dmft) index. The quality of the publications was evaluated with the modified Newcastle-Ottawa Scale. Among the 2410 identified publications, 37 articles of moderate or good quality were included. Twenty of the included studies were conducted in Asia (China, India, Indonesia, Korea, Nepal, and Thailand), seven in Europe (Greece, Germany, Great Britain, and Italy), six in South America (Brazil), two in the Middle East (Saudi Arabia and Turkey), one in Oceania (Australia), and one in Africa (Sudan). The prevalence of ECC ranged from 23% to 90%, and most of them (26/37) were higher than 50%. The mean dmft score varied from 0.9 to 7.5. Based on the included studies published in the recent 5 years, there is a wide variation of ECC prevalence across countries, and ECC remains prevalent in most countries worldwide.
本综述的目的是描述全球5岁儿童早期儿童龋（ECC）的最新患病率。两名独立评审员进行了系统的文献检索，以使用MEDLINE、ISI Web of Science和Scopus识别2013年1月至2017年12月期间的英文出版物。检索的医学主题词关键词为“龋齿”和“儿童，学龄前”。纳入标准为报告5岁儿童龋失补牙面（dmft）指数龋齿状况的流行病学调查。采用改良的纽卡斯尔-渥太华量表对出版物的质量进行评估。在识别出的2410篇出版物中，纳入了37篇质量中等或良好的文章。其中20项纳入研究在亚洲（中国、印度、印度尼西亚、韩国、尼泊尔和泰国）进行，7项在欧洲（希腊、德国、英国和意大利）进行，6项在南美洲（巴西）进行，2项在中东（沙特阿拉伯和土耳其）进行，1项在大洋洲（澳大利亚）进行，1项在非洲（苏丹）进行。ECC的患病率从23%到90%不等，其中大多数（26/37）高于50%。平均dmft评分从0.9到7.5不等。根据最近5年发表的纳入研究，各国ECC患病率差异很大，ECC在全球大多数国家仍然普遍存在。
