Department of Pediatric Dentistry and Behavioral Science, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway.
Acta Odontol Scand. 2020 Oct;78(7):509-514. doi: 10.1080/00016357.2020.1739330. Epub 2020 Mar 19.
To explore caries development in children from 5 to 12 years of age, and to study whether enamel caries and dentine caries at 5 years of age could predict caries prevalence at 12 years of age, controlled for child characteristics. The study included 3282 children examined at 5 and 12 years of age. Data were collected by clinical examination and questionnaire. Enamel and dentine caries were registered at surface level. Data were tested by -test and analysed by bi- and multivariate logistic regression. The study was ethically approved. In 5-year-olds, 15% of the children had dentine caries experience and 21% had enamel caries. In 12-year-olds, 32% had dentine caries experience and 47% had enamel caries. Children with dentine caries experience at 5 years of age had at 12 years of age developed more surfaces with enamel caries (mean 2.8, SD 4.2) and dentine caries experience (mean 1.8, SD 2.5) than other children ( < .05). Dentine caries experience at 12 years of age was associated with having only enamel caries (OR 1.6, CI 1.2-2.0) and dentine caries experience (OR 3.2, CI 2.6-3.9) at 5 years of age. Family status and parental education were related to caries development. Children with caries in primary teeth continued to be caries risk children during the mixed dentition period. In addition to dentine caries experience, enamel caries in primary teeth was a predictor for caries development in young permanent teeth and may be used to improve the caries risk assessment.
为了探究 5 至 12 岁儿童龋齿的发展情况，并研究 5 岁时的釉质龋和牙本质龋是否可以预测 12 岁时的龋齿流行情况，本研究控制了儿童的特征。该研究纳入了 3282 名在 5 岁和 12 岁时接受检查的儿童。通过临床检查和问卷调查收集数据。釉质和牙本质龋在表面水平进行登记。采用 t 检验进行数据检验，并通过双变量和多变量逻辑回归进行分析。本研究经伦理批准。在 5 岁儿童中，有 15%的儿童有牙本质龋病史，21%的儿童有釉质龋病史。在 12 岁儿童中，有 32%的儿童有牙本质龋病史，有 47%的儿童有釉质龋病史。5 岁时患有牙本质龋病史的儿童在 12 岁时，发生釉质龋的牙面数（平均 2.8，标准差 4.2）和牙本质龋病史（平均 1.8，标准差 2.5）均多于其他儿童（ < 0.05）。12 岁时的牙本质龋病史与 5 岁时仅存在釉质龋（OR 1.6，CI 1.2-2.0）和牙本质龋病史（OR 3.2，CI 2.6-3.9）相关。家庭状况和父母教育与龋齿的发展有关。患有乳牙龋齿的儿童在混合牙列期仍然是龋齿高危儿童。除了牙本质龋病史外，乳牙的釉质龋也是年轻恒牙龋齿发展的预测因素，可能有助于改善龋齿风险评估。
