巴西累西腓残疾儿童的口腔健康状况与治疗需求

Oral Health Status and Treatment Needs Among Disabled Children in Recife, Brazil.

作者信息

Ferreira Ângela Maria Brito, Almeida Híttalo Carlos Rodrigues de, Heimer Mônica Vilela, Vieira Sandra Conceição Maria, Colares Viviane

出版信息

Oral Health Prev Dent. 2020 Jul 4;18(3):467-473. doi: 10.3290/j.ohpd.a44030.

DOI:10.3290/j.ohpd.a44030

PMID:32328592

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11654499/

Abstract

PURPOSE

The objective of the present study was to investigate oral health status and treatment needs of children with disabilities in Recife, Brazil.

MATERIALS AND METHODS

A cross-sectional study was carried out in the six administrative districts of Recife. The sample consisted of 366 children with disabilities and age between 3 and 12 years. The oral health conditions investigated were dental caries (CPOD index and dmft index), gingival state (IPV and IGC index) and dental trauma. Data analysis involved descriptive statistics, Pearson's chi-square test, Fisher's exact test, and Poisson regression models.

RESULTS

The prevalence of caries was 65% and was associated with age (p = 0.0027) and area of residence (p = 0.020). The prevalence of need for treatment was also 65%. The mean decayed, missing and filled teeth (DMFT)/DMFT index of the study population was 3.17/1.73. Their mean number of DMFT was 2.37, 0.55 and 0.25 for the deciduous dentition, as well as 1.56, 0.05 and 0.12 for the permanent dentition. Almost the entire sample (96.7%) had visible plaque, 77.3% had gingival bleeding and 27.6% had dental traumatism.

CONCLUSION

Children with disabilities were found to have high rates of caries and gingivitis, as well as cumulative needs for preventive and curative treatment.

摘要

目的

本研究的目的是调查巴西累西腓市残疾儿童的口腔健康状况和治疗需求。

材料与方法

在累西腓市的六个行政区开展了一项横断面研究。样本包括366名年龄在3至12岁之间的残疾儿童。所调查的口腔健康状况包括龋齿（CPOD指数和dmft指数）、牙龈状况（IPV和IGC指数）以及牙外伤。数据分析包括描述性统计、Pearson卡方检验、Fisher精确检验和泊松回归模型。

结果

龋齿患病率为65%，与年龄（p = 0.0027）和居住地区（p = 0.020）相关。治疗需求患病率也为65%。研究人群的平均龋失补牙数（DMFT）/乳牙龋失补牙数（dmft）指数为3.17/1.73。乳牙列的平均DMFT数分别为2.37、0.55和0.25，恒牙列的平均DMFT数分别为1.56、0.05和0.12。几乎整个样本（96.7%）有可见菌斑，77.3%有牙龈出血，27.6%有牙外伤。