Chen Chong, Zhang Fenglan, Wang Rui
Department of School and Hospital of Stomatology, Jilin University, Changchun, Jilin Province, China.
Medicine (Baltimore). 2020 Jul 10;99(28):e20988. doi: 10.1097/MD.0000000000020988.
An effective prevention policy for dental caries is absent in Jilin, China because of outdated and insufficient data. Therefore, this study aimed to investigate dental caries status and related risk indicators among 12-year-old students in Jilin Province.We conducted a cross-sectional investigation among 2324 children aged 12 years from 9 regions of Jilin in 2017. Caries was evaluated with the decayed-missing-filled teeth index and the significant caries index. The rate of pit and fissure closure, education level of patients, brushing habits, and sugar consumption were evaluated in a structured questionnaire. The associated risk indicators of caries were also assessed through logistic regression analysis.The prevalence of dental caries is 56.11%, and the value of decayed-missing-filled teeth was 1.53. More dental caries was found in students living in high-fluorine areas (P < .01). The results of logistic regression analysis show that females, poor self-assessment of oral health, toothache experience, dental visits, and education levels of parents are risk indicators for caries (P < .01).Regarding the current status of DC among 12-year-old students in Jilin Province, (1) The high-fluorine areas have lower DC prevalence than the non-high fluorine areas, (2) Female students have higher DC prevalence than male students, (3) Poor self-assessment of dental health, toothache experience, dental visits, and low education levels of parents can increase the risk of dental caries.
由于数据陈旧且不足,中国吉林省缺乏有效的龋齿预防政策。因此,本研究旨在调查吉林省12岁学生的龋齿状况及相关风险指标。2017年,我们对来自吉林省9个地区的2324名12岁儿童进行了横断面调查。采用龋失补牙指数和严重龋齿指数评估龋齿情况。通过结构化问卷评估窝沟封闭率、患者教育程度、刷牙习惯和糖摄入量。还通过逻辑回归分析评估龋齿的相关风险指标。龋齿患病率为56.11%,龋失补牙值为1.53。生活在高氟地区的学生龋齿情况更严重(P<0.01)。逻辑回归分析结果表明,女性、对口腔健康自我评估差、有牙痛经历、看过牙医以及父母的教育程度是龋齿的风险指标(P<0.01)。关于吉林省12岁学生的龋齿现状,(1)高氟地区的龋齿患病率低于非高氟地区,(2)女生的龋齿患病率高于男生,(3)对牙齿健康自我评估差、有牙痛经历、看过牙医以及父母教育程度低会增加患龋齿的风险。