意大利都灵寄养儿童龋齿的频率和严重程度：一项回顾性队列研究。

Frequency and severity of dental caries in foster care children of Turin, Italy: a retrospective cohort study.

机构信息

Oral prevention and community dentistry, CIR-Dental School, University of Turin, Turin, Italy - Private practice, Piedmont, Italy.

Department of Surgical Sciences, Oral Medicine Section, CIR-Dental School, University of Turin, Turin, Italy - Oral prevention and community dentistry, CIR-Dental School, University of Turin, Turin, Italy.

出版信息

Eur J Paediatr Dent. 2020 Dec;21(4):299-302. doi: 10.23804/ejpd.2020.21.04.8.

DOI:10.23804/ejpd.2020.21.04.8

PMID:33337906

Abstract

AIM

Aim of this retrospective cohort study was to assess the frequency and severity of dental caries (DC) among foster care children in the city of Turin, in North West Italy, and to compare these data with those of a general paediatric population.

MATERIALS AND METHODS

From May 2016 to September 2018, 75 paediatric subjects between the age of 4 and 12, located in 11 residential child care communities were recruited. Instructions were provided concerning oral health, caries and correlation with dietary habits. Oral and dental examination were carried out to establish frequency and severity of caries (not-penetrating, nPC, corresponding to the International Caries Detection and Assessment System (ICDAS) codes: 1-4, vs. penetrating, PC, corresponding to ICDAS codes: 5-6). Decayed, missed, filled teeth (DMFT) index was used. Data for comparison were acquired from the WHO Collaboration Center For Epidemiology and Community Dentistry of Milan (WHO-CCOMS), belonging to a nationwide sample of 2,141 Italian children.

RESULTS

Only 13 subjects (17%) were caries-free; 187 caries were identified: 133 were PC, whereas 54 were nPC. Overall, 76% of the caries were found in deciduous teeth. Mean DMFT was 3.43 (D = 2.97; M = 0.24; F = 0.22). When the study data were compared to those from WHO-CCOMS, a significantly higher DMFT (3.43 vs 0.96; p <0.00001) and D (2.97 vs 0.62; p <0.00001) was detected.

CONCLUSION

A significant higher frequency of caries in foster care children in Turin, Italy compared to the general population was detected.

摘要

目的

本回顾性队列研究旨在评估意大利西北部都灵市寄养儿童的龋齿（DC）发生频率和严重程度，并将这些数据与一般儿科人群的数据进行比较。

材料和方法

2016 年 5 月至 2018 年 9 月，在 11 个儿童寄养社区招募了 75 名 4 至 12 岁的儿科患者。提供了有关口腔健康、龋齿及其与饮食习惯相关性的说明。进行口腔和牙齿检查以确定龋齿的发生频率和严重程度（未穿透性龋齿，nPC，对应于国际龋齿检测和评估系统（ICDAS）代码：1-4，与穿透性龋齿，PC，对应于 ICDAS 代码：5-6）。使用龋失补（DMFT）指数。比较数据来自米兰世界卫生组织合作中心（WHO-CCOMS），该中心属于意大利全国范围内 2141 名儿童的样本。

结果

仅有 13 名（17%）受试者无龋齿；共发现 187 颗龋齿：133 颗为 PC，54 颗为 nPC。总体而言，76%的龋齿发生在乳牙上。平均 DMFT 为 3.43（D=2.97；M=0.24；F=0.22）。当将研究数据与 WHO-CCOMS 的数据进行比较时，发现 DMFT（3.43 比 0.96；p<0.00001）和 D（2.97 比 0.62；p<0.00001）均显著更高。