Diamanti Iliana, Berdouses Elias D, Kavvadia Katerina, Arapostathis Konstantinos N, Reppa Christina, Sifakaki Maria, Panagopoulou Olga, Polychronopoulou Argy, Oulis Constantine J
Department of Preventive and Community Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Thivon 2, Goudi, 115 27, Athens, Greece.
Paediatric Dentistry Practice, 22 Kodrou str, Halandri, 15231, Athens, Greece.
Eur Arch Paediatr Dent. 2021 Aug;22(4):619-631. doi: 10.1007/s40368-020-00599-7. Epub 2021 Jan 10.
To study the caries status of 5, 12 and 15-year-old Greek children, assess how disease parameters are related to socio-demographic indicators and identify relevant trends at the national level.
A stratified cluster sample of 3702 children in total was randomly selected and examined clinically for caries (ICDAS II criteria). Caries experience was outlined by adapting ICDAS criteria to the d/D component of the WHO dmf/DMF index configuration. Percentages (%) of caries experience-free children, of children with initial caries (ICDAS), and the mean dt/DT, dmft/DMFT and dmfs/DMFS indices were calculated. The probability of presenting with dt/DT ≥ 1 was assessed by binary logistic regression analysis, whereas negative binomial regression models examined the effect of socio-demographic parameters on dmfs/DMFS indices (level of significance: p ≤ 0.05).
60.1%, 48.1%, and 34.7% of the 5, 12, and 15-year-old children, respectively, had no caries experience at the defect level (dmft/DMFT = 0). Initial lesions (ICDAS) were detected in 17.7%, 19.3% and 17.4% of the 5, 12 and 15-year-olds, accordingly. Mean dt/DT was 0.93, 1.70, and 2.51, whereas mean dmft/DMFT was 1.48, 1.61, and 2.46 for the 5, 12, and 15-year-olds, respectively. Children with higher educated parents and 15-year-old urban residents exhibited significantly less caries experience at the defect level. Initial caries lesions presented a significantly higher probability of being detected in urban-residing 5- and 15-year-olds, while no consistent trend could be identified for parental education level. Caries prevalence and experience levels declined for all age groups in ten years.
Although the dental health of Greek children has improved disparities remain, calling for organised primary and secondary preventive interventions.
研究5岁、12岁和15岁希腊儿童的龋齿状况，评估疾病参数与社会人口统计学指标之间的关系，并确定国家层面的相关趋势。
总共随机选取3702名儿童的分层整群样本，对其进行临床龋齿检查（采用ICDAS II标准）。通过将ICDAS标准应用于WHO dmf/DMF指数配置的d/D部分来概述龋齿经历。计算无龋齿经历儿童、有初始龋齿（ICDAS）儿童的百分比（%），以及平均dt/DT、dmft/DMFT和dmfs/DMFS指数。通过二元逻辑回归分析评估出现dt/DT≥1的概率，而负二项回归模型则检验社会人口统计学参数对dmfs/DMFS指数的影响（显著性水平：p≤0.05）。
5岁、12岁和15岁儿童中，分别有60.1%、48.1%和34.7%在缺损水平（dmft/DMFT = 0）时无龋齿经历。相应地，在5岁、12岁和15岁儿童中，分别有17.7%、19.3%和17.4%检测到初始病变（ICDAS）。5岁、12岁和15岁儿童的平均dt/DT分别为0.93、1.70和2.51，而平均dmft/DMFT分别为1.48、1.61和2.46。父母受教育程度较高的儿童以及15岁的城市居民在缺损水平时的龋齿经历显著较少。在5岁和15岁的城市居民中，初始龋齿病变被检测到的概率显著更高，而对于父母教育水平则未发现一致的趋势。十年间所有年龄组的龋齿患病率和经历水平均有所下降。
尽管希腊儿童的口腔健康有所改善，但差距仍然存在，需要有组织的一级和二级预防干预措施。
