Department of Hygiene and Epidemiology, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland.
Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland.
Int J Environ Res Public Health. 2021 Feb 27;18(5):2333. doi: 10.3390/ijerph18052333.
Caries has a negative influence on health and is still a public health problem among children and adolescents in Poland. The aim of this study was to analyze the association of dietary habits, oral hygiene behaviors and the frequency of usage of dental services with the dental caries index in teenagers in North-West Poland. The study enrolled 264 children (147M/117F) aged 15. Participants filled out a questionnaire regarding age, sex, frequency of visits to the dentist, dietary habits and oral hygiene behaviors, and the Decayed Missing Filled Teeth Index (DMFT) was calculated. Caries was found in 88.6% of subjects. The lower or no caries experience group (DMFT ≤ 5) comprised of 180 subjects, while higher caries experience (DMFT > 5) was found in 84 teenagers and was significantly inversely associated with tooth brushing after the last meal (OR = 0.45; 95% CI:0.21-0.97; = 0.04) and the daily use of dental floss (OR = 0.12; 95% CI:0.01-0.92; = 0.04). There is an emerging need for the implementation of effective caries prevention and recovery programs in Poland. Health promotion focusing on oral hygiene behaviors should be disseminated more widely because lower caries experience was demonstrated in teenagers declaring healthy oral habits. Another important need is the development of multi-sectorial actions aiming at the improvement of dietary habits.
龋齿对健康有负面影响，在波兰儿童和青少年中仍然是一个公共卫生问题。本研究旨在分析饮食习惯、口腔卫生行为和牙科服务使用频率与波兰西北部青少年龋齿指数的关系。该研究纳入了 264 名 15 岁的儿童（147 名男性/117 名女性）。参与者填写了一份关于年龄、性别、看牙医的频率、饮食习惯和口腔卫生行为的问卷，并计算了龋齿、失牙、补牙指数（DMFT）。结果发现，88.6%的受试者有龋齿。龋齿经验较低或无（DMFT ≤ 5）组有 180 名受试者，而龋齿经验较高（DMFT > 5）组有 84 名青少年，且与餐后最后一次刷牙（OR = 0.45；95%CI：0.21-0.97； = 0.04）和每日使用牙线（OR = 0.12；95%CI：0.01-0.92； = 0.04）显著负相关。波兰迫切需要实施有效的龋齿预防和康复计划。应该更广泛地传播关注口腔卫生行为的健康促进措施，因为报告健康口腔习惯的青少年龋齿经验较低。另一个重要需求是制定多部门行动，旨在改善饮食习惯。
