Faculty of Medicine and Health, The University of Sydney, School of Dentistry, Sydney, New South Wales, Australia.
Sydney Local Health District, Sydney Dental Hospital and Oral Health Services, Sydney, New South Wales, Australia.
Int J Paediatr Dent. 2023 Jan;33(1):1-11. doi: 10.1111/ipd.12969. Epub 2022 May 20.
Early childhood caries (ECC) remains one of the most prevalent childhood diseases in Australia, disproportionately affecting disadvantaged populations.
To investigate the ECC experience including risk factors, incidence of caries, pain and infection as well as relapse rates of caries and secondary dental general anaesthesia (GA).
A retrospective cohort study included dental records of children with ECC, aged <72 months at an Australian public dental hospital paediatric dentistry department from 2013 to 2015 (n = 102). Dental caries, pain, infection, referral patterns, demographic and caries risk factor data were recorded for 24 months. Descriptive statistics were used for patient characteristics and clinical data, and Kaplan-Meier curves and parametric exponential survival models for time-to-event series.
The study population demonstrated higher-than-national average dmft and disease progression at baseline. Major risk factors for the development of caries, pain and infection were daily consumption of sweetened beverages, poor oral hygiene, residing in lower socio-economic areas, older age and being male. Rates of caries relapse and new referral for secondary treatment under general anaesthesia were relatively high.
A high degree of ECC progression and recurrence in this population indicates a need for a more comprehensive approach to ECC addressing multilevel root causes and systemic risk factors.
在澳大利亚，幼儿龋齿（ECC）仍然是最普遍的儿童疾病之一，不成比例地影响弱势人群。
调查 ECC 的发病情况，包括危险因素、龋齿的发生率、疼痛和感染以及龋齿复发率和二次牙科全身麻醉（GA）。
本研究为回顾性队列研究，纳入了 2013 年至 2015 年期间澳大利亚一家公立牙科医院儿科牙科部门年龄<72 个月的 ECC 儿童的牙科记录（n=102）。记录了 24 个月的龋齿、疼痛、感染、转诊模式、人口统计学和龋齿危险因素数据。对患者特征和临床数据采用描述性统计，对事件时间序列采用 Kaplan-Meier 曲线和参数指数生存模型。
研究人群在基线时的 dmft 和疾病进展率高于全国平均水平。龋齿、疼痛和感染发展的主要危险因素是每天饮用含糖饮料、口腔卫生差、居住在社会经济水平较低的地区、年龄较大和男性。龋齿复发和二次全身麻醉下新转诊治疗的比例相对较高。
该人群中 ECC 的高度进展和复发表明，需要采取更全面的方法来解决 ECC，以解决多层次的根本原因和系统性风险因素。
