Department of Paediatric Dentistry, Orthodontics, and Preventive Dentistry, School of Dentistry, The University of Jordan, Amman, Jordan.
Department of Dentistry, Jordan University Hospital, Amman, Jordan.
BMC Oral Health. 2022 Jul 25;22(1):307. doi: 10.1186/s12903-022-02342-8.
Dental caries affects the majority of children in Jordan, with some evidence of its prevalence steadily increasing. Previous studies have shown that families struggle to establish good oral health practices. The aim of this study was to evaluate the current oral health status and practices of 6- to7-year-old children in Amman, Jordan.r METHODS: A cross-sectional cohort study. The sample consisted of 6- to 7-year-old children attending six randomly selected schools in Amman, Jordan. Measures collected were: I) Caries experience (d3mft/D3MFT), II) Oral hygiene, measured using the Simplified Oral Hygiene Index, III) Dietary, toothbrushing, and dental attendance practices, measured using diaries and parental questionnaires, IV) Participants' basic characteristics: age, education and employment. Data were analysed using SPSS20.
In total, 942 children were recruited. Four hundred and fifty-seven were boys, 485 were girls. Their average age was 6.5 years. Eighty-nine percent had decay in their primary teeth. Mean d3mft was 5.1(1 (range = 0-12, SD = 2.9). Only 8% of carious teeth were restored. Mean DMFT score was 0.3 (range = 0-4, SD = 0.8). Mean debris score was 1.07 (range = 0-3, SD = 0.37). Children indicated that they brush their teeth 1.6 times a day (range = 0-3, SD = 0.6). The majority (81%) were unsupervised. Sixty-seven percent of parents did not know the appropriate fluoride toothpaste concentration. Children were having 1.5 sugary snacks in-between their meals (Range = 1-6, SD = 1.1). They scored a mean of 2.5 (Range = 0-5.87, SD = 1.7) in sweetened drinks intake (recommended ≤ 1) and 2.8 (Range = 0-18.57, SD = 1.5) in non-core food intake (recommended ≤ 2) on a dietary questionnaire. Most parents (84%) indicated that their child attends the dentist only when in pain, and 18% indicated that their child is extremely afraid of dentists. Only 32% and 18% were familiar with fluoride varnish and fissure sealants, respectively. Regression analysis revealed that debris score and dental attendance were reliable predictors of caries experience.
Six- to seven-year-old children in Amman, Jordan have a high caries experience. Most show signs of poor oral hygiene, excessive intake of cariogenic foods, and symptomatic dental attendance. Their parents lack knowledge on fluoride varnish and fissure sealants. There is a need for oral health promotion tailored to this cohort's need.
龋齿影响了约旦大多数儿童，有证据表明其患病率稳步上升。先前的研究表明，家庭难以建立良好的口腔健康习惯。本研究旨在评估约旦安曼 6 至 7 岁儿童的当前口腔健康状况和习惯。
这是一项横断面队列研究。样本由安曼随机选择的六所学校的 6 至 7 岁儿童组成。收集的措施包括：I）龋齿经历（d3mft/D3MFT），II）口腔卫生，使用简化口腔卫生指数测量，III）饮食、刷牙和牙科就诊习惯，使用日记和家长问卷测量，IV）参与者的基本特征：年龄、教育和就业。数据使用 SPSS20 进行分析。
共有 942 名儿童被招募。其中 457 名为男孩，485 名为女孩。他们的平均年龄为 6.5 岁。89%的儿童有乳牙龋齿。平均 d3mft 为 5.1（范围 0-12，SD 2.9）。只有 8%的龋齿得到修复。平均 DMFT 评分为 0.3（范围 0-4，SD 0.8）。平均牙垢评分为 1.07（范围 0-3，SD 0.37）。儿童表示他们每天刷牙 1.6 次（范围 0-3，SD 0.6）。大多数（81%）无人监督。67%的家长不知道适当的氟化物牙膏浓度。儿童在两餐之间吃 1.5 份含糖零食（范围 1-6，SD 1.1）。他们在含糖饮料摄入量（推荐量≤1）中平均得分为 2.5（范围 0-5.87，SD 1.7），在非核心食物摄入量（推荐量≤2）中平均得分为 2.8（范围 0-18.57，SD 1.5）在饮食问卷上。大多数家长（84%）表示，他们的孩子只有在疼痛时才会去看牙医，18%的家长表示他们的孩子非常害怕牙医。只有 32%和 18%的家长分别熟悉氟化物漆和窝沟封闭剂。回归分析表明，牙垢评分和牙科就诊是龋齿经历的可靠预测因素。
安曼 6 至 7 岁的儿童龋齿患病率较高。大多数儿童表现出口腔卫生不良、摄入过多致龋食物和症状性牙科就诊的迹象。他们的父母缺乏氟化物漆和窝沟封闭剂的知识。需要针对这一群体的需要进行口腔健康促进。
