Department of Stomatology, Dongyang Hospital of Traditional Chinese Medicine, 322100 Jinhua, Zhejiang, China.
J Clin Pediatr Dent. 2024 Mar;48(2):181-188. doi: 10.22514/jocpd.2024.046. Epub 2024 Mar 3.
This study aims to examine the prevalence of dental caries and periodontitis among children aged 5-12 years in Jinhua, Zhejiang province, and analyze the influencing factors of dental caries and periodontitis. A total of 280 children meeting the study criteria for a first-time oral examination were retrospectively analyzed and divided into caries (n = 190), no-caries (n = 90), periodontitis (n = 85) and non-periodontitis group (n = 195) groups based on the presence of caries or periodontitis. An analysis of general survey questionnaires and logistic regression of dental caries and periodontitis among children in different groups was conducted. Caries disease was diagnosed in 67.86% with an average decayed missing filled tooth (DMFT) of 2.94, and periodontitis was diagnosed in 30.36% of 280 children. The independent risk factors for dental caries were daily brushing habits, parental supervision (assisted) brushing, place of residence and frequency of eating desserts or beverages ( < 0.05). Periodontitis was not related to parental education and knowledge of oral health care ( > 0.05). Periodontitis is independent of plaque, tartar, mastery of brushing methods, regular oral examination, and gargling after meals ( < 0.05). While daily brushing habits, parental supervision (assisted) brushing, place of residence and frequency of eating desserts or beverages were protective factors for dental caries ( < 0.05). According to the prevalence of dental caries and periodontitis among children aged 5-12 in this area as well as the analysis of influencing factors, further effective measures can be taken to reduce the incidence of adverse influencing factors, thereby reducing the risk of dental caries and periodontitis for children.
本研究旨在调查浙江省金华市 5-12 岁儿童的龋齿和牙周炎患病率,并分析龋齿和牙周炎的影响因素。对符合首次口腔检查标准的 280 名儿童进行回顾性分析,根据是否存在龋齿或牙周炎将其分为龋齿组(n = 190)、无龋齿组(n = 90)、牙周炎组(n = 85)和非牙周炎组(n = 195)。对不同组儿童的一般问卷调查和龋齿与牙周炎的 logistic 回归进行分析。280 名儿童中,龋齿病的检出率为 67.86%,平均龋失补牙数(DMFT)为 2.94,牙周炎的检出率为 30.36%。儿童龋齿的独立危险因素有每日刷牙习惯、父母监督(协助)刷牙、居住地点和进食甜点或饮料的频率(<0.05)。牙周炎与父母的教育程度和口腔保健知识无关(>0.05)。牙周炎与菌斑、牙石、刷牙方法掌握程度、定期口腔检查、饭后漱口无关(<0.05)。而每日刷牙习惯、父母监督(协助)刷牙、居住地点和进食甜点或饮料的频率是龋齿的保护因素(<0.05)。根据该地区 5-12 岁儿童龋齿和牙周炎的流行情况以及影响因素的分析,可以采取进一步有效的措施来减少不良影响因素的发生,从而降低儿童龋齿和牙周炎的风险。