de Muñiz B R
Community Dent Oral Epidemiol. 1985 Dec;13(6):328-33. doi: 10.1111/j.1600-0528.1985.tb00466.x.
An epidemiologic oral health survey of 2279 children aged 7-8 and 12-13 was carried out in eight different regions of Argentina using methods and criteria recommended by the WHO. The children examined lived in rural or urban areas and were of Caucasian or Amerindian extraction. Periodontal status showed that 75% of this population had soft deposits, while calculus and gingivitis increased with age. Calculus: 0.4 at 7 yr to 16.1 at 13; gingivitis: 2.7% at 7 yr to 27.2% at 13. At age 8, the mean number of dmf per child was 3.9. The percentage of caries-free children with permanent dentition dropped from 60% at age 7 to 32% at age 13. In Amerindian children, all these parameters were higher. Both the mean dmf and DMF per child were substantially lower in natural fluoride areas than in non-fluoride areas. Data from this first nationwide epidemiologic study in this country provide baseline data for further investigations. According to the data obtained in this study, Argentine regions may be classified as high, medium or low risk areas, although a lack of adequate dental care was found in all regions. With these risk priorities as a guideline, we propose an initial strategy consisting of a carefully planned and selective program of primary dental health care.
在阿根廷的八个不同地区,采用世界卫生组织推荐的方法和标准,对2279名7 - 8岁和12 - 13岁的儿童进行了口腔健康流行病学调查。接受检查的儿童生活在农村或城市地区,有高加索或美洲印第安血统。牙周状况显示,该人群中有75%有软垢,而牙结石和牙龈炎发病率随年龄增长而增加。牙结石:7岁时为0.4,13岁时为16.1;牙龈炎:7岁时为2.7%,13岁时为27.2%。8岁时,每个儿童的恒牙龋失补牙数(dmf)平均为3.9。恒牙列无龋儿童的比例从7岁时的60%降至13岁时的32%。在美洲印第安儿童中,所有这些参数都更高。在天然含氟地区,每个儿童的平均dmf和恒牙龋失补牙面数(DMF)均显著低于非氟地区。该国首次全国性流行病学研究的数据为进一步调查提供了基线数据。根据本研究获得的数据,阿根廷各地区可分为高、中、低风险地区,尽管所有地区都存在牙科保健不足的情况。以这些风险优先级为指导方针,我们提出了一项初步策略,包括精心规划和有选择性的初级牙科保健计划。