探讨邢台市 3-6 岁学龄前儿童龋齿状况及影响因素。

Exploring the state and influential factors of dental caries in preschool children aged 3-6 years in Xingtai City.

机构信息

Department of Oral Medicine, Hebei Eye Hospital, 399 East Quanbei Street, Xingtai, 054001, Hebei, China.

Department of Oral and Maxillofacial Surgery, Hebei Eye Hospital, Xingtai, 054001, China.

出版信息

BMC Oral Health. 2024 Aug 16;24(1):951. doi: 10.1186/s12903-024-04663-2.

DOI:10.1186/s12903-024-04663-2

PMID:39152370

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11328377/

Abstract

OBJECTIVE

To explore the main factors affecting early dental caries among preschool children aged 3-6 years in Xingtai City to formulate effective preventive measures.

METHODS

A cross-sectional study was conducted on 570 preschool children aged 3-6 years in Xingtai City through questionnaire surveys and oral examinations to understand their dental caries situation. Multifactorial logistic regression analysis was used to analyse the main influencing factors for the occurrence of dental caries in preschool children.

RESULTS

Univariate analysis showed statistically significant differences in age (χ = 2.636, p = 0.008), father's education level (χ = 4.207, p < 0.001), mother's education level (χ = 4.217, p < 0.001), daily tooth brushing frequency (χ = 3.160, p = 0.002), age of starting tooth brushing (χ = 8.756, p < 0.001), mouth rinsing after meals (χ = 89.401, p < 0.001), Streptococcus mutans positivity (χ = 133.503, p < 0.001), non-sweet snack consumption frequency (χ = 5.962, p < 0.001), snack flavour preference (χ = 116.119, p < 0.001), use of fluoridated toothpaste (χ = 75.639, p < 0.001), regular oral examinations (χ = 98.711, p < 0.001), sugary drink consumption frequency (χ = 10.370, p < 0.001) and sweet food consumption frequency (χ = 9.261, p < 0.001) between the caries and non-caries groups. Multifactorial analysis revealed that older age (odds ratio [OR] = 5.342, 95% confidence interval [CI]: 1.434-6.631), later initiation of tooth brushing (OR = 3.244, 95% CI: 2.413-5.424), S. mutans positivity (OR = 5.357, 95% CI: 4.529-8.563), high snack consumption frequency (OR = 3.452, 95% CI: 2.634-5.442), high sugary drink consumption frequency (OR = 4.414, 95% CI: 2.534-6.451) and high sweet food consumption frequency (OR = 4.531, 95% CI: 3.421-6.354) were risk factors for dental caries. Higher father's educational level (OR = 0.724, 95% CI: 0.564-0.891), higher mother's educational level (OR = 0.641, 95% CI: 0.601-0.813), high daily tooth brushing frequency (OR = 0.572, 95% CI: 0.423-0.864), mouth rinsing after meals (OR = 0.743, 95% CI: 0.643-0.813), use of fluoridated toothpaste (OR = 0.657, 95% CI: 0.553-0.931) and regular oral examinations (OR = 0.443, 95% CI: 0.352-0.747) were protective factors against dental caries (all p < 0.05).

CONCLUSION

Multiple factors result in early dental caries in preschool children aged 3-6 years; however, the most influential factors are older age and high snack consumption, as well as high sugary and sweet food/drink consumption.

摘要

目的

探讨邢台市 3-6 岁学龄前儿童早期龋齿的主要影响因素，制定有效的预防措施。

方法

采用横断面研究方法，通过问卷调查和口腔检查，对邢台市 570 名 3-6 岁学龄前儿童的龋齿情况进行了解。采用多因素 logistic 回归分析方法分析学龄前儿童龋齿发生的主要影响因素。

结果

单因素分析显示，年龄（χ²=2.636，p=0.008）、父亲的受教育程度（χ²=4.207，p<0.001）、母亲的受教育程度（χ²=4.217，p<0.001）、每日刷牙频率（χ²=3.160，p=0.002）、开始刷牙的年龄（χ²=8.756，p<0.001）、饭后漱口（χ²=89.401，p<0.001）、变形链球菌阳性（χ²=133.503，p<0.001）、零食消费频率（χ²=5.962，p<0.001）、零食口味偏好（χ²=116.119，p<0.001）、使用含氟牙膏（χ²=75.639，p<0.001）、定期口腔检查（χ²=98.711，p<0.001）、含糖饮料消费频率（χ²=10.370，p<0.001）和甜食消费频率（χ²=9.261，p<0.001）在龋齿组和非龋齿组之间存在统计学差异。多因素分析显示，年龄较大（OR=5.342，95%CI：1.434-6.631）、晚开始刷牙（OR=3.244，95%CI：2.413-5.424）、变形链球菌阳性（OR=5.357，95%CI：4.529-8.563）、零食消费频率高（OR=3.452，95%CI：2.634-5.442）、含糖饮料消费频率高（OR=4.414，95%CI：2.534-6.451）和甜食消费频率高（OR=4.531，95%CI：3.421-6.354）是龋齿的危险因素。父亲的受教育程度较高（OR=0.724，95%CI：0.564-0.891）、母亲的受教育程度较高（OR=0.641，95%CI：0.601-0.813）、每日刷牙频率高（OR=0.572，95%CI：0.423-0.864）、饭后漱口（OR=0.743，95%CI：0.643-0.813）、使用含氟牙膏（OR=0.657，95%CI：0.553-0.931）和定期口腔检查（OR=0.443，95%CI：0.352-0.747）是龋齿的保护因素（均 p<0.05）。