Research Unit of Population Health, University of Oulu, Oulu, Finland.
The Wellbeing Services County of North Ostrobothnia, Pohde, Finland.
BMC Oral Health. 2024 Sep 14;24(1):1088. doi: 10.1186/s12903-024-04870-x.
Determining risk indicators behind dental caries is important for identifying children in need of enhanced dental care. The aim of this register-based study was to investigate the association of family-related risk indicators and dental attendance in the development of dental caries in preschool children.
The data for this study were collected from the medical records of 206 randomly chosen preschool children who lived in the city of Oulu, Finland, during 2014-2020. Data on challenges in family life, missing appointments and utilization of oral health care were collected. Sum functions were formed of risk indicators. Analyses were carried out for three age groups (1- to 2-, 3- to 4- and 5- to 6-year-olds) born between 2014 and 2018.
There was a significant association between the number of family-related risk indicators and the prevalence of manifested caries lesions in the age group of 5- to 6-year-olds. All family-related risk indicators and information about health care utilization were associated with dental caries risk. Challenges in a child's family life were present among 20.3% of the 5- to 6-year-olds. In all age groups, the most common challenges in family life were parental exhaustion and problems in the parents' relationship or divorce.
Family-related risk indicators and dental attendance should be considered when determining caries risk. The caries risk indicators investigated here are associated with each other.
确定龋齿背后的风险指标对于识别需要加强口腔护理的儿童非常重要。本基于登记的研究旨在调查家庭相关风险指标与学龄前儿童龋齿发展过程中的就诊情况之间的关联。
本研究的数据来自于 2014 年至 2020 年期间居住在芬兰奥卢市的 206 名随机选择的学龄前儿童的医疗记录。收集了有关家庭生活挑战、预约失约和口腔保健利用的数据。形成了风险指标的总和函数。对出生于 2014 年至 2018 年的三个年龄组（1 至 2 岁、3 至 4 岁和 5 至 6 岁）进行了分析。
在 5 至 6 岁年龄组中，家庭相关风险指标的数量与明显龋齿病变的患病率之间存在显著关联。所有家庭相关风险指标和保健利用信息都与龋齿风险相关。20.3%的 5 至 6 岁儿童存在家庭生活方面的挑战。在所有年龄组中，家庭生活中最常见的挑战是父母疲惫不堪以及父母关系或离婚问题。
在确定龋齿风险时，应考虑家庭相关风险指标和就诊情况。这里研究的龋齿风险指标相互关联。
