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中国北京市石景山区 6-7 岁儿童第一恒磨牙萌出及患龋状况。

Eruption and caries status of first permanent molars in children aged 6-7 years in Shijingshan District, Beijing, China.

机构信息

Department of Preventive Dentistry, Beijing Stomatological Hospital, Capital Medical University, 4 West Tiantan, Beijing, 100050, China.

Department of Stomotology, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.

出版信息

BMC Oral Health. 2024 Sep 27;24(1):1143. doi: 10.1186/s12903-024-04915-1.

Abstract

BACKGROUND

Dental caries is still a major disease that affect the oral health of people in China. First permanent molars (FPMs) are the most caries-susceptible teeth among school-aged children. The aim of this study was to investigate the eruption and caries status of first permanent molars in children aged 6-7 years in Shijingshan District, Beijing, China, to provide information for oral health promotion.

METHODS

The study was a cross-sectional survey conducted in 6-7-year-old first grade children from public elementary schools in Shijingshan District, Beijing. Participants were invited to receive a clinical oral examination. The eruption status and caries experience of FPMs were recorded. Questionnaires assessing children's sociodemographic information and oral health-related behaviors were completed by the children's parents or guardians.

RESULTS

A total of 3,176 children, including 1,644 boys (51.8%) and 1,532 girls (48.2%) were included in the oral examination and questionnaire. Eruption status of FPMs was as follows: 37.5% fully erupted, 28.3% partially erupted, 34.2% not erupted. Girls had more erupted FPMs than boys (70.1% VS 61.8%, P < 0.001). The prevalence of dental caries in FPMs was 5.5% (174/3,176) in studied children. The mean decayed missing filled teeth score of FPMs was 0.11 and the mean decayed missing filled surface score of FPMs was 0.19. Binary Logistic regression analysis demonstrated that girls had more tooth decay than boys and father's educational background also associated with the caries experience of the studied children (P < 0.05).

CONCLUSIONS

Around two-thirds of FPMs were fully erupted or partially erupted among children aged 6-7 years old in Shijingshan District, Beijing. Approximately 5% of the newly erupted FPM established dental caries. Effective intervention should be applied in this age group for oral health promotion.

摘要

背景

龋齿仍然是影响中国人口腔健康的主要疾病。第一恒磨牙是学龄儿童中最易患龋的牙齿。本研究旨在调查北京市石景山区 6-7 岁儿童第一恒磨牙萌出及患龋状况,为口腔健康教育提供信息。

方法

本研究为横断面调查,选取北京市石景山区公立小学 6-7 岁一年级儿童为研究对象,邀请其接受临床口腔检查。记录第一恒磨牙萌出状况和患龋情况,由儿童家长或监护人填写儿童社会人口学信息和口腔健康相关行为问卷。

结果

共有 3176 名儿童接受口腔检查和问卷调查,其中男童 1644 名(51.8%),女童 1532 名(48.2%)。第一恒磨牙萌出状况如下:完全萌出 37.5%,部分萌出 28.3%,未萌出 34.2%。女童第一恒磨牙萌出率高于男童(70.1%比 61.8%,P<0.001)。研究儿童第一恒磨牙患龋率为 5.5%(174/3176)。第一恒磨牙患龋补牙指数为 0.11,患龋补牙面数指数为 0.19。二分类 Logistic 回归分析显示,女童患龋率高于男童,父亲文化程度也与儿童患龋状况有关(P<0.05)。

结论

北京市石景山区 6-7 岁儿童约有 2/3 的第一恒磨牙完全或部分萌出,新萌出的第一恒磨牙有近 5%发生龋病。该年龄段应采取有效干预措施,促进口腔健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3832/11438319/4eaaeff3b2c7/12903_2024_4915_Fig1_HTML.jpg

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