龋齿风险评估中的饮食问题及其与龋齿的关系。
Dietary questions in caries risk assessment and their relationship to caries.
作者信息
Delaney Casey, Warren John, Rysavy Oscar A, Marshall Teresa
机构信息
Dental Student, College of Dentistry, University of Iowa, Iowa, USA.
Professor, Department of Preventive & Community Dentistry, University of Iowa, Iowa, USA.
出版信息
J Public Health Dent. 2025 Jun;85(2):197-202. doi: 10.1111/jphd.12647. Epub 2024 Oct 8.
OBJECTIVE
This retrospective chart review evaluated the relationship between specific dietary questions used in caries risk assessment and planned restorative treatment among patients attending a dental school's clinic.
METHODS
Records for 6,218 adult patients attending the University of Iowa College of Dentistry who completed caries risk assessments and comprehensive oral examinations during 2018-2019 were included. The number of planned caries restorative treatments were compared between groups based on responses to specific dietary questions on the caries risk assessment. Analyses included chi-square and Wilcoxon rank-sum tests and logistic regression for factors associated with caries treatments.
RESULTS
About 20% of subjects needed caries treatment, and regression analyses found that younger age, having unstructured meals, drinking sugared beverages daily, and drinking them for more than 30 min were significantly (p < 0.01) associated with having caries.
CONCLUSIONS
Specific and focused questions on dietary practices are strongly associated with caries, and may be useful in improving caries risk assessments.
目的
本回顾性病历审查评估了在一所牙科学院诊所就诊的患者中，用于龋病风险评估的特定饮食问题与计划的修复治疗之间的关系。
方法
纳入了2018 - 2019年期间在爱荷华大学牙科学院完成龋病风险评估和全面口腔检查的6218名成年患者的记录。根据龋病风险评估中对特定饮食问题的回答，比较各组计划的龋病修复治疗数量。分析包括卡方检验和威尔科克森秩和检验，以及与龋病治疗相关因素的逻辑回归分析。
结果
约20%的受试者需要进行龋病治疗，回归分析发现，年龄较小、饮食无规律、每天饮用含糖饮料以及饮用时间超过30分钟与患龋病显著相关（p < 0.01）。
结论
关于饮食习惯的特定且重点突出的问题与龋病密切相关，可能有助于改进龋病风险评估。
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