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口腔卫生、饮食习惯与唾液特性和牙科专业学生龋失补牙指数的关系:一项初步研究

Oral Hygiene, Dietary Habits, and Saliva Properties in Relation to the Decayed, Missing, and Filled Teeth Index of Dental Students: A Pilot Study.

作者信息

Mandinić Zoran, Stojanović Jelena, Prokić Aleksandra, Beloica Miloš, Jovanović Svetlana, Kuzmanović Pfićer Jovana, Mladenovic Rasa, Kosanović Dušan, Milanović Milena, Todorović Miloš, Milošević Marković Maja, Dožić Ivan

机构信息

Clinic for Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, 11000 Belgrade, Serbia.

Department of Public Health, School of Dental Medicine, University of Belgrade, 11000 Belgrade, Serbia.

出版信息

Medicina (Kaunas). 2024 Dec 8;60(12):2023. doi: 10.3390/medicina60122023.

Abstract

: Caries development is associated with poor oral hygiene, inadequate dietary habits, quantitative and qualitative food content, and a high level of bacterial plaque. Physical and chemical changes in saliva composition and particularly changes in its buffering capability play a significant role in caries development. This study aimed to determine the predictors of poor oral health among a sample of second-year dental students. : The oral health of students was estimated with clinical examination and the DMFT index. The interview included questions about demographics status (gender, age), a dietary habits questionnaire, questions about oral hygiene, and a demonstration of tooth brushing technique. Unstimulated saliva samples were collected to measure buffering capacity and pH. : Almost half of the students have a low level of caries experience (46.7%), followed by a slightly smaller number having a medium level (41.3%), while one in eight students (12.0%) demonstrates a high level of caries experience. Male students have a statistically higher DMFT index 5.7 ± 1.2 than female participants 4.5 ± 0.5 ( = 0.036). Significant predictors for the DMFT index score in students were milk [β-coefficient = -0.338, = 0.011] and yoghurt [β-coefficient = 0.284, = 0.040] consumption. All students brushed their teeth two or more times during the day, usually after waking up before breakfast and before bedtime. Most students (85.3%) apply the proper tooth brushing technique, with female students applying it more frequently ( = 0.038). The mean salivary pH was 6.9, while the mean buffer capacity was 5.8. Female respondents have a statistically lower buffer capacity (5.8 ± 0.5) than male respondents (6.1 ± 0.4) ( = 0.047). : Dentistry students are introduced to good oral hygiene habits, especially female students, while dietary habits should be improved. However, one in eight dental students is at high caries risk. By assessing the level of caries experience, targeted strategies can be developed to promote, maintain, and enhance oral health among dental students.

摘要

龋齿的发展与口腔卫生不良、饮食习惯不当、食物的数量和质量以及高水平的牙菌斑有关。唾液成分的物理和化学变化,特别是其缓冲能力的变化,在龋齿发展中起着重要作用。本研究旨在确定二年级牙科学生样本中口腔健康不佳的预测因素。

通过临床检查和DMFT指数评估学生的口腔健康状况。访谈包括有关人口统计学状况(性别、年龄)的问题、饮食习惯问卷、有关口腔卫生的问题以及刷牙技巧演示。收集未刺激的唾液样本以测量缓冲能力和pH值。

几乎一半的学生龋齿经历水平较低(46.7%),其次是数量略少的中等水平学生(41.3%),而八分之一的学生(12.0%)龋齿经历水平较高。男学生的DMFT指数在统计学上高于女学生,分别为5.7±1.2和4.5±0.5(P = 0.036)。学生DMFT指数得分的重要预测因素是牛奶[β系数=-0.338,P = 0.011]和酸奶[β系数= 0.284,P = 0.040]的摄入量。所有学生每天刷牙两次或更多次,通常在醒来后早餐前和睡前。大多数学生(85.3%)采用正确的刷牙技巧,女学生使用频率更高(P = 0.038)。唾液平均pH值为6.9,平均缓冲能力为5.8。女性受访者的缓冲能力在统计学上低于男性受访者,分别为5.8±0.5和6.1±0.4(P = 0.047)。

牙科学生,尤其是女学生,被引导养成良好的口腔卫生习惯,同时应改善饮食习惯。然而,八分之一的牙科学生龋齿风险较高。通过评估龋齿经历水平,可以制定有针对性的策略来促进、维持和改善牙科学生的口腔健康。

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