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西孟加拉邦学龄儿童牙列状况、治疗需求及其与饮食和口腔卫生习惯相关性的流行病学研究

An epidemiological study of dentition status, treatment needs and correlation with the dietary and oral hygiene practices among school-going children population of West Bengal.

作者信息

Mazumdar Paromita, Das Utpal Kumar

机构信息

Department of Conservative Dentistry and Endodontics, Guru Nanak Institute of Dental Sciences and Research, Kolkata, West Bengal, India.

出版信息

J Conserv Dent Endod. 2025 Feb;28(2):168-174. doi: 10.4103/JCDE.JCDE_849_24. Epub 2025 Feb 3.

Abstract

INTRODUCTION

The global burden of disease study 2016 estimated that oral diseases affected 3.58 billion people with dental caries. Severe tooth loss and total edentulous condition have been reported as one of the leading causes of years lived with disability in some high-income countries. Oral health inadequacies exist among and between different population groups, and social determinants have a strong impact on oral health. The World Health Organization (WHO) defines oral health as "a state of being free from chronic mouth and facial pain, oral infections and sores, periodontal diseases, tooth decay, tooth loss and other disorders and diseases that limit individual capacity in biting, chewing, smiling, speaking and psychosocial well-being." National Oral Health Survey Report 2004 states that caries prevalence in India was 51.9%, 53.8%, and 63.1% at 5, 12, and 15 years, respectively. Literature on-caries research in eastern India is few, and reports related to West Bengal are sparse with respect to the dentition status and treatment needs.

AIM

To assess dentition status, treatment needs, and their association with diet and oral hygiene practices among school-going children population of West Bengal.

METHODS

The survey was carried out after obtaining institutional ethics clearance. The state of West Bengal was divided into three zones, and random sampling method was employed to examine students using the WHO questionnaire and achieve the target sample size of based on the formula N = 4pq/L and a sample size of 784 per zone.

RESULTS

Significant Caries Index of 2352 respondents has been found to be 5.57 in this study, and the mean DMFT is 2.34. There was need for one surface filling in 384 (34.3%) children from Zone 1, 360 (32.1%) from Zone 2, and 377 (33.6%) from Zone 3. The need for two surface fillings was observed as 200 (32.4%) children from Zone 1, 223 (36.1%) from Zone 2, and 194 (31.4%) children from Zone 3. The association of brushing versus caries prevalence was not statistically significant ( = 0.0601).

CONCLUSION

Caries prevalence was found to be 53.3% in this study. The difference in caries prevalence across the zones is not statistically significant. Toothbrush and paste twice a day is used mostly as oral hygiene aid.

摘要

引言

《2016年全球疾病负担研究》估计,口腔疾病影响了35.8亿患龋齿的人。在一些高收入国家,严重的牙齿脱落和全口无牙状况被报告为导致残疾生活年数的主要原因之一。不同人群内部和之间都存在口腔健康不足的情况,社会决定因素对口腔健康有很大影响。世界卫生组织(WHO)将口腔健康定义为“没有慢性口腔和面部疼痛、口腔感染和溃疡、牙周疾病、龋齿、牙齿脱落以及其他限制个体咬、咀嚼、微笑、说话和心理社会幸福感能力的疾病和失调”。《2004年国家口腔健康调查报告》指出,印度5岁、12岁和15岁儿童的龋齿患病率分别为51.9%、53.8%和63.1%。印度东部关于龋齿研究的文献很少,与西孟加拉邦有关牙列状况和治疗需求的报告也很稀少。

目的

评估西孟加拉邦学龄儿童人群的牙列状况、治疗需求及其与饮食和口腔卫生习惯的关联。

方法

在获得机构伦理批准后开展该调查。西孟加拉邦被划分为三个区域,采用随机抽样方法,使用WHO问卷对学生进行检查,并根据公式N = 4pq/L确定目标样本量,每个区域的样本量为784。

结果

本研究中2352名受访者的显著龋失补指数为5.57,平均龋失补牙面数(DMFT)为2.34。一区384名(34.3%)儿童、二区360名(32.1%)儿童和三区377名(33.6%)儿童需要进行单面充填。观察到一区200名(32.4%)儿童、二区223名(36.1%)儿童和三区194名(31.4%)儿童需要进行双面充填。刷牙与龋齿患病率之间的关联无统计学意义(P = 0.0601)。

结论

本研究中龋齿患病率为53.3%。各区域之间龋齿患病率的差异无统计学意义。每天使用两次牙刷和牙膏是最常用的口腔卫生辅助方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9f9/11878693/44f74f1d4da0/JCDE-28-168-g001.jpg

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