Kleinman D V, Swango P A, Pindborg J J
National Institute of Dental Research, National Institutes of Health, Bethesda, Maryland.
Community Dent Oral Epidemiol. 1994 Aug;22(4):243-53. doi: 10.1111/j.1600-0528.1994.tb01815.x.
Oral mucosal lesion findings from a national multistage probability oral health survey of United States schoolchildren in kindergarten through grade 12 are reported. In the 1986-87 school year 39,206 children aged 5-17 yr were examined by 14 dentists trained in standardized clinical diagnostic criteria for dental caries, periodontal conditions and oral mucosal lesions. In addition all children were asked whether or not they ever had "cold sores," "fever blisters," or "canker sores", and adolescents (grades 6-12) were questioned about their history of tobacco use. About 4% of the children had one or more oral mucosal lesions present at the time of the examination, while 33 and 37% reported a history of recurrent herpes labialis and recurrent aphthous ulcers, respectively. The most prevalent lesions clinically observed were recurrent aphthous ulcers (1.23%), recurrent herpes labialis (0.78), smokeless tobacco lesions (0.71), and geographic tongue (0.60). Differences in prevalence were analyzed by age, sex, race, metropolitan area, and geographic region. Almost 10% of 12-17-yr-olds reported current use of some type of tobacco product. In adolescents the current use of tobacco products had a marked effect on the prevalence of oral lesions.
本文报告了一项针对美国幼儿园至12年级学童的全国多阶段概率口腔健康调查中的口腔黏膜病变调查结果。在1986 - 1987学年，14名接受过龋齿、牙周状况和口腔黏膜病变标准化临床诊断标准培训的牙医对39206名5 - 17岁的儿童进行了检查。此外，所有儿童都被问及是否曾患过“唇疱疹”、“发热性水疱”或“口腔溃疡”，6至12年级的青少年还被询问了他们的烟草使用史。约4%的儿童在检查时有一处或多处口腔黏膜病变，而分别有33%和37%的儿童报告有复发性唇疱疹和复发性阿弗他溃疡病史。临床上观察到的最常见病变为复发性阿弗他溃疡（1.23%）、复发性唇疱疹（0.78%）、无烟烟草所致病变（0.71%）和地图舌（0.60%）。按年龄、性别、种族、大都市区和地理区域分析了患病率差异。近10%的12至17岁青少年报告目前正在使用某种烟草产品。在青少年中，目前使用烟草产品对口腔病变的患病率有显著影响。
