al-Shalan T A, Erickson P R, Hardie N A
University of Minnesota, School of Dentistry, Department of Preventive Dental Science, USA.
Pediatr Dent. 1997 Jan-Feb;19(1):37-41.
The purpose of this investigation was to determine whether early childhood caries (ECC) is a risk factor for future dental caries. One hundred fifteen dental charts of children younger than 4 years of age when initially treated were reviewed and abstracted for primary incisor caries and age at the initial examination, gender, recall dental visits, sealants, and age at the last dental examination. In addition, the number of carious, extracted, and restored teeth (cert/CERT: primary/secondary) at the last examination was determined. Children with ECC at their initial examination (N = 58) had a 93.0% cert rate, a 67.2% CERT rate and a 60.3% CERT in first molars rate by their last dental examination. Non-ECC children at their initial examination (n = 57) had less than half the rate of each cert/CERT parameter (43.9%, 22.8%, and 26.3%, respectively) at their last dental visit. The odds ratios for each cert/CERT parameter posed by ECC status were 17.3 for cert, 7.0 for CERT, and 4.3 for CERT in first molars. When these odds were adjusted for other study parameters by a forward step-wise logistic regression analysis, ECC status continued to be a risk factor for each cert/CERT parameter. We conclude that 1) early childhood caries is a risk factor for future caries, 2) increased age is a risk factor for CERT, and 3) recalls and sealants are protective factors.
本调查的目的是确定幼儿龋齿（ECC）是否为未来患龋齿的风险因素。对115份4岁以下儿童初次就诊时的牙科病历进行了回顾，并提取了有关乳切牙龋齿情况、初次检查时的年龄、性别、复诊次数、窝沟封闭情况以及最后一次牙科检查时的年龄等信息。此外，还确定了最后一次检查时龋齿、拔牙和补牙的牙齿数量（cert/CERT：乳牙/恒牙）。初次检查时患有ECC的儿童（N = 58）在最后一次牙科检查时，龋齿率为93.0%，恒牙龋补率为67.2%，第一恒磨牙龋补率为60.3%。初次检查时未患ECC的儿童（n = 57）在最后一次就诊时，每个cert/CERT参数的发生率均不到前者的一半（分别为43.9%、22.8%和26.3%）。ECC状态对每个cert/CERT参数的比值比，龋齿率为17.3，恒牙龋补率为7.0，第一恒磨牙龋补率为4.3。当通过向前逐步逻辑回归分析对其他研究参数进行校正后，ECC状态仍然是每个cert/CERT参数的风险因素。我们得出以下结论：1）幼儿龋齿是未来患龋齿的风险因素；2）年龄增长是恒牙龋补的风险因素；3）复诊和窝沟封闭是保护因素。
