Pitts N B, Evans D J
Dental Health Services Research Unit, University of Dundee, UK.
Community Dent Health. 1997 Mar;14(1):47-52.
This paper reports the results of standardised clinical caries examinations of 172,659 five-year-old children from across the United Kingdom. These 1995/96 coordinated surveys are the latest in a series which seek to monitor the dental health of children and to assess the delivery of dental services. The criteria and conventions of the British Association for the Study of Community Dentistry were used. Representative samples were drawn from participating Health Authorities and Boards and caries was diagnosed at the caries into dentine (d3) threshold using a visual method without radiography or fibre-optic transillumination. The results demonstrated once again a wide variation in prevalence across the United Kingdom, with mean values for d3 mft for the current English regions (of the National Health Service) and the other UK territories ranging from 1.08 in the West Midlands to 3.04 in Northern Ireland. The mean value for d3mft across the United Kingdom was 1.84 (d3t = 1.32, mt = 0.30, ft = 0.22). Overall, 44 per cent of children had evidence of caries experience at the dentinal level of detection (d3mft > 0), although the means ranged between 33 per cent (West Midlands) and 63 per cent (Northern Ireland). Trends over time demonstrate a modest improvement of 6.7 per cent in overall d3mft for Great Britain since 1993/94, compared with the modest deterioration seen two years previously. Over recent years the overall trend in this age group seems to be flat, with evidence that there are minor deviations above and below a plateau value. However, there have been some changes. Both dt and the proportion with d > 0 have increased while ft and care index have fallen. The number of fillings provided in 1995/96, and thus the care index, remain low (UK mean care index = 12 per cent, regional/country means range from 8-20 per cent). These findings demonstrate the continuing need for more effective preventive and treatment services for this important age group.
本文报告了对全英国172,659名五岁儿童进行标准化临床龋齿检查的结果。这些1995/96年的协调调查是旨在监测儿童牙齿健康并评估牙科服务提供情况的一系列调查中的最新一次。采用了英国社区牙科研究协会的标准和惯例。从参与调查的卫生当局和委员会中抽取代表性样本，使用视觉方法在龋齿侵入牙本质（d3）阈值处诊断龋齿，无需进行X光检查或光纤透照。结果再次表明，全英国的患病率差异很大，目前（国民保健服务体系）英国各地区以及其他英国地区的d3 mft平均值，从西米德兰兹郡的1.08到北爱尔兰的3.04不等。全英国d3mft的平均值为1.84（d3t = 1.32，mt = 0.30，ft = 0.22）。总体而言，44%的儿童在检测到牙本质水平时有龋齿经历（d3mft > 0），尽管平均值在33%（西米德兰兹郡）至63%（北爱尔兰）之间。随着时间的推移，自1993/94年以来，英国总体d3mft有6.7%的适度改善，而两年前则有适度恶化。近年来，这个年龄组的总体趋势似乎持平，有证据表明在一个平稳值上下有微小偏差。然而，也有一些变化。dt和d > 0的比例都有所增加，而ft和护理指数则有所下降。1995/96年提供的补牙数量以及护理指数仍然很低（英国平均护理指数 = 12%，地区/国家平均值在8 - 20%之间）。这些发现表明，对于这个重要年龄组，持续需要更有效的预防和治疗服务。
