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瑞典哥德堡的青少年龋病极端病例群体,脱离了有组织的牙科护理。

Caries extreme groups among adolescents, leaving organised dental care in Göteborg, Sweden.

作者信息

Swedberg Y, Fredén H, Norén J G

机构信息

Department of Pedodontics, Faculty of Odontology, Göteborg, Sweden.

出版信息

Swed Dent J. 1997;21(6):221-6.

PMID:9505334
Abstract

The aim was--in a longitudinal respect--to study whether 15-year-old children, in caries-free groups, and groups with high frequency of carious lesions, had a stable caries development from 15 to 19 years of age, when they left the organised Public Dental Care. Caries index values were analysed for the period 1986/7-1990/1 for patients born 1971-72 and residing in Göteborg. The groups of caries-free children seemed to be stable in their dental health in about 60-70% according to the prevalence indices used; and about 80% according to the incidence index DS-a. The caries prevalence index mean values of the 15-year-old patient groups with high frequencies of lesions showed between 1.5 to 3.5 percentile units higher mean values when the individuals were 19 years of age. However, the corresponding caries incidence index values were as low as half the size, indicating a possible treatment effect of the caries prevention programme used. Related to the DFS-a index, the 20% groups with the highest caries index values were registered for about 80% of all approximal lesions, of special interest for dental care costs.

摘要

目的是——从纵向角度——研究15岁时无龋组和龋损高发组的儿童,在15至19岁离开有组织的公共牙科保健体系时,龋病发展是否稳定。对1971 - 1972年出生且居住在哥德堡的患者,分析了1986/7 - 1990/1期间的龋病指数值。根据所使用的患病率指数,无龋儿童组中约60 - 70%的儿童牙齿健康状况似乎稳定;根据发病率指数DS - a,这一比例约为80%。15岁时龋损高发患者组的龋病患病率指数平均值在这些个体19岁时比之前高出1.5至3.5个百分点。然而,相应的龋病发病率指数值低至之前的一半,这表明所采用的龋病预防计划可能有治疗效果。与DFS - a指数相关,龋病指数值最高的20%的组记录了所有邻面龋损的约80%,这对牙科保健成本特别重要。

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