Carvalho J C, Declerck D, Vinckier F
Department of Conservative Dentistry, Paediatric Dentistry and Prevention, Leuven, Belgium.
Clin Oral Investig. 1998 Mar;2(1):26-30. doi: 10.1007/s007840050039.
The aim of this study was to determine the need for oral health care in young Belgian children in the municipality of Leuven, Belgium. The sample consisted of 750 boys and girls (3 years = 200, 4 years = 200 and 5 years = 350). Clinical examination was carried out by one examiner and duplicate recordings were made on 10% of the sample. The clinical examination included recording of: (1) plaque index; (2) gingival index; (3) caries index; and (4) fluorosis index. Plaque and gingival indices were recorded at six sites of smooth surfaces on selected teeth. Occlusal plaque was also registered. Before the clinical examination for caries and fluorosis, the children had their teeth professionally cleaned with toothbrushes and dental floss and dried by means of gauze bandages. In all age groups, the percentage of plaque-free sites was of the order of 60% and sound gingiva was identified at 83% of the recorded sites. The percentages of caries-free children were 69% (3 years), 57% (4 years) and 52% (5 years). The mean deft scores (standard error) were 1.37 (+/- 0.21), 1.76 (+/- 0.21) and 2.03 (+/- 0.17). The corresponding mean defs scores were 2.04 (+/- 0.44), 2.46 (+/- 0.35) and 3.75 (+/- 0.42). Non-cavitated active lesions, included in the defs scores, represented about 50% of all caries lesions. Early signs of dental fluorosis were identified in 19% (3 years), 17% (4 years) and 9% (5 years) of children. The need for oral health care in the population studied is mainly related to non-operative treatment procedures aimed at controlling the progression of disease.
本研究的目的是确定比利时鲁汶市年幼比利时儿童的口腔保健需求。样本包括750名男孩和女孩（3岁 = 200名，4岁 = 200名，5岁 = 350名）。由一名检查者进行临床检查，并对10%的样本进行重复记录。临床检查包括记录：（1）菌斑指数；（2）牙龈指数；（3）龋病指数；以及（4）氟牙症指数。在选定牙齿的光滑表面的六个部位记录菌斑和牙龈指数。咬合面菌斑也进行记录。在进行龋病和氟牙症临床检查之前，用牙刷和牙线对儿童牙齿进行专业清洁，并用纱布绷带擦干。在所有年龄组中，无菌斑部位的百分比约为60%，在83%的记录部位发现牙龈健康。无龋儿童的百分比分别为69%（3岁）、57%（4岁）和52%（5岁）。平均乳牙龋失补牙面数（标准误）分别为1.37（±0.21）、1.76（±0.21）和2.03（±0.17）。相应的平均乳牙龋补牙面数分别为2.04（±0.44）、2.46（±0.35）和3.75（±0.42）。乳牙龋补牙面数中包含的非龋性活动性病变约占所有龋病病变的50%。在19%（3岁）、17%（4岁）和9%（5岁）的儿童中发现了氟牙症的早期迹象。所研究人群的口腔保健需求主要与旨在控制疾病进展的非手术治疗程序有关。
