Pitts N B, Evans D J, Nugent Z J
Dental Health Services Research Unit, University of Dundee, UK.
Community Dent Health. 1998 Mar;15(1):49-54.
This paper reports the results of standardised clinical caries examinations of 129,941 twelve-year-old children from across the United Kingdom and the Isle of Man. These 1996/97 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.
These demonstrated once again a wide variation in prevalence across the United Kingdom, with mean values for D3MFT for the current English 'regions' (of the National Health Service) and the other UK 'territories' ranging from 0.66 in Thames South to 2.55 in Northern Ireland. The mean value for D3MFT across the United Kingdom was 1.13 (D3T = 0.48, MT = 0.10, FT = 0.54). Overall, 44% of children had evidence of caries experience at the dentinal level of detection (D3MFT > 0), although the means ranged between 31% (Thames South) and 72% (Northern Ireland). The mean D3MFT for those with disease at this threshold was 2.55. Trends over time demonstrate an improvement of 15% in overall D3MFT for Great Britain since 1992/93, compared to the 20% seen over the previous four year period. Over recent years the overall trend in this age group seems to be towards lower values. However, there has been no improvement in either mean DT or mean MT since 1992/93, while FT and care index have fallen. The number of fillings provided in 1996/97 and thus the care index, remain low, on average across the UK, only 48% of the dentinal caries experience identified by survey examinations of permanent teeth was seen as fillings (range in individual districts and boards: 27 to 76).
Taken together, these findings demonstrate the continuing need for more effective preventive strategies and treatment services for this important age group.
本文报告了对来自英国和马恩岛的129,941名12岁儿童进行标准化临床龋齿检查的结果。这些1996/97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。
采用英国社区牙科研究协会的标准和惯例。从参与的卫生当局和委员会中抽取代表性样本，使用视觉方法在不进行X射线摄影或光纤透照的情况下，在龋齿侵入牙本质（D3）阈值处诊断龋齿。
这些结果再次表明，英国各地的患病率差异很大，当前英国国民健康服务体系中各“地区”以及其他英国“地区”的D3MFT平均值，从泰晤士河南部的0.66到北爱尔兰的2.55不等。英国的D3MFT平均值为1.13（D3T = 0.48，MT = 0.10，FT = 0.54）。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31%（泰晤士河南部）至72%（北爱尔兰）之间。在此阈值下患有疾病的儿童的平均D3MFT为2.55。随着时间的推移，自1992/93年以来，英国总体D3MFT改善了15%，而前四年期间为20%。近年来，这个年龄组的总体趋势似乎是朝着更低的值发展。然而，自1992/93年以来，平均DT或平均MT均未改善，而FT和护理指数有所下降。1996/97年提供的补牙数量以及护理指数仍然很低，在英国平均而言。在恒牙调查检查中发现的牙本质龋齿经历中，只有48%被视为补牙（个别地区和委员会的范围为：27%至76%）。
综上所述，这些发现表明，对于这个重要年龄组，仍然持续需要更有效的预防策略和治疗服务。
