122名高性能战斗机飞行员患龋状况调查  

Surveys on dental caries status in 122 high performance fighter pilots

作　　者：陈琳[1] 吕晶[1] 臧晓霞[1] 李冬霞[1] 柯杰[1] 王建昌[1] 

机构地区：[1]空军总医院口腔科,北京100142

出　　处：《中华航空航天医学杂志》2013年第2期95-98,封2,共5页Chinese Journal of Aerospace Medicine

基　　金：军队后勤科研项目，全军后勤科技'十二五'重大项目，中国博士后科学基金面上项目

摘　　要：目的 调查高性能战斗机飞行员患龋状况,为飞行员口腔健康保健提出建议. 方法 通过口腔和全口曲面断层片检查对122名高性能战斗机飞行员(男性103名,女性19名)的患龋牙数、龋损程度、根尖周病变情况和接受治疗情况进行分析.其龋损程度分为龋损未达髓腔和龋损已达髓腔两类,对龋损已达髓腔牙齿的根管治疗情况进行分析. 结果 122名高性能战斗机飞行员患龋率为41.0％,其中男性为35.0％,女性为73.7％,男女性别之间有统计学差异(x2＝9.950,P＜0.01)；根尖周病变率为9.0％,其中男性为7.8％,女性为15.8％,男女性别之间无统计学差异；共检出患龋牙数为155颗(94.2％已做充填治疗),其中63颗龋损已达牙髓腔(54.0％进行了根管充填),17颗患牙有根尖周病变. 结论 高性能战斗机飞行员的口腔健康状况不佳；需进一步完善现行飞行员口腔医学选拔标准,特别是潜在急性炎症的慢性牙病；采取医疗保健措施,提高飞行员口腔卫生保健水平.Objective To investigate the status of dental caries prevalence in high performance fighter pilots,so as to propose suggestions to fighter pilot's oral health care.Methods The status of dental caries and endodontic problems of 103 male and 19 female high performance fighter pilots were investigated by oral examination and panoramic radiographs,including number of dental caries,degree of dental caries,status of periapical diseases and the treatment they had been received.The severity of dental caries was decided by if the dental caries reached dental pulp.The curative effect of root canal therapy (RCT) for the caries reached dental pulp cases was analyzed.Results The dental caries prevalence rate in 122 high performance fighter pilots was 41.0％.It showed significant difference between male and female pilots (x2 =9.950,P＜0.01) in where the prevalence showed 35.0％ and 73.7％ respectively.The rate of periapical lesion was 9.0％ while in male and female pilots was 7.8％ and 15.8％ respectively and showed no significant difference between genders.There were 155 caries teeth found,including 63 teeth's caries reached the dental pulp and 17 dental caries teeth suffered from periapical lesion.Not all but 94.2％ dental caries teeth were treated by filling restoration and only 54.0％ dental pulp reached caries teeth were treated by RCT.Conclusions It is disquieting on the status of oral health in high performance fighter pilots.It is suggested to improve the current medical selection criteria of pilot's oral examination,especially for the chronic dental diseases with the potential hazard of acute inflammation,as well as to enhance the treatment and oral healthcare level for the pilots.

关 键 词：龋齿 牙髓腔 根尖周疾病 口腔卫生 

分 类 号：R856.78[医药卫生—航空、航天与航海医学]