云南省安宁市12岁人群恒牙龋病调查及其影响因素  

Investigation of Permanent Dental Caries in 12-year-old Population in Anning City,Yunnan Province and Analysis of Influencing Factors

作　　者：徐敏 蔡磊 谢丽花 张玉顺 王建红[1] XU Min;CAI Lei;XIE Li-hua;ZHANG Yu-shun;WANG Jian-hong(Dept of Stomatology,Anning People's Hospital,Anning Yunnan 650300,China)

机构地区：[1]安宁市人民医院口腔科,云南安宁650300

出　　处：《昆明医科大学学报》2020年第5期130-135,共6页Journal of Kunming Medical University

基　　金：昆明市卫计委医药卫生科技计划基金资助项目(20180805001)。

摘　　要：目的调查2018年安宁市12岁人群恒牙龋病现状并分析影响因素,为防治提供信息支持。方法多阶段分层随机抽取2232人,男女、城乡各半,检查全口恒牙冠龋,计算龋均等并分发调查问卷。结果患龋率57.08%,龋均1.56,女性患龋率、龋均、缺失率高于男性,充填率及第一磨牙窝沟封闭率(FS)性别间无差异(P>0.05);农业及乡镇儿童患龋率、龋均、缺失率高于非农及城市儿童,非农及城市儿童FS、充填率高于农业及乡镇儿童(P<0.05)。性别、地区、睡前吃甜食是患龋的危险因素(P<0.05),而刷牙次数、刷牙时间、涂氟治疗、窝沟封闭、预防性充填、学校口腔宣教及正确刷牙方式为是保护因素(P<0.05)。结论安宁市龋病流行水平高,患龋率高于全国,充填率及第一磨牙窝沟封闭率偏低,睡前吃甜食等不良行为是危险因素。Objective To explore the caries status of permanent teeth and analyze the influencing factors in children aged 12 in Anning of Yunnan Province in 2018,to provide information support for the prevention and treatment of caries.Methods A multi-stage stratified random sampling was conducted to select 2,232 permanent residents aged 12,half male and half female,half urban and half rural.Wd checked crown caries of permanent teeth in the whole mouth.Then the caries rate,the mean DMFT(Decayed-missing-filled tooth),the filled rate were caleulated.And distributed questionnaires.Results The caries rate of crown was 57.08%,The mean DMFT was1.56,The caries rates,the mean DMFT,miss rate of decayed in females were higher than in males(P<0.05),and there was no significant difference in the filling rate,the pit and fissure sealant rate of first molar(FS)between males and females(P>0.05);The caries rate,the mean DMFT,miss rate of decayed in agricultural household and towns were higher than in non-agricultural household and cities(P<0.05),and the FS,the fill rate in non-agricultural household and cities register was higher than in agricultural household and towns register(P<0.05);Logistic regression indicated that gender,region,and eating sweets before bedtime were risk factors for dental caries(P<0.05),while brushing frequency,brushing time,fluoride treatment,fossa closure,preventive backfilling,oral education in school and correct brushing method were protective factors(P<0.05).Conclusion The prevalence level of permanent dental caries in Anning is high,dental caries rate is higher than that of the whole country,the filling rate and the closure rate of the first molars are low,and the bad behaviors such as eating sweets before sleep are the risk factors.

关 键 词：恒牙 龋齿 口腔流行病学 横断面研究 

分 类 号：R781.1[医药卫生—口腔医学]