龋活跃性与年轻人龋病严重程度之间关系的研究  

Analysis of relationship between caries activity and caries severity in young adults

作　　者：董伯娟 肖墨 苗晖 吴菲 周洁 吴丽更[2] DONG Bo-juan;XIAO Mo;MIAO Hui;WU Fei;ZHOU Jie;WU Li-geng(Department of Stomatology,Wuqing District People′s Hospital,Tianjin 301700,China;Department of Endodontics,Hospital of Stomatology,Tianjin Medical University,Tianjin 300070,China;Department of Endodontics,Fushan Branch,Yantai Stomatology Hospital,Yantai 100191,China)

机构地区：[1]武清区人民医院口腔科,天津301700 [2]天津医科大学口腔医院牙体牙髓科,天津300070 [3]烟台市口腔医院福山分院牙体科,烟台100191

出　　处：《天津医科大学学报》2021年第1期70-75,共6页Journal of Tianjin Medical University

基　　金：武清区科技发展计划项目(WQKJ201963,WQKJJ201728)。

摘　　要：目的:分析年轻人患龋活跃性与龋病严重程度的关系。方法:以354名天津市高等院校研究生为研究对象,男性100名(28.25%),女性254名(71.75%),年龄(23.90±1.32)岁,按国际龋病检查和评估系统(ICDAS)-Ⅱ进行口腔检查和Cariostat龋病活跃性检测。ICDAS-Ⅱ系统为双计分系统(CODE1+CODE2),CODE 2按0~6不同分级标准编码不同的龋病严重程度。根据Cariostat龋病活跃性检测CAT值,分为6组,比较组间及组内龋病严重程度间的差异。结果:354名在校研究生总患龋率为100%,龋均为(16.08±4.05),龋面均为(21.40±6.55)。在相同的CODE2分级情况下,比较6组CAT值的组间差异,CODE2为4(P=0.01)、5(P=0.00)、6(P=0.00)时差异具有统计学意义,其余CODE2分级差异无统计学意义(均P>0.05)。相关性分析显示,CAT值分别与CODE2为3(r=0.123)、4(r=0.178)、5(r=0.253)、6(r=0.133)呈弱正相关(均P<0.05),其余相关性结果均无统计学意义。结论:患龋活跃性与成洞龋的患龋牙面数呈弱正相关,而与早期龋患龋牙面数之间无相关性。Cariostat龋活跃性检测可能在一定程度上反映了年轻人成洞龋的数量,而不能反映早期龋的数量。Objective:To analyze the relationship between the activity of caries and the severity of caries.Methods:A total of 354 graduate students,100 males(28.25%)and 254 females(71.75%),aged(23.90±1.32)years,from Tianjin Colleges and Universities were recruited in the present study,oral examination Cariostat caries activity test were taken according to the international caries disease examination and evaluation system(ICDAS)-Ⅱ.The ICDASⅡsystem was a dual scoring system(CODE1 and CODE2),CODE2 encodes different severity of caries(0-6).According to the CAT value of Cariostat caries activity test,it was divided into 6 groups,the differences between the six groups and the severity of caries in the group were compared.Results:The total caries prevalence rate was 100%among 354 postgraduates,DMFT was 16.08±4.05,DMFS was 21.40±6.55.In the same CODE2 rating,the difference between 6 groups of different CAT values was compared.The differences between CODE2 being 4(P=0.01),5(P=0.00),6(P=0.00)were significant,and the remaining CODE2 rating differences were not statistically significant(all P>0.05).Correlation analysis showed that CAT values was weakly positively correlated with CODE2 for 3(r=0.123),4(r=0.178),5(r=0.253),6(r=0.133)(all P<0.05),the remaining correlation results were not statistically significant.Conclusion:There is a weakly positive correlation between the activity of caries and the number of cavitated tooth,but no correlation between the activity and the number of caries in the early stages.The Cariostat activity test may reflect the number of caries in young people to some extent,but not the number of early caries.

关 键 词：龋病 龋病易感性 年轻人 ICDAS-Ⅱ 

分 类 号：R781.1[医药卫生—口腔医学]