榆林贫困地区儿童患龋率及对牙颌面畸形发生的影响  

Caries Rate of Children in Poor Area of Yulin and Its Effect on Dental Maxillofacial Deformities

作　　者：李婷 孙颖 LI Ting;SUN Ying(Department of Stomatology,Yulin First Hospital,Yulin 719000,Shaanxi,China)

机构地区：[1]榆林市第一医院口腔科,陕西榆林719000

出　　处：《中国美容医学》2021年第1期132-136,共5页Chinese Journal of Aesthetic Medicine

基　　金：陕西省社会发展科技攻关项目(编号:2017SF-074)。

摘　　要：目的:调查榆林贫困地区儿童龋病发生情况,分析儿童龋病对牙颌面畸形的影响。方法:随机抽样法抽取榆林贫困地区4115名6~12岁儿童,调查患龋和牙颌面畸形发生情况,分析龋病与牙颌面畸形的相关性。结果:榆林贫困地区儿童龋病患病率为52.61%,6~8岁组、9~11岁组,12岁组患龋率分别为58.88%、65.94%、40.49%,充填率分别为9.18%、5.34%、5.22%。留守儿童患龋率、龋均、龋失补指数(Decayed,missing and filled teeth,DMFT)及龋病活跃性检测(Caries activity test,CAT)高于非留守儿童(P<0.05),充填率低于非留守儿童(P<0.05)。牙颌面畸形检出率71.96%,单因素分析结果显示:年龄、出生体重、难产、喂养方式、断奶时间、不良口腔习惯、慢性支气管肺病史、龋病、龋齿填充、龋均、DMFT、CAT与榆林贫困地区儿童牙颌面畸形有关(P<0.05)。Logistic回归分析结果显示不良口腔习惯、龋病、DMFT与榆林贫困地区儿童发生牙颌面畸形独立相关(P<0.05)。结论:榆林贫困地区6~12岁儿童龋病发生率较高,且随着年龄增长患病风险逐渐增高。龋病、因龋牙齿丢失是发生牙颌面畸形的主要原因之一。Objective To investigate the prevalence of dental caries in children in Yu Lin poverty-stricken areas and analyze the effect of dental caries on dentofacial deformities.Methods The prevalence of dental caries and dentofacial deformities in 4115 children aged 6 to 12 years in Yu Lin poverty-stricken areas were investigated by random sampling,and the correlation between dental caries and dentofacial deformities was analyzed.Results The prevalence of dental caries among children in Yu Lin poverty-stricken areas was 52.61%.The caries rates of 6-8 years old group and 9-11 years old group were 58.88%、65.94%and 40.49%respectively,and the filling rates were 9.18%、5.34%and 5.22%respectively.The caries rate,caries average,DMFT and CAT of the left behind children were higher than those of the non left behind children(P<0.05),and the filling rate was lower than that of the non left behind children(P<0.05).The detection rate of dentofacial deformities was71.96%.Univariate analysis showed that age,birth weight,dystocia,feeding patterns,weaning time,bad oral habits,history of chronic bronchopulmonary disease,caries,caries filling,caries average,DMFT and CAT were associated with dentofacial deformities in children in Yu lin poverty-stricken areas(P<0.05).Logistic regression analysis showed that bad dental habits,dental caries and DMFT were independently associated with dentofacial deformities in children in Yulin poverty-stricken areas(P<0.05).Conclusion The incidence of dental caries in children aged 6-12 years in Yulin poverty-stricken areas is higher,and the risk is increasing with age.Dental caries and loss of dental caries are the main causes of dentofacial deformities.

关 键 词：龋病 充填率 龋均 龋失补指数 龋病活跃性检测 牙颌面畸形 

分 类 号：R788.1[医药卫生—口腔医学]