重复局部涂氟预防3岁龋活跃儿童新发龋病的效果评估  被引量:1

Evaluation of the effect of repeated local fluoride application on the prevention of new caries in 3-year-old children with active caries

在线阅读下载全文

作  者:高祯[1] 蔡蔚[1] 张皓 庄建林[1] 钮春瑾[1] GAO Zhen;CAI Wei;ZHANG Hao;ZHUANG Jianlin;NIU Chunjin(Dentistry Office,Changning Center for Disease Control and Prevention,Shanghai 200051,China;Shanghai Stomatological Hospital,Shanghai 200001,China)

机构地区:[1]上海市长宁区疾病预防控制中心牙防科,上海200051 [2]上海市口腔医院,上海200001

出  处:《上海预防医学》2023年第8期825-830,共6页Shanghai Journal of Preventive Medicine

基  金:上海市长宁区卫生和计划生育委员会科研课题(20194Y021)。

摘  要:【目的】评估3岁龋活跃儿童不同涂氟频率的防龋效果。【方法】将上海市长宁区12所幼儿园337名3岁患龋儿童分为涂氟1组(每3个月涂氟1次)、涂氟2组(每6个月涂氟1次)、不涂氟对照组(不涂氟)。入组时家长完成1次问卷调查,并于基线和涂氟干预7、16个月时进行3次口腔检查,评估儿童的新发龋率、新增龋均(dmft)、新增龋面均(dmfs)。采用多因素logistic回归分析,以是否有新发龋病为因变量,局部用氟、儿童性别、月龄、父母最高学历、含糖食物(甜点心、糖果、甜饮料)摄入频率、开始刷牙时间(岁)、每日刷牙次数、是否使用含氟牙膏、家长是否帮助幼儿刷牙、是否每日使用儿童牙线为自变量,采用多因素logistic回归分析涂氟与新发龋病的关系。【结果】涂氟1组(121例)、涂氟2组(123例)、不涂氟对照组(93例)的基线一般情况和口腔健康行为比较,差异无统计学意义(均P>0.05)。3名儿童因转学失访,干预16个月时,涂氟1组(120例)、涂氟2组(121例)、不涂氟对照组(93例)的新发龋率分别为5.83%、24.79%、52.69%,涂氟1组<涂氟2组和不涂氟对照组,涂氟2组<不涂氟对照组(均P<0.001);涂氟1组新增dmft<涂氟2组(P=0.040)和不涂氟对照组(P<0.001),涂氟2组新增dmft<不涂氟对照组(P<0.001)。多因素logistic回归调整性别、家长教育程度、儿童口腔健康行为等因素后,结果显示每3个月涂氟1次可显著降低龋病风险(OR=0.04,P<0.001)。【结论】局部用氟对患龋儿童的龋病防治有一定的效果,每3个月1次的涂氟频率能有效降低患龋儿童的新发龋率,减缓龋损的进展,建议对患龋儿童开展每3个月1次的局部用氟。[Objective] To evaluate the caries prevention effect of different fluoride application frequencies in 3-year-old children with active caries.[Methods] A total of 337 3-year-old children with dental caries from 12 kindergartens in Changning District of Shanghai were divided into three groups:group 1 received fluoride application once every three months,group 2 received fluoride application once every six months,and the control group received no fluoride application.At baseline,parents completed a questionnaire survey,and oral examinations were conducted at baseline,7 months,and 16 months after the fluoride intervention to assess the incidence of new dental caries,new dmft,and new dmfs of children.Multivariate logistic regression analysis was used to analyze the relationship between fluoride application and new dental caries,with new dental caries as the dependent variable and local fluoride application,child's gender,age in months,parents' highest education level,frequency of sugary intake(desserts,candies,sweet beverages),age of toothbrushing initiation,frequency of daily toothbrushing,use of fluoride toothpaste,parental assistance in child's toothbrushing,and daily use of dental floss as the independent variables.[Results] There were no significant differences in baseline general conditions and oral health behaviors among group 1(121 cases),group 2(123 cases) and the control group(93 cases)(all P<0.05).After 16 months' intervention,three children were lost to follow-up due to transferring schools.The new caries rates of group 1(120 cases),group 2(121 cases) and the control group(93 cases) were 5.83%,24.79%and 52.69%,respectively.The incidence of new caries was significantly lower in group 1 compared to group 2 and the control group(P<0.001),and it was also significantly lower in group 2 compared to the control group(P<0.001).The newly-increased caries of group 1,group 2and the non-fluoride control group were all 0.12 0.52,0.36 0.68 and 1.16 1.39,respectively.The mean increment of new caries was lower in group 1

关 键 词:龋活跃儿童 涂氟频率 龋病发病率 新增龋均 新增龋面均 

分 类 号:R179[医药卫生—妇幼卫生保健]

 

参考文献:

正在载入数据...

 

二级参考文献:

正在载入数据...

 

耦合文献:

正在载入数据...

 

引证文献:

正在载入数据...

 

二级引证文献:

正在载入数据...

 

同被引文献:

正在载入数据...

 

相关期刊文献:

正在载入数据...

相关的主题
相关的作者对象
相关的机构对象