基于风险评估的母子联合分级管理对婴幼儿龋的预防效果评价  

Evaluation on the preventive effect of mother-child joint grading management based on risk assessment of dental caries on early childhood caries

作　　者：康正强 王家奎 邓溪川 王春利 赵世俊 KANG Zheng-qiang;WANG Jia-kui;DENG Xi-chuan;WANG Chun-li;ZHAO Shi-jun(Department of Stomatology,Cangzhou People’s Hospital,Cangzhou 610000,China;不详)

机构地区：[1]沧州市人民医院口腔科,河北沧州610000 [2]沧州市人民医院新生儿科,河北沧州610000

出　　处：《牙体牙髓牙周病学杂志》2024年第5期267-272,共6页Chinese Journal of Conservative Dentistry

基　　金：沧州市重点研发计划自筹项目(222106043)。

摘　　要：目的:探讨基于风险评估对高患龋风险母子实施联合分级预防管理模式对婴幼儿患龋情况的影响。方法:选择足月、体重达标的健康新生儿母子,通过问卷调查、口腔检查、龋活性检测等,筛选高患龋风险者纳入实验。实验组按患龋风险等级依照《婴幼儿龋防治指南》进行母子口腔健康管理,对照组定期复查。于幼儿12、24个月进行亲子口腔检查及Cariostat龋活性检测。通过患龋风险、患龋率、Cariostat值、龋均等评价0~2岁婴幼儿龋预测预防阻断效果。结果:12个月实验组幼儿龋均和新发龋牙数均低于对照组(P<0.05),患龋率和新发龋人数与对照组无统计学差异(P﹥0.05)。24个月实验组幼儿患龋率、龋均、新发龋人数和牙数均显著低于对照组(P<0.05)。结论:基于风险评估对高患龋风险母子进行联合分级管理,可以显著降低婴幼儿龋的患龋率和严重程度,应推广应用。AIM:To explore the preventive effect of caries risk prediction combined with graded prevention and management of high caries risk mothers and children on early childhood caries(ECC).METHODS:Newborn with of high risk and their mothers selected and included in the experiment from populations who are full-moon and meet standard weight through questionnaire survey,oral examination,caries activity test,etc.The experimental group was carried out on the oral health management of mothers and children according to the’Guidelines for the Prevention and Treatment of Infant Caries’based on according to the Cariostat value corresponding to the risk level of caries.The control group was regularly reviewed.Mother and child oral examinations and Cariostat caries activity tests were performed regularly at 12and 24 months of age.The effect of caries prediction and prevention in infants aged 0~2 years was evaluated by risk level of caries,caries prevalence rate,Cariostat value and dmft in the experimental group and the control group.RESULTS:The average number of caries and newly developed caries in the experimental group of children in 12 months were lower than those in the control group(P<0.05).There was no statistically significant difference(P>0.05)in the caries prevalence rate and caries incidence rate between children in the experimental and the control group in 12 months.The caries prevalence rate,dmft,number of people,and teeth with newly developed caries in the experimental group at 24 months were significantly lower than those in the control group(P<0.05).CONCLUSION:Based on risk assessment,joint grading management of high-risk mothers and children for dental caries can significantly reduce the incidence and severity of dental caries in infants and young children,which is worth of promotion and application.

关 键 词：婴幼儿龋 患龋风险评估 Cariostat检测 母子联合预防阻断 患龋率 

分 类 号：R781.05[医药卫生—口腔医学]