海口地区3~5岁儿童乳牙龋病调查及影响因素分析  

Investigation and influencing factors of deciduous tooth caries among 3~5 years old children in Haikou

作　　者：冯达兴 吴文智 陈垂壮 FENG Daxing;WU Wenzhi;CHEN Chuizhuang(Department of Stomatology,the Second Affiliated Hospital of Hainan Medical College,Haikou 570203)

机构地区：[1]海南医学院第二附属医院口腔科,海口570203

出　　处：《现代口腔医学杂志》2024年第6期438-441,共4页Journal of Modern Stomatology

摘　　要：目的调查分析海口地区3~5岁儿童乳牙龋病现状及其影响因素,为学龄前儿童口腔保健工作提供流行病学依据。方法采用分层整群抽样的方法,于2023年2月至3月选取海口地区1680名3~5岁儿童进行龋病检查,并对家长进行口腔健康问卷调查。计算分析患龋率、龋均、龋补充填比,应用logistic回归分析儿童乳牙患龋的影响因素。结果海口地区3~5岁儿童乳牙患龋率64.46%,龋均3.71,患龋率呈现乡镇高于城区,且随年龄增长而上升,差异有统计学意义(P<0.05)。海口地区3~5岁儿童乳牙龋补充填比10.77%,龋补充填比呈现城区高于乡镇,年龄越大龋补充填比越高,差异有统计学意义(P<0.05)。logistic回归分析显示年龄5岁,居住乡镇,每日进食甜食≥1次,每日进食饮料≥1次,经常或每晚睡前进食是3~5岁儿童乳牙患龋的危险因素,每日使用含氟牙膏,3岁前开始刷牙,每日刷牙次数≥2次,父母口腔知识评分5~8分是3~5岁儿童乳牙患龋的的保护性因素。结论海口地区3~5岁儿童乳牙患龋情况较严重,充填率低,应重点针对高危儿童进行龋病防治,提高学龄前儿童口腔健康水平。Objective To investigate the epidemiology and associated factors of deciduous tooth caries among 3-5 years old children in Haikou,and to provide epidemiological reference for oral health care in preschool children.Methods A total of 1680 children aged 3~5 years in Haikou were selected by the methods of clustered sampling survey from February to March 2023.Examination of caries were performed on children and their parents were surveyed with questionnaire regarding oral health behavior.The caries rate,average decayed-missingfilled tooth(dmft)and filling rate of caries were calculated and analyzed.The influencing factors of deciduous tooth caries in children were analyzed by Logistic regression.Results The deciduous tooth caries rate in children aged 3~5 years was 64.46%,the average dmft was 3.71.The caries rate was higher in towns children was higher than that in urban areas children,and increased with age,the difference was statistically significant(P<0.05).The filling rate among 3~5 years old children in Haikou was 10.77%.The filling rate in urban areas children was higher than that in towns children,and increased with age,the difference was statistically significant(P<0.05).The multivariate Logistic analysis showed that 5 year old,town residence,daily consumption of sweets or sugary drinks(≥1 time),eat every night before bed were risk factors for children aged 3~5 years suffering from deciduous tooth caries,while using fluoride toothpaste daily,start brushing teeth before 3 years old,daily brushing times≥2 times,parents oral knowledge were protective factors.Conclusion The prevalence of deciduous tooth caries among 3~5 years old children in Haikou is relatively high,and the filling rate of caries is lower.The prevention and treatment of deciduous tooth caries should be carried out in high risk children,in order to improve the oral health level of preschool children.

关 键 词：乳牙龋病 口腔流行病学 学龄前儿童 影响因素 

分 类 号：R781.1[医药卫生—口腔医学]