儿童继发龋的危险因素及防治策略分析  

Risk factors and prevention strategies of secondary caries in children

作　　者：韩峰 朱凤节 高黎[1] Han Feng;Zhu Fengjie;Gao Li(Dept.of Pediatric Dentistry,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Dept.of Orthodontics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院儿童口腔科,郑州450052 [2]郑州大学第一附属医院正畸科,郑州450052

出　　处：《国际口腔医学杂志》2025年第1期76-81,共6页International Journal of Stomatology

摘　　要：目的探讨儿童继发龋的危险因素及防治策略。方法收集在郑州大学第一附属医院治疗龋齿1年后复查的患儿120例,根据有无继发龋将其分为继发组(n=25)与未继发组(n=95),比较2组患儿的一般资料、初诊资料及口腔行为学资料,并采用Logistic回归分析龋齿患儿出现继发龋的影响因素。结果未继发组患儿在年龄、父母文化水平、家庭收入、填充材料、刷牙次数、父母帮助刷牙、饭后漱口情况、甜食进食次数、定期复查口腔情况、含氟牙膏使用方面与继发组患儿比较,差异均具有统计学意义(P<0.05);多因素Logistic回归分析显示,父母文化水平、父母指导刷牙、饭后漱口、刷牙次数、甜食摄入次数、含氟牙膏使用情况及填充材料是影响患儿发生继发龋的独立危险因素(P<0.05)。结论儿童继发龋的危险因素较多,加强口腔保健知识宣教、培养儿童良好口腔卫生习惯,是降低儿童继发龋的重要措施。Objective This study aimed to explore the risk factors and prevention strategies of secondary caries in chil‐dren.Methods A total of 120 children with dental caries who were re-examined 1 year after treatment in the First Affilia-ted Hospital of Zhengzhou University were divided into the secondary group(n=25)and non-secondary group(n=95).The general data,initial diagnosis data,and oral behavior data of the two groups were collected and compared.The risk factors of secondary caries in children with dental caries were analyzed by using logistic regression.Results Significant differences in age,parental education level,family income,filling materials,brushing frequency,parental help to brush teeth,mouthwash after meals,sweets intake times,regular oral review,and use of fluoride toothpaste were found between the secondary caries group and non-secondary caries group(P<0.05).Multivariate Logistic regression analysis showed that the educational level of parents,parental help to brush teeth,mouthwash after meals,brushing frequency,sweets in‐take times,use of fluoride toothpaste,and filling materials were independent risk factors for secondary caries in children(P<0.05).Conclusion Secondary caries in children have many risk factors.Thus,reducing secondary caries in children is important to strengthen oral health education and develop good oral health habits.

关 键 词：继发龋 儿童 危险因素 防治策略 

分 类 号：R788[医药卫生—口腔医学]