4~5岁儿童乳牙邻面龋发生影响因素的研究  

Analysis of influencing factors of deciduous tooth proximal caries in children aged 4 to 5

作　　者：徐元皓 王娇娇 李佳晔 尹斌 吴丽更[1] XU Yuanhao;WANG Jiaojiao;LI Jiaye;YIN Bin;WU Ligeng(Department of Endodontics,School of Stomatology,Tianjin Medical University,Tianjin 300070,China;Pediatric Orange Dental Clinic,Tianjin 300110,China;Department of Stomatology,Chentangzhuang Hospital,Tianjin 300222,China)

机构地区：[1]天津医科大学口腔医院牙体牙髓科,天津300070 [2]极橙儿童齿科,天津300110 [3]天津市河西区陈塘庄医院口腔科,天津300222

出　　处：《天津医科大学学报》2025年第2期156-160,共5页Journal of Tianjin Medical University

摘　　要：目的:分析4~5岁儿童乳牙邻面龋发生的影响因素。方法:本研究搜集了2021年1月至12月,于天津市极橙儿童齿科门诊进行口腔诊疗的4~5岁学龄前儿童病例,共纳入4~5岁儿童304人,获取X线咬合翼片检查结果和问卷调查(包括4个饮食习惯和4个口腔卫生习惯)数据。将数据输入数据库并进行单因素Logistic分析、共线性诊断及多因素Logistic回归分析。结果:乳牙邻面龋患龋率为70.4%,龋均为5(2,7)。4和5岁年龄组及不同性别组间患龋率及龋均无统计学差异(均P>0.05)。单因素Logistic分析显示是否饮用碳酸饮料(P<0.05,OR=3.247,95%CI:1.405~7.052)和是否进食含饭(P<0.05,OR=1.958,95%CI:1.126~3.407)的差异均有统计学意义。多因素Logistic回归结果显示饮用碳酸饮料(P<0.05,OR=3.136,95%CI:1.351~7.281)及进食含饭(P<0.05,OR=1.893,95%CI:1.081~3.317)是4~5岁儿童乳牙邻面龋发生的危险因素。结论:饮用碳酸饮料及进食含饭是4~5岁儿童乳牙邻面龋发生的危险因素,应加强监护人和幼儿的防龋意识和口腔卫生宣教。Objective:To explore the influencing factors of proximal caries of deciduous teeth among children aged 4 to 5.Methods:Pediatric patients aged 4 to 5 who visited the Pediatric Orange dental clinics from January 2021 to December 2021 were screened.A total of 304 children aged 4 to 5 were included.X-ray bite-wing films examination results and questionnaires data(including 4 dietary habits and 4 oral hygiene habits)were obtained and the date was entered into the database.The univariate Logistic analysis,collinearity diagnosis and multivariate Logistic regression analysis were performed.Results:The prevalence of proximal caries of deciduous teeth among children was 70.4%,with an average caries index of 5(2,7).No significant difference was observed in the caries rate and caries between the 4-and 5-year-old age groups and different gender groups(all P>0.05).Univariate Logistic analysis showed that there were statistically significant differences in drinking carbonated beverages and holding food in their mouth without swallowing at meals(P<0.05,OR=3.247,95%CI:1.405-7.052).The multivariate Logistic regression results showed that drinking carbonated beverages(P<0.05,OR=3.136,95%CI:1.351-7.281)and holding food in their mouth without swallowing at meals(P<0.05,OR=1.893,95%CI:1.081-3.317)were risk factors for proximal caries of deciduous teeth in children aged 4 to 5.Conclusion:Carbonated beverages and holding food in their mouth without swallowing at meals are the risk factors for proximal caries of deciduous teeth in children aged 4 to 5.Awareness of caries prevention and oral health education for guardians and children should be strengthened accordingly.

关 键 词：儿童 乳牙 邻面龋 碳酸饮料 

分 类 号：R781.1[医药卫生—口腔医学]