摘要
目的 了解2020-2022年山东省肥城市3~6岁儿童龋齿的流行状况,分析不同生活方式的龋齿发病差异,为预防及治疗儿童龋齿提供依据。方法 选择2020-2022年山东省肥城市区幼儿园和学前班进行口腔健康检查的10 155例3~6岁儿童作为研究对象,记录不同年龄儿童的患龋率、龋齿数、龋均数、患龋构成比、乳牙龋齿的罹患牙位情况,采用问卷调查分析不同生活方式的龋齿发病差异。结果 患龋儿童5 196例,患龋率为51.17%,患龋牙数20 775颗,龋均值为4.00(20 775/5 196)。6岁组的龋患率53.63%,3岁组为45.43%,6岁组患龋率高于3岁组(χ^(2)=34.473,P=0.000)。男童患龋率为50.0%、女童为52.3%,女童患龋率高于男童(χ^(2)=5.644,P=0.018)。各年龄组的龋患率比较,下颌多于上颌,磨牙多于切牙。上颌中切牙较高(15.98%),下颌尖牙和侧切牙患病率最低(1.16%)(χ^(2)=2 869.961,P=0.000)。人工喂养、经常进食甜食、喜饮碳酸饮料、开始刷牙年龄>3岁、使用不含氟的牙膏、不定期检查乳牙、家长对牙齿健康知识知晓度匮乏的儿童龋齿发生率高(χ^(2)值分别为18.501、14.731、11.460、11.637、9.623、6.380、5.051,P均<0.05)。结论 2020-2022年山东省肥城市3~6岁儿童乳牙龋齿发生率以6岁组最高、女童多见,儿童乳牙龋齿可能与人工喂养、食用甜食、饮用碳酸饮料、使用不含氟牙膏、开始刷牙年龄晚、不定期口腔检查以及父母对牙齿保健知识知晓度匮乏等生活方式有关。
Objective To understand the prevalence of dental caries in children aged 3 to 6 years in Feicheng city,Shandong province from 2020 to 2022,and to analyze the differences in the incidence of dental caries in different lifestyles,so as to provide basis for the prevention and treatment of dental caries in children.Methods A total of 10 155 children aged 3 to 6 years old from kindergartens and preschool classes in Feicheng city,Shandong province were selected as the study objects from 2020 to 2022.Oral health survey was conducted to record the caries prevalence rate,number of caries,average number of caries,proportion of caries and dental position of decidary teeth in children of different ages.The differences in the incidence of dental caries in different lifestyles were recorded and analyzed.Results A total of 5 196 children with caries were detected,the caries rate was 51.17%.The number of teeth with caries was 20 775 and the mean caries was 4.00(20 775/5 196).The prevalence of caries was 53.63% in children aged 6 and 45.43% in children aged 3.The prevalence of caries in children aged 6 was significantly higher than that in children aged 3(χ^(2)=34.473,P=0.000).The prevalence of caries was 50.0% in boys and 52.3% in girls,indicating that the prevalence of caries in girls was significantly higher than that in boys(χ^(2)=5.644,P=0.018).The prevalence of dental caries in mandibular and molar teeth was higher than incisor teeth.The prevalence of dental caries in maxillary central incisor was high(15.98%),while the prevalence of dental caries in mandibular cusp and lateral incisor was low(1.16%)(χ^(2)=2 869.961,P=0.000).Among the risk factors,the incidence of dental caries was higher in children who were artificially fed,often ate sweets,preferred carbonated beverages,started brushing age 3 years old,used non-fluoride toothpaste,did not regularly check their baby teeth,and had poor knowledge of dental health(χ^(2)=8.501,14.731,11.460,11.637,9.623,6.380,5.051,all P<0.05).Conclusion The incidence of deciduous tooth c
作者
郭瑞生
苑春辉
毛新刚
GUORui-sheng;YUAN Chun-hui;MAO Xin-gang(Department of Stomatology,Feicheng Maternal and Child Health Hospital,Tai'an,Shandong 271600,China;Department of Child Health,Feicheng Maternal and Child Health Hospital;Logistics Support Department,Tai 'an City Center for Disease Control and Prevention)
出处
《预防医学论坛》
2023年第7期543-547,共5页
Preventive Medicine Tribune
关键词
龋齿
龋患率
危险因素
儿童
学龄前
Caries
Caries incidence rate
Risk factors
Children
Preschool
