张家港市部分幼儿园患龋高风险儿童干预效果评价

陈玲; 张弛; 赵新艳

doi:10.16835/j.cnki.1000-9817.2022.06.024

张家港市部分幼儿园患龋高风险儿童干预效果评价

doi: 10.16835/j.cnki.1000-9817.2022.06.024

江苏省张家港市妇幼保健所口腔科，215600

基金项目:

江苏省妇幼健康科研资助项目 F201919

家港市科技支撑计划(社会发展)项目 ZKS1927

详细信息

作者简介:
陈玲(1983-)，女，江苏张家港人，硕士，副主任医师，主要研究方向为儿童口腔健康管理

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R193 R788 G627.8
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出版历程
- 收稿日期: 2022-02-22
- 修回日期: 2022-04-18
- 网络出版日期: 2022-06-23
- 刊出日期: 2022-06-25

Effect of intervention on high caries-risk children in some kindergartens in Zhangjiagang

Department of Stomatology, Maternal and Child Health Institute of Zhangjiagang, Zhangjiagang (215600), Jiangsu Province, China

摘要

摘要: 目的探索张家港市部分幼儿园龋高风险儿童在不同管理模式下的防控效果，为相关部门制定口腔健康管理策略提供依据。方法 2020年9月，采用整群抽样法在张家港市9个区镇抽取1 600名3岁新入园儿童进行基线调查，内容包括口腔检查、问卷调查和龋易感性检测。根据风险评估标准筛选出高风险儿童，以学校为单位分为两组，试验组涂氟频率为3个月1次，结合行为管理和口腔健康指导；对照组涂频率为6个月1次，结合行为管理和口腔健康指导，1年后复查口腔情况，评估干预效果。结果基线检查3岁儿童患龋率为50.9%，男女童患龋率分别为47.5%，54.5%，差异有统计学意义(χ²=9.64，P＜0.05)。筛选出高风险儿童共1 090名，其中试验组475名，对照组615名。基线检查时两组儿童患龋率分别为74.1%，75.1%，龋均为(2.98±3.33)(3.04±3.16)，差异均无统计学意义(χ²/t值分别为0.15，0.28，P值均＞0.05)；干预1年后，两组儿童患龋率为78.5%，83.0%，龋均为(4.22±3.97)(4.51±4.08)，差异无统计学意义(χ²/t值分别为3.17，0.05，P值均＞0.05)。试验组新龋发生率为3.7%，新增龋均为(1.26±1.69)，低于对照组的7.6%和(1.45±2.04)，差异均有统计学意义(χ²/t值分别为6.89，5.05，P值均＜0.05)。结论 3个月1次的涂氟干预频率结合行为管理的模式对龋高风险儿童新发龋的控制更有效。
- 龋齿 /
- 患病率 /
- 口腔卫生 /
- 组织和管理 /
- 儿童
Abstract: Objective To explore the prevention and control effects of different management modes on children with high risk of dental caries from some kindergartens in Zhangjiagang, and to provide a basis for relevant departments to formulate oral health management strategy. Methods In September 2020, 1 600 children aged 3 years old from 9 towns in Zhangjiagang were sampled by cluster sampling method for baseline survey, including oral examination, questionnaire survey and caries susceptibility test. According to the risk assessment criteria, high-risk children were screened out and divided into two groups. In the experimental group, the frequency of fluoride application was once every 3 months, combined with behavioral management and oral health guidance. In the control group, fluoride application was conducted once every 6 months, combined with behavioral management and oral health guidance. The effect of caries prevention was evaluated one year later. Results The prevalence of caries in three-year-old children was 50.9% at baseline, and the prevalence of caries in boys and girls was 47.5% and 54.5%, respectively, with statistical significance (χ²=9.64, P < 0.05). A total of 1 090 high-risk children were screened out, including 475 in experimental group and 615 in control group. The prevalence of caries in the two groups at baseline was 74.1% and 75.1%, respectively, and dmft were (2.98±3.33) and (3.04±3.16), respectively, with no significant difference (χ²/t=0.15, 0.28, P>0.05). One year after intervention, the prevalence of caries in the two groups was 78.5% and 83.0%, respectively and dmft were (4.22±3.97) and (4.51±4.08), respectively, with no statistical significance (χ²/t=3.17, 0.05, P>0.05). The incidence of new caries in the experimental group was 3.7%, and the incidence of new caries was (1.26±1.69), lower than 7.6% and (1.45±2.04) in the control group, with statistical significance (χ²/t=6.89, 5.05, P < 0.05). Conclusion The frequency of fluorination intervention once every 3 months combined with behavior management mode was more effective in controlling new caries in children with high risk of caries.
- Dental caries /
- Prevalence /
- Oral hygiene /
- Organization and administration /
- Child
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参考文献(18)

[1]	GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015[J]. Lancet, 2016, 388(10053): 1545-1602. doi: 10.1016/S0140-6736(16)31678-6
[2]	BRONS-PICHE E, ECKERT G J, FONTANA M. Predictive validity of a caries risk assessment model at a dental school[J]. J Dent Educ, 2019, 83(2): 144-150. doi: 10.21815/JDE.019.017
[3]	施宏燕, 何翔, 黄蕊, 等. 龋风险评估在上海市闵行区儿童龋病分级管理中的效果评价[J]. 口腔疾病防治, 2021, 29(1): 50-56. https://www.cnki.com.cn/Article/CJFDTOTAL-GDYB202101008.htm SHI H Y, HE X, HUANG R, et al. Caries risk assessment in children with caries in Minhang District, Shanghai[J]. J Prev Treat Stomatol Dis, 2021, 29(1): 50-56. https://www.cnki.com.cn/Article/CJFDTOTAL-GDYB202101008.htm
[4]	王兴. 第四次全国口腔健康流行病学调查报告[M]. 北京: 人民卫生出版社, 2018. WANG X. The fourth national oral health epidemiological survey in China (in Chinese)[M]. Beijing: People's Medical Publishing House, 2018.
[5]	卫生部办公厅. 卫生部办公厅关于印发《口腔预防适宜技术操作规范》的通知[EB\OL]. (2009-02-10)[2009-01-01]. http:www.nhc.gov.cn/wjwlgfxwj/2013-04/2ba108b19d97443c8940f8c12e9601 0e.shtml.2009-02-10. Circular of The General Office of the Ministry of Health. Circular of The General Office of the Ministry of Health on the issuance of Appropriate Technical Code of Practice for Oral Prevention[EB\OL]. (2009-02-10)[2009-01-01]. http:www.nhc.gov.cn/wjwlgfxwj/2013-04/2ba108b19d97443c8940f8c12e96010e.shtml.2009-02-10.
[6]	American Academy of Pediatric Dentistry. Guideline on caries-risk assessment and management for infants, children and adolescents[J]. Pediatr Dent, 2013, 35(5): 157-164.
[7]	玄松玉, 袁峻伟, 王珏, 等. Cariostat龋易感性检测技术用于评价3岁儿童患龋风险的研究[J]. 中华口腔医学杂志, 2017, 52(11): 667-671. XUAN S Y, YUAN J W, WANG J, et al. A 2-year cohort study on the caries risk assessment of 3-year-old caries-free children using Cariostat carie activity test[J]. Chin J Stomatol, 2017, 52(11): 667-671.
[8]	李庭庭. 天津市学龄前儿童乳牙患龋情况及龋病活跃性检测分析[J]. 临床口腔医学杂志, 2021, 37(10): 625-627. doi: 10.3969/j.issn.1003-1634.2021.10.015 LI T T. Preschool children dental caries prevalence and caries activity test in Tianjin[J]. J Clin Stomatol, 2021, 37(10): 625-627. doi: 10.3969/j.issn.1003-1634.2021.10.015
[9]	易芳羽, 张皓, 曾晓莉, 等. 基于风险评估的上海市3岁儿童龋病分级管理临床效果评价[J]. 中国实用口腔科杂志, 2021, 14(2): 199-203. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSKQ202102018.htm YI F Y, ZHANG H, ZENG X L, et al. Clinical effect evaluation of grading management of dental caries in 3-year-olds in Shanghai based on risk assessment[J]. Chin J Pract Stomatol, 2021, 14(2): 199-203. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSKQ202102018.htm
[10]	刘芸, 郝高峰, 孙晋就, 等. 深圳市3岁儿童乳牙患龋状况抽样调查[J]. 临床口腔医学杂志, 2020, 36(11): 669-672. https://www.cnki.com.cn/Article/CJFDTOTAL-LCKY202011010.htm LIU Y, HAO G F, SUN J J, et al. A survey of decidural dental caries in children aged 3 years in Shenzhen[J]. Clin Oral Stomatol, 2020, 36(11): 669-672. https://www.cnki.com.cn/Article/CJFDTOTAL-LCKY202011010.htm
[11]	MUNTEANU A, HOLBAN A M, PAUNA M R, et al. Review of professionally applied fluorides for preventing dental caries in children and adolescents[J]. Appl Sci Volum, 2022, 12(3): 1054. doi: 10.3390/app12031054
[12]	MATSKIEVA O V, SKRIPKINA G I, SOLONENKO A P, et al. Influence of fluoride preparations for the prevention of dental caries on the enamel solubility[J]. Stomatologiia, 2021, 100(6): 13-16.
[13]	陈玲, 张忠良, 邓红岩, 等. 张家港市2013—2015年3岁儿童乳牙患龋状况[J]. 中国学校卫生, 2016, 37(8): 1205-1206, 1209. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201608030.htm CHEN L, ZHANG Z L, DENG H Y, et al. A retrospective assessment of deciduous teeth caries in 3-year-old children in Zhangjiagang[J]. Chin J Sch Health, 2016, 37(8): 1205-1206, 1209. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201608030.htm
[14]	张佳丽, 姚军, 仁青措姆, 等. 西藏昌都市3~5岁儿童龋病及其影响因素调查分析[J]. 华西口腔医学杂志, 2021, 39(1): 53-57. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ202101012.htm ZHANG J L, YAO J, REN Q C M, et al. Dental caries and its influencing factors in children aged 3-5 years in Changduo City[J]. West China J Stomatol, 2021, 39(1): 53-57. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ202101012.htm
[15]	LI J B, FAN W, ZHOU Y, et al. The status and associated factors of early childhood caries among 3-to 5-year-old children in Guangdong, Southern China: a provincial cross-sectional survey[J]. BMC Oral Health, 2020, 20(1): 265.
[16]	BUTER A, MAIORANI C, MORANDINI A, et al. Evaluation of children caries risk factors: a narrative review of nutritional aspects, oral hygiene habits, and bacterial alterations[J]. Children, 2022, 9(2): 262.
[17]	KHAN I M, MANI S A, DOSS J G, et al. Pre-schoolers' tooth brushing behaviour and association with their oral health: a cross sectional study[J]. BMC Oral Health, 2021, 21(1): 283.
[18]	NATAPOV L, DEKEL D, PIKOVSKY V, et al. Dental health of preschool children after two-years of a supervised tooth brushing program in Southern Israel[J]. Israel J Health Pol Res, 2021, 10(1): 42.