上海市浦东新区低龄儿童龋危险因素分析

doi:10.19439/j.sjos.2020.04.014

上海口腔医学 ›› 2020, Vol. 29 ›› Issue (4): 405-409.doi: 10.19439/j.sjos.2020.04.014

上海市浦东新区低龄儿童龋危险因素分析

吴日玥¹, 曹桂芝², Vivien FENG², 冯希平², 陈曦^2,*, 韩晓兰^1,*

1.安徽医科大学第一附属医院口腔科,安徽合肥 230032;
2.上海交通大学医学院附属第九人民医院口腔预防科,上海 200011

收稿日期:2020-01-07 修回日期:2020-03-26 出版日期:2020-08-25 发布日期:2020-09-11
通讯作者: 陈曦,E-mail：371921358@qq.com;韩晓兰,E-mail：3265758393@qq.com。*共同通信作者
作者简介:吴日玥（1993-）,女,硕士研究生,E-mail：grainywry@163.com
基金资助:
上海市浦东新区卫生和计划生育委员会联合攻关项目（PW2015D-6）; 上海市卫健委适宜技术项目（2019SY027）

Risk factors of dental caries among young children in Pudong New District, Shanghai

WU Ri-yue¹, CAO Gui-zhi², Vivien FENG², FENG Xi-ping², CHEN Xi², HAN Xiao-lan¹

1. Department of Dentistry, The First Affiliated Hospital of AnHui Medical University. Hefei 230032, Anhui Province;
2. Department of Preventive Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2020-01-07 Revised:2020-03-26 Online:2020-08-25 Published:2020-09-11

摘要/Abstract

摘要： 目的：建立幼儿园儿童的前瞻性队列,纵向研究低龄儿童龋的发病原因。方法：采用整群随机抽样方法,在上海市浦东新区城郊各抽取1所幼儿园,共240名小班儿童加入本研究。采用SPSS 21.0软件包中的χ²检验、方差分析、二项logistic回归模型和一般线性回归模型,对该队列儿童基线及随访1年后的龋患情况进行分析。结果：该队列研究前2年随访率为88.3%,基线和随访第1年儿童患龋率分别为58.3%,69.8%,龋均分别为3.1±4.2、4.5±4.9,56.1%的儿童发生新龋。Logistic回归分析显示,居住在郊区（P=0.010）和吃糖果频率较高（P=0.036）的儿童,新发龋率较高。一般线性回归方程结果显示,郊区儿童（P<0.001）,未使用含氟牙膏（P=0.003）以及吃糖果频率较高（P=0.002）的儿童,新发龋均较高。结论：居住在郊区、未使用含氟牙膏以及进食糖果频率较高,是学龄前儿童新发龋的重要危险因素。

关键词: 龋病, 乳牙, 危险因素, 患龋率, 发病率, 队列研究

Abstract: PORPOSE: To establish a prospective cohort of kindergarten children and longitudinally study the causes of early childhood caries. METHODS: Cluster random sampling was used to select a kindergarten in the urban and suburban areas of Pudong New District of Shanghai, a total of 240 small-class children joined the study. Chi-square test, analysis of variance, binomial logistic regression model and general linear regression model was used to analyze caries of the cohort children at baseline and 1 year after follow-up with SPSS 21.0 software package. RESULTS: In the first two years of this cohort study, the follow-up rate was 88.3%, the caries rate in the first year of baseline and follow-up were 58.3% and 69.8%, and the mean dmft values were 3.1±4.2 and 4.5±4.9, respectively. 56.1% of children had new caries. Logistic regression results showed that children who lived in the suburbs (P=0.010) and ate candy more frequently (P=0.036) had higher rates of new caries. The results of general linear regression equation showed that children in the suburbs (P<0.001), those who did not use fluoridated toothpaste (P=0.003) and those who ate candy more frequently (P=0.002) had higher new mean dmft values. CONCLUSIONS: Living in the suburbs, not using fluoride toothpaste and eating candy more frequently are important risk factors for new caries in preschool children in Pudong New District of Shanghai.

Key words: Dental caries, Deciduous teeth, Risk factors, Caries prevalence, Incidence, Cohort study

中图分类号:

R781.1

吴日玥, 曹桂芝, Vivien FENG, 冯希平, 陈曦, 韩晓兰. 上海市浦东新区低龄儿童龋危险因素分析[J]. 上海口腔医学, 2020, 29(4): 405-409.

WU Ri-yue, CAO Gui-zhi, Vivien FENG, FENG Xi-ping, CHEN Xi, HAN Xiao-lan. Risk factors of dental caries among young children in Pudong New District, Shanghai[J]. Shanghai Journal of Stomatology, 2020, 29(4): 405-409.

参考文献

[1] Drummond BK, Meldrum AM, Boyd D.Influence of dental care on children's oral health and wellbeing[J]. Brit Dent J,2013,214(11): E27.
[2] American Academy of Pediatric Dentistry Council on Clinical Affairs. Policy on early childhood caries(ECC): unique challenges and treatment options[J]. Pediatr Dent, 2005, 27(7 suppl): 34-35.
[3] Benjamin RM.Oral health: The silent epidemic[J]. Public Health Rep, 2010, 125(2): 158-159.
[4] 王兴. 第四次全国口腔健康流行病调查报告[M].北京: 人民卫生出版社, 2018.
[5] Ostberg AL, Skeie MS, Skaare AB, et al.Caries increment in young children in Skaraborg, Sweden: associations with parental sociodemography, health habits, and attitudes[J]. Int J Paediatr Dent, 2017, 27(1): 47-55.
[6] Kuriakose S, Prasannan M, Remya KC, et al.Prevalence of early childhood caries among preschool children in Trivandrum and its association with various risk factors[J]. Contemp Clin Dent, 2015, 6(1): 69-73.
[7] Kumar S, Tadakamadla J, Kroon J, et al.Impact of parent-related factors on dental caries in the permanent dentition of 6-12-year-old children: a systematic review[J]. J Dent, 2016, 46: 1-11.
[8] Al-Mendalawi MD, Karam NT.Risk factors associated with deciduous tooth decay in Iraqi preschool children[J]. Avicenna J Med,2014,4(1): 5-8.
[9] Christian B.A review of dental caries in Australian Aboriginal children: the health inequalities perspective[J]. Rural Remote Health,2012,12(4):2032.
[10] Skillman SM, Doescher MP, Mouradian WE, et al.The challenge to delivering oral health services in rural America[J]. J Public Health Dent,2010,70(Suppl 1): S49-57.
[11] Du MQ, Li Z, Jiang H, et al.Dental caries status and its associated factors among 3- to 5-year-old children in China: a national survey[J]. Chin J Dent Res,2018,21(3):167-179.
[12] Srisilapanan P, Nirunsittirat A, Roseman J.Trends over time in dental caries status in urban and rural Thai children[J]. J Clin Exp Dent 2017,9(10): e1201-e1206.
[13] HB, Zhang W, Zhou XB. Risk factors associated with early childhood caries[J]. Chin J Dent Res,2017,20(2):97-104.
[14] Buhari N, Zainal AF, Mani SA, et al.Oral hygiene practices and bottle feeding pattern among children with early childhood caries: a preliminary study[J]. Ann Dent, 2016, 23(2):1-9.
[15] Samuel SR, Acharya S.School Interventions-based prevention of early-childhood caries among 3-5-year-old children from very low socioeconomic status: two-year randomized trial[J]. J Public Health Dent,2020,80(1):51-60.
[16] Farooqi FA, Khabeer A, Moheet IA, et al.Prevalence of dental caries in primary and permanent teeth and its relation with tooth brushing habits among schoolchildren in Eastern Saudi Arabia[J]. Saudi Med J, 2015,36(6):737-742.
[17] Winter J, Glaser M, Heinzel-Gutenbrunner M, et al.Association of caries increment in preschool children with nutritional and preventive variables[J]. Clin Oral Investig, 2015,19(8):1913-1919.
[18] 赵佳, 赵梅, 侯玮, 等. 北京市5岁儿童口腔健康行为的10年变化(2005~2015年)[J]. 北京口腔医学, 2019, 27(4): 225-229.
[19] Fan CC, Wang WH, Xu T.Risk factors of early childhood caries (ECC) among children in Beijing - a prospective cohort study[J]. BMC Oral Health, 2019, 19(1): 34.
[20] Dabawala S, Suprabha BS, Shenoy R, et al.Parenting style and oral health practices in early childhood caries: a case-control study[J]. Int J Paediatr Dent,2017,27(2):135-144.
[21] Wigen TI, Wang NJ.Tooth brushing frequency and use of fluoride lozenges in children from 1.5 to 5 years of age: a longitudinal study[J]. Community Dent Oral Epidemiol,2014,42(5): 395-403.
[22] Wong MC, Lu HX, Lo EC.Caries increment over 2 years in preschool children: a life course approach[J]. Int J Paediatr Dent, 2012, 22(2): 77-84.
[23] 时影影, 赵琦, 赵根明. 2010至2012年中国东部地区3岁儿童队列龋病监测[J].复旦学报(医学版),2014,41(6):784-789.
[24] 齐小秋. 第三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,2008:196-203.
[25] WHO Oral Health Surveys Basic methods[M]. 5th Ed. Geneva: WHO,2013.
[26] 李剑波,范卫华,赵望泓,等.广东省3~5岁人群乳牙龋病抽样调查报告(2015-2016年)[J].口腔疾病防治,2017,25(11):693-696.
[27] 吴晓艳,王静雪,蔡婷,等.重庆市学龄前儿童乳牙龋状况及影响因素分析[J].华西口腔医学杂志,2019,37(1):81-86.
[28] Castillo JL, Palma C, Cabrera-Matta A.Early childhood caries in Peru[J]. Front Public Health,2019,7: 337.
[29] Mortazavi S, Enshaei Z, Farajzadegan Z.Development of caries risk assessment tool for Iranian preschoolers: a primary validation study[J]. Int J Prevent Med,2017,8:92.
[30] Colombo S, Gallus S, Beretta M, et al.Prevalence and determinants of early childhood caries in Italy[J].Eur J Paediatr Dent, 2019, 20(4): 267-273.
[31] Liu J, Zhang SS, Zheng SG, et al.Oral health status and oral health care model in China[J]. Chin J Dent Res, 2016, 19(4): 207-215.
[32] Zhang X, Yang S, Liao Z, et al.Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987-2013[J]. Sci Rep, 2016, 6: 18897.
[33] Mishra P, Fareed N, Battur H, et al.Role of fluoride varnish in preventing early childhood caries: a systematic review[J]. Dent Res J (Isfahan), 2017, 14(3): 169-176.
[34] van Loveren C. Sugar restriction for caries prevention: amount and frequency which is more important?[J]. Caries Res, 2019,53(2):168-175.
[35] O'Mullane DM, Baez RJ, Jones S, et al. Fluoride and oral health[J]. Community Dent Health,2016,33(2):69-99.
[36] 胡德渝. 口腔预防医学[M].第6版.北京:人民卫生出版社,2012:63-65.

上海市浦东新区低龄儿童龋危险因素分析

Risk factors of dental caries among young children in Pudong New District, Shanghai

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	蔡越, 张曼曼, 苏红如, 钱文昊. 上海地区189名正常乳牙数字化模型测量与分析[J]. 上海口腔医学, 2023, 32(3): 308-313.
[2]	徐晓乾, 李镭. 种植义齿生物学并发症危险因素的回顾性分析[J]. 上海口腔医学, 2023, 32(1): 69-74.
[3]	杨彬, 张皓, 张颖. 82例儿童牙色素沉着危险因素分析[J]. 上海口腔医学, 2022, 31(4): 410-413.
[4]	苗芬, 马浩然, 刘子晗. 乳牙列色素沉着相关因素及患龋情况探讨[J]. 上海口腔医学, 2022, 31(3): 282-285.
[5]	王诗维, 杨建军, 张松梓. 不同牙龋病状况患者龈上菌斑及龋损组织微生物多样性分析[J]. 上海口腔医学, 2022, 31(2): 201-204.
[6]	张敏君, 陆月岑. 舒适护理在龋病光固化树脂治疗中的应用及评价[J]. 上海口腔医学, 2022, 31(1): 104-108.
[7]	陈琦雯, 施乐, 陆佳琪, 袁爽. 上海市静安区152名聋哑学生口腔状况及龋病相关影响因素分析[J]. 上海口腔医学, 2021, 30(5): 526-530.
[8]	李晓琰, 郑蕾, 马鹏涛, 张彦喜. 釉质基质蛋白通过miR-32对乳牙牙髓干细胞成骨与成脂分化的影响[J]. 上海口腔医学, 2021, 30(4): 367-373.
[9]	蔡文燕, 周淑, 林良缘. 三重抗生素糊剂对乳牙感染根管中微生物的影响[J]. 上海口腔医学, 2021, 30(4): 374-378.
[10]	程洁, 张栋, 谢丽丽, 王璞, 李娟, 郝玮. 双颌前突患者正畸治疗后颞下颌关节紊乱病发生状况及危险因素分析[J]. 上海口腔医学, 2021, 30(4): 439-443.
[11]	刘子晗, 马浩然, 苗芬, 周淑. 改良高强度玻璃离子ART技术治疗儿童乳牙龋齿疗效分析[J]. 上海口腔医学, 2021, 30(3): 278-282.
[12]	刁晓洁, 张银凤, 李梓薇. 1 022名哈萨克族初中生错畸形流行病学调查分析[J]. 上海口腔医学, 2021, 30(3): 297-301.
[13]	张楠, 汪隼, 郑为, 成晓敏, 李小新. 对儿童牙间隙丧失的认知调查分析[J]. 上海口腔医学, 2021, 30(2): 177-181.
[14]	盛恺, 赖光云, 赵是民. 45例57颗乳牙外伤性侧方移位的短期预后观察[J]. 上海口腔医学, 2021, 30(1): 100-103.
[15]	王沪宁, 王艳, 张皓, 毛艳敏, 董华, 华敏, 江一巍, 张颖. 上海市1296名3~5岁儿童龋病及其相关危险因素分析[J]. 上海口腔医学, 2020, 29(2): 174-178.