乳牙龋活跃程度对氟离子导入防龋效果的影响
Influence of caries activity on the caries preventive effect of fluoride ion infiltration
陈玲 1邓红岩 2张忠良 2秦锐 3陈建 2梅予锋4
作者信息
- 1. 南京医科大学:口腔疾病研究江苏省重点实验室,江苏 南京 210029;南京医科大学:附属口腔医院儿童口腔预防科,江苏 南京 210029;张家港市妇幼保健所儿童保健科,江苏 张家港 215600
- 2. 张家港市妇幼保健所儿童保健科,江苏 张家港 215600
- 3. 江苏省妇幼保健院儿童保健科,江苏 南京 210029
- 4. 南京医科大学:口腔疾病研究江苏省重点实验室,江苏 南京 210029;南京医科大学:附属口腔医院儿童口腔预防科,江苏 南京 210029
- 折叠
摘要
目的:研究乳牙龋活跃程度对氟离子导入防龋效果的影响.方法:采用整群随机抽样方法,抽取张家港市12所幼儿园的1743名3~4岁儿童,根据基线口腔检查的龋失补牙数(dmft),分为无龋组(dmft=0)、低龋组(1≤dmft<4)、高龋组(dmft≥4),接受定期口腔健康指导的同时进行1年两次的氟离子导入,两年后比较3组儿童的新增dmft.结果:两年后无龋组、低龋组、高龋组新增dmft分别为0.82±1.39、2.11±2.15、2.41±2.10,3组间有统计学差异(F=135.58,P<0.05),两两相比差异均有统计学意义(P<0.05).结论:高龋活跃程度可降低氟离子导入的防龋效果,在乳牙未患龋之前进行干预效果最好.
Abstract
AIM:To evaluate the influence of caries activity on the caries preventive effect of fluoride ion infiltration.METHODS:1,743 children aged 3-4 year-old from 12 preschools in Zhangjiagang were selected with cluster random sampling method.They were divided into caries-free group (dmft=0),low caries group (1≤dmft<4) and high caries group (dmft≥4) according to the dmft calculated by the first oral examination.The children were given regular oral health education and a bi-annual fluoride ion infiltration application.The increase of dmft was compared among the 3 groups at 2-year follow-up.RESULTS:The increase of dmft in carie-free group,low caries group and high caries group was 0.82 ±1.39,2.11 ±2.15,and 2.41 ±2.10,respectively (F=135.58,P<0.05;between every 2 groups,P<0.05).CONCLUSION:The high caries activity may weaken the preventive effect of fluoride ion infiltration.The optimal timing of intervention is before caries development.
关键词
乳牙/氟离子导入/龋病/预防Key words
deciduous teeth/fluoride ion infiltration/caries/prevent引用本文复制引用
基金项目
江苏高校优势学科建设工程资助(2014-37)
江苏省卫生计生委科研课题(Y2015051)
苏州市科技计划项目(H2605)
出版年
2017