上海嘉定区不同干预模式对12岁儿童恒牙龋病发生和充填情况的影响

上海口腔医学 ›› 2015, Vol. 24 ›› Issue (3): 341-344.

上海嘉定区不同干预模式对12岁儿童恒牙龋病发生和充填情况的影响

张书宇¹,董华²,俞明³

1.上海嘉定区安亭医院口腔科,上海 201805;
2.上海嘉定牙病防治所口腔预防科,上海 201822;
3. 上海嘉定牙病防治所口腔特需科,上海 201822

收稿日期:2015-01-09 出版日期:2015-06-20 发布日期:2015-07-24
通讯作者: 董华,E-mail:greenapple.dh@163.com
作者简介:张书宇（1971-）,男,主治医师,E-mail:zsyzmx@163.com
基金资助:
上海市嘉定区科学技术委员会医学科研课题（2014-KW-04）

The effects of different interventions on 12-year-old children’s permanent teeth caries and filling rate in Shanghai Jiading district

ZHANG Shu-yu¹,DONG Hua²,YU Ming²

1. Department of Stomatology, Anting Hospital, Jiading District. Shanghai 201805;
2. Department of Preventive Dentistry, Jiading District Dental Prevention and Treatment Institute. Shanghai 201822, China;
3. Department of VIP Dentistry, Jiading District Dental Prevention and Treatment Institute. Shanghai 201822, China

Received:2015-01-09 Online:2015-06-20 Published:2015-07-24
Supported by:
Medical Research Project of Science and Technology Committee of Shanghai Jiading District (2014-KW-04)

摘要/Abstract

摘要： 目的:评估不同干预模式对嘉定区12岁儿童恒牙龋病发生和充填情况的影响。方法:将3所中学691名12岁儿童随机分为3组,充填干预组：连续3年免费充填中浅度恒牙龋齿;健康教育组：连续3年进行口腔健康教育;对照组连续3年进行口腔检查。采用SPSS 20.0软件包对数据进行χ²检验。结果:基线时3组的恒牙患龋率分别为32.10%、35.56%和36.84%,恒牙龋齿充填率分别为17.07%、16.24%和17.04%;1年后3组的恒牙患龋率分别为35.92%、42.26%和44.50%,差异无显著性（P>0.05）,恒牙龋齿充填率分别为93.28%、61.41%和16.67%,差异显著（P<0.05）;3年后3组的恒牙患龋率分别为37.04%、48.12%和58.85%;恒牙龋齿充填率分别为93.66%、61.51%和17.28%,差异均有显著性（P<0.05）。结论:充填干预和健康教育干预均能显著降低12岁儿童恒牙患龋率,提高恒牙龋齿充填率,并且充填干预比健康教育效果更加明显。

关键词: 免费充填, 健康教育, 龋病, 恒牙

Abstract: PURPOSE: To evaluate the effects of different interventions on 12-year-old children’s permanent teeth caries and filling rates in Shanghai Jiading District. METHODS: Six hundred and ninety-one 12-year-old children from 3 middle schools were randomly divided into 3 groups. The filling intervention group received filling of the permanent teeth free of charge for 3 years; The health education group received oral health education for 3 years; The control group only accepted oral examination for 3 years. The data was analyzed with SPSS 20.0 software package for χ²test. RESULTS: On the baseline, the permanent teeth caries rates of 3 groups were 32.10%, 35.56% and 36.84%, and the filling rates were 17.07%, 16.24% and 17.04%, respectively. After 1 year, permanent teeth caries rates of 3 groups were 35.92%, 42.26% and 44.50%, respectively. There was no significant difference among the 3 groups (P>0.05). The filling rates were 93.28%, 61.41%, and 16.67%, respectively. There was significant difference among the 3 groups (P<0.05). After 3 years, permanent teeth caries rates of 3 groups were 37.04%, 48.12% and 58.85%, and the filling rates were 93.66%, 61.51% and 17.28%, respectively. There were significant differences among the 3 groups (P<0.05). CONCLUSIONS: Filling intervention and health education can significantly reduce the permanent teeth caries prevalence rate and improve permanent teeth caries filling rate of 12-year-old children. Furthermore, the effects of filling intervention were more significant than the health education intervention.

Key words: Free dental filling intervention, Health education, Caries, Permanent tooth

中图分类号:

R781.1

张书宇,董华,俞明. 上海嘉定区不同干预模式对12岁儿童恒牙龋病发生和充填情况的影响[J]. 上海口腔医学, 2015, 24(3): 341-344.

ZHANG Shu-yu,DONG Hua,YU Ming. The effects of different interventions on 12-year-old children’s permanent teeth caries and filling rate in Shanghai Jiading district[J]. Shanghai Journal of Stomatology, 2015, 24(3): 341-344.

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