广州市12~13岁儿童牙龈炎与恒牙龋患病关系的调查分析

王冬梅; 王萍; 梁焕友; 吴坚

中国儿童保健杂志 ›› 2011, Vol. 19 ›› Issue (8) : 746-748.

临床研究与分析

广州市12~13岁儿童牙龈炎与恒牙龋患病关系的调查分析

王冬梅^1,2,王萍¹,梁焕友¹,吴坚¹

作者信息 +

Analysis on the relationship between gingivitis and permanent teeth caries among 12~13 year-old children in Guangzhou

WANG Dong-mei^1,2, WANG Ping¹, LIANG Huan-you¹, WU Jian¹

Author information +

文章历史 +

摘要

【目的】探讨儿童牙龈炎与恒牙龋的相关关系,为儿童牙龈炎防治工作提供理论依据。【方法】采用多阶段分层整群随机抽样的方法共调查广州市12~13岁儿童1 115人。检查方法和标准参考1997年WHO推荐的《口腔健康调查基本方法》,牙龈炎检查六颗指数牙,龋病检查全口恒牙,分别采用牙龈指数(GI)和DMFT记录检查结果。Logistic回归分析儿童牙龈炎与恒牙龋病的关系。【结果】广州市12~13岁儿童牙龈炎患病率72.65%,中、重度牙龈炎患病率分别为28.16%和5.83%。恒牙龋患病率为25.83%,其中未充填龋占龋齿的73.73%。Logistic回归分析显示未充填龋是广州市12~13岁儿童牙龈炎患病的危险因素。【结论】广州市12~13岁儿童牙龈炎患病率较高,有未充填龋存在的儿童是广州市儿童牙龈炎重点防治人群。

Abstract

【Objective】 To investigate the relationship between gingivitis and permanent teeth caries of children to provide theoretical basis for gingivitis prevention of children. 【Methods】 Multistage stratified cluster random sampling method was used to obtain 1115 samples among 12~13 year-old children in Guangzhou. The methods and criteria of gingivitis and caries were abided by World Health Organization in 1997. The examination indices of gingivitis and caries were scored with GI and DMFT, respectively. Logistic regression analysis was used to explore the relation between gingivitis and permanent teeth caries in 12~13 year-old children in Guangzhou. 【Results】 In the cohort aged 12~13, the prevalence of gingivitis was 72.65%. The prevalence of moderate and severe gingivitis was 28.16% and 5.83%, respectively. The prevalence of caries of the subjects was 25.83%, the non-filled tooth accounted for 73.73% among DMFT. The result of Logistic regression analysis showed non-filled caries was a risk factor of gingivitis in 12~13 year-old children in Guangzhou. 【Conclusion】 The children who had non-filled caries are focus on prevention of gingivitis in Guangzhou.

导出引用

王冬梅,王萍,梁焕友,吴坚. 广州市12~13岁儿童牙龈炎与恒牙龋患病关系的调查分析[J]. 中国儿童保健杂志. 2011, 19(8): 746-748

WANG Dong-mei, WANG Ping, LIANG Huan-you, WU Jian. Analysis on the relationship between gingivitis and permanent teeth caries among 12~13 year-old children in Guangzhou[J]. Chinese Journal of Child Health Care. 2011, 19(8): 746-748

中图分类号： R788.1

参考文献

[1] Reiker J, van der Velden U, Barendregt DS, et al. A cross-sectional study into the prevalence of root caries in periodontal maintenance patients[J]. J Clin Periodontal,1999,26(1):26-32.
[2] Van der Reijden WA, Dellemijn-Kippuw N, Stijne-van Nes AM, et al. Mutans streptococci in subgingival plaque of treated and untreated patients with periodontitis[J]. J Clin Periodontol,2001,28(7):686-691.
[3] 李德懿,顾晶晶,赵隽隽,等.牙周炎和龋病发病关系的初步分析[J].上海口腔医学,2002,11(4):289-291.
[4] Albandar JM, Buischi YA, Axelsson P. Caries lesions and dental restorations as predisposing factors in the progression of periodontal diseases in adolescents. A 3-year longitudinal study[J]. J Periodontol,1995,66(2):249-254.
[5] 江千舟,王丹,缪晓琳,等.龋病患牙牙周健康状况调查分析[J].口腔医学研究,2009,25(4):520-522.
[6] 范卫华,欧尧,章锦才,等.2005年广东省人口牙龈出血、牙石抽样调查报告[J].广东牙病防治,2007,15(4):160-162.
[7] 世界卫生组织.口腔健康调查基本方法[M]//凌均棨,陈少琼,程斌,等.4版.北京:人民卫生出版社,1999:33-38.
[8] Dhar V, Jain A, Van Dyke TE, et al. Prevalence of gingival diseases, malo- cclusion and fluorosis in school-going children of rural areas in Udaipur district[J]. J Indian Soc Pedod Prev Dent,2007,25(2):103-105.
[9] 朱旻,韩永成,张辉,等.2005年北京市城、乡12岁人群口腔健康流行病学抽样调查[J].北京口腔医学,2009,17(5): 281-285.
[10] 胡纯贞,李国樑,李德懿,等.上海市黄浦区9 548名中学生青少年牙周炎的调查[J].上海口腔医学,2002,11(4):300-302.
[11] Whelton H, Crowley E, O'Mullane D, et al. North South Survey of Children's Oral Health in Ireland 2002[J]. Final Report-December,2006:11-18.
[12] Brown LJ, Wall TP, Lazar V. Trends in untreated caries in permanent teeth of children 6 to 18 years old[J]. JADA,1999,130:1637-1644.
[13] Broadbent JM, Williams KB, Thomson WM, et al. Dental restorations: a risk factor for periodontal attachment loss?[J]. J Clin Periodontol,2006,33(11):803-810.