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A Case Report on Epulis Fissuratum 裂唇病1例报告
Pub Date : 2019-08-01 DOI: 10.5005/jp-journals-10062-0049
V. Patil, R. Parveen, Pranitha Surve
Ab s t r Ac t Aim: The aim of this case report was to diagnose an abnormal growth along a ill-fitting maxillary removable partial denture in a 60-year-old woman and the surgical management of that lesion. Background: Epulis fissuratum, reactive fibrous hyperplasia, or denture-induced fibrous hyperplasia are the various names attributed to a reactive tissue response to chronic irritation and trauma caused by a badly fitted prosthesis. Persistent trauma to oral mucosa may predispose the patient to a carcinoma. We present a case of faulty denture and the resultant epulis fissuratum in a 60-year-old woman. Case description: A 60-year-old woman is presented to the Department of Periodontics with the chief complaint of an abnormal growth along the anterior border of her ill-fitting maxillary partial denture. An intraoral examination revealed a fibrous mass, which was polypoid and had a soft consistency and a smooth texture. The lesion was diagnosed as epulis fissuratum or a denture-induced hyperplasia and surgically managed the lesion with a scalpel and electrocautery. Postoperative instructions were given and a follow-up evaluation was done for 3 months. Conclusion: To prevent the occurrence of the epulis fissuratum lesion is to perform standard prosthetic treatments on the patients and carry out the necessary maintenance procedures of the denture as soon as possible. The maintenance and hygiene-related instructions have to be given. Clinical significance: A poorly fitted prosthesis can give rise to many problems such as pain, discomfort in mastication, difficulty in speech, and epulis fissuratum. Epulis fissuratum is an tissue overgrowth in the mucobuccal fold, induced by chronic trauma from an ill-fitting prosthesis. In this case report, we discuss a case of epulis fissuratum in a 60-year-old woman and the surgical management of the lesion.
目的:本病例报告的目的是诊断沿不合适的上颌可摘局部义齿异常生长的60岁妇女和该病变的手术处理。背景:裂口肌、反应性纤维增生或假牙诱导的纤维增生是由于假体安装不良引起的慢性刺激和创伤引起的反应性组织反应而产生的各种名称。口腔黏膜的持续性创伤可能使患者易患癌。我们提出一个病例的错误义齿和由此产生的上睑裂在一个60岁的妇女。病例描述:一名60岁的妇女被送到牙周病科,主诉是沿她不合适的上颌局部义齿的前缘生长异常。口腔内检查发现一纤维状肿块,呈息肉状,质地光滑柔软。病变被诊断为上睑裂或假牙引起的增生,用手术刀和电灼对病变进行手术治疗。给予术后指导,随访3个月。结论:对患者进行规范的义齿治疗,尽早进行义齿的必要维护操作,是预防上睑裂病变发生的关键。必须提供维护和卫生方面的说明。临床意义:一个不合适的假体可以引起许多问题,如疼痛,咀嚼不适,言语困难和上睑裂。唇裂是一种粘膜褶皱过度生长的组织,由不合适的假体引起的慢性创伤引起。在这个病例报告中,我们讨论了一个60岁妇女的上睑裂和病变的手术处理。
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引用次数: 0
Knowledge, Attitude, and Practice of Dental Health Professionals Toward Management of Dental Waste in the Aseer Region, Kingdom of Saudi Arabia 沙特阿拉伯王国阿西尔地区牙科卫生专业人员对牙科废物管理的知识、态度和实践
Pub Date : 2019-08-01 DOI: 10.5005/jp-journals-10062-0048
M. Baseer, Ali Asiri, Jamal A. Alsanea, Sultan Binalrimal, Asma H Almeslet, G. Alotaibi
Ab s t r Ac t Introduction: During the process of oral healthcare, infectious and toxic waste is produced within the clinics. Hence, dental professionals are required to know in depth about the proper management of dental waste in order to minimize the risks of cross-infection and the effects of toxins released into the environment affecting human health. Objectives: To assess the knowledge, attitudes, and practices of dental health professionals (DHP) toward management of dental waste in the Aseer region of Kingdom of Saudi Arabia. Materials and methods: A descriptive cross-sectional study was carried out among dentist, dental hygienist, dental assistant (DHP) practicing in the Aseer region of Kingdom of Saudi Arabia. A structured, close-ended and self-administered questionnaire consisting of 26 items along with the demographic information was distributed to the 450 DHP, and 431 responses were obtained and analyzed for the knowledge, attitude, and practices toward dental waste management. Results: The mean knowledge, attitude, and practice scores toward dental waste management were found to be 10.95 ± 1.98, 6.50 ± 1.07, and 3.07 ± 1.02, respectively. Female DHP and those working in the private dental clinics demonstrated a significantly higher knowledge, attitude, and practice scores compared to their counter parts. Knowledge of dental waste management differed significantly in different age groups, while the experience of DHP demonstrated significant differences in knowledge as well as the attitude of DHP toward dental waste management. Dental assistants demonstrated the highest knowledge, attitude, and practice scores of dental waste management compared to the dental hygienist and dentist. DHP showed a significant positive correlation between knowledge–attitude (r = 0.214, p = 0.000), knowledge–practice (r = 0.208, p = 0.000), and attitude–practice (r = 0.206, p = 0.000). Conclusion: DHP participated in this study demonstrated a high knowledge, positive attitude, and inadequate dental waste management practices in the Aseer region of Kingdom of Saudi Arabia. Hence, there is a need for regular training, workshops, and continuous educational programs on dental waste management.
导言:在口腔保健过程中,诊所内会产生传染性和毒性废物。因此,牙科专业人员必须深入了解如何妥善管理牙科废物,以尽量减少交叉感染的风险和释放到环境中的毒素对人类健康的影响。目的:评估沙特阿拉伯王国阿西尔地区牙科卫生专业人员(DHP)对牙科废物管理的知识、态度和做法。材料和方法:对沙特阿拉伯王国阿西尔地区执业的牙医、牙科保健员、牙科助理(DHP)进行描述性横断面研究。采用结构化、封闭式、自填问卷(共26个项目)和人口统计资料,对450所医院牙科废物管理知识、态度和实践情况进行分析。结果:口腔垃圾管理知识、态度和行为平均得分分别为10.95±1.98、6.50±1.07和3.07±1.02分。女性DHP和在私立牙科诊所工作的女性在知识、态度和实践方面的得分明显高于她们的同行。不同年龄组的牙科废物管理知识差异显著,而DHP经历在牙科废物管理知识和DHP态度上存在显著差异。与牙科保健员和牙医相比,牙科助理在牙齿废物管理方面表现出最高的知识、态度和实践得分。DHP与知识-态度(r = 0.214, p = 0.000)、知识-实践(r = 0.208, p = 0.000)、态度-实践(r = 0.206, p = 0.000)呈显著正相关。结论:参与本研究的DHP在沙特阿拉伯王国阿西尔地区表现出高度的知识,积极的态度和不充分的牙科废物管理实践。因此,需要定期培训、研讨会和持续的牙科废物管理教育计划。
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引用次数: 2
Dental Caries Status in Mentally Challenged Children in Comparison with Normal Children 智障儿童与正常儿童龋病状况比较
Pub Date : 2019-08-01 DOI: 10.5005/jp-journals-10062-0050
K. Tom
Ab s t r Ac t Aim: The aim of the study was to evaluate and compare the oral health conditions and dental caries status in disabled and healthy children. Materials and methods: Two groups of randomly selected children aged 3–12 years were examined. The first group comprised 100 children with disabilities (cerebral palsy, mental retardation, Down syndrome, autism, and hearing–speaking disorders) and the second (control) group included 100 healthy children. The examined children were selected from a normal school and from schools that take care of the disabled children. A clinical examination was performed using a mirror and probe, which revealed the presence of dental caries as well as missing (extracted) and filled teeth. All clinically detected cavitations were recorded as dental caries. The degree of oral hygiene was evaluated according to the OHI-S index values, which were determined by marking the plaque with 1% eozine solution. Results: The values of OHI-S index ranged from 3.9 to 4.56 in disabled children and from 2.84 to 2.94 in healthy children. In disabled children, the average dft values were 3.52 in deciduous teeth and 5.34 in mixed dentition. In healthy children, the average dft values were 1.53 in deciduous teeth and 5.21 in mixed dentition. The average DMFT index in disabled children was 1.51 for mixed and 6.48 for permanent dentitions. In healthy children, the average DMFT values were 1.33 in mixed and 4.84 in permanent dentition. Conclusion: In general, the results revealed a significantly poor level of oral hygiene and quite a high level of caries prevalence in disabled compared to the healthy children, accentuating the need to organize preventive care measurements and improve dental care among the disabled.
目的:评价和比较残疾儿童和健康儿童的口腔健康状况和龋病状况。材料与方法:随机抽取两组3 ~ 12岁儿童进行调查。第一组包括100名残疾儿童(脑瘫、智力迟钝、唐氏综合症、自闭症和听力语言障碍),第二组(对照组)包括100名健康儿童。接受检查的儿童是从普通学校和照顾残疾儿童的学校中挑选出来的。使用镜子和探针进行临床检查,显示龋齿的存在以及缺牙(拔牙)和补牙。所有临床发现的空化均记录为龋。口腔卫生程度根据ohs指数值进行评价,该指数值由1%的ezzine溶液标记菌斑确定。结果:残疾儿童OHI-S指数为3.9 ~ 4.56,健康儿童为2.84 ~ 2.94。残疾儿童乳牙dft平均值为3.52,混合牙列dft平均值为5.34。健康儿童乳牙的平均dft值为1.53,混合牙列的平均dft值为5.21。残疾儿童混合牙列DMFT指数为1.51,恒牙列DMFT指数为6.48。在健康儿童中,混合牙列DMFT平均值为1.33,恒牙列DMFT平均值为4.84。结论:总体而言,与健康儿童相比,残疾儿童的口腔卫生水平明显较差,龋齿患病率较高,需要组织预防保健措施,提高残疾儿童的口腔保健水平。
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引用次数: 1
Oral Bisphosphonate-induced Osteonecrosis of Jaw: A Case Report 口服双膦酸盐致颌骨骨坏死1例报告
Pub Date : 2019-04-01 DOI: 10.5005/JP-JOURNALS-10062-0043
N. Verma
Osteonecrosis of bone is a debilitating condition resulting from avascularity of bone. Bisphosphonates which are routinely used in treating bone disorders like osteoporosis and certain malignancies have been associated with increased incidence of osteonecrosis of bone, commonly affecting jaws. Though dental trauma has been a predisposing factor, certain patients have shown spontaneous development of osteonecrosis on long term administration of bisphosphonates.
骨坏死是一种由骨缺血引起的衰弱性疾病。双膦酸盐通常用于治疗骨质疏松症和某些恶性肿瘤等骨骼疾病,但与骨坏死的发病率增加有关,骨坏死通常影响颌骨。虽然牙外伤是诱发因素,但某些患者在长期服用双膦酸盐后表现出骨坏死的自发性发展。
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引用次数: 0
Development of a Tool to Assess Barriers Faced by Children with Special Needs in Utilizing Dental Care Services 开发一种工具来评估有特殊需要的儿童在利用牙科保健服务时所面临的障碍
Pub Date : 2019-04-01 DOI: 10.5005/JP-JOURNALS-10062-0037
K. Lakshmi, R. Anusha, K. Iyer, M. Diwakar
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引用次数: 1
Professional Ethical Consideration in Esthetic Dental Practice: A Survey among Dentists in Riyadh, Kingdom of Saudi Arabia 牙科美容实践中的职业道德考虑:沙特阿拉伯王国利雅得牙医的调查
Pub Date : 2019-04-01 DOI: 10.5005/JP-JOURNALS-10062-0039
Sara A AIshammery
Objective: The purpose of the study was to assess the professional ethical consideration in esthetic dental practice of the dentists practicing in Ar-Riyadh region, Kingdom of Saudi Arabia. Materials and methods: A modified version of the questionnaire on dental ethics in esthetic dentistry (Bernstein, 2008), written in both English and Arabic was prepared. The questionnaire, designed to obtain information from dentists regarding their beliefs in ethics in esthetic dentistry was administered to dentists practicing in the Ar-Riyadh region of the Kingdom of Saudi Arabia. The study comprised of 305 participants who returned the completed questionnaire. Results: In total, 400 questionnaires were distributed with an overall response rate of 76.25%. The respondents comprised of 256 Saudi and 49 non-Saudi dentists. The role of the dentists in persuading and encouraging patients to have cosmetic treatment and the role that a patient’s finances played in influencing esthetic dental treatment, tooth reduction was not found to be significant for different clinical titles, gender and years of experience except Saudi dentists who reported significantly higher emphasis on the role of the dentist in persuading and encouraging the patient to undergo cosmetic treatment. A significant majority of the dentists stated that they would reduce less than 2mm of tooth structure and they had a full obligation to TMJ and occlusion while performing an esthetic procedure and also they reported journals as a source of their information Conclusion: Within the limitation of the study it can be concluded that ethics comprises of basic values and practice issues, Basic values do not change however, practice issues may be influenced by experience and clinical title and It is interesting that gender does not seem to influence the ethics of practicing esthetic dentistry, so as ending ethics is knowing the difference between what you have a right to do, and what is right to do.
目的:本研究的目的是评估沙特阿拉伯王国利雅得地区牙医在牙科美容实践中的职业道德考虑。材料和方法:准备了一份修改版的关于美学牙科牙科伦理的问卷(Bernstein, 2008),用英文和阿拉伯文撰写。调查问卷旨在从牙医那里了解他们对牙科美容的道德信念,并对沙特阿拉伯王国利雅得地区执业的牙医进行了调查。这项研究包括305名参与者,他们填写了问卷。结果:共发放问卷400份,总回复率为76.25%。受访者包括256名沙特牙医和49名非沙特牙医。牙医在说服和鼓励病人接受美容治疗方面的作用,以及病人的经济状况在影响牙科美容治疗、减牙方面的作用,对不同的临床职称、性别和经验年数没有显著影响,但沙特牙医报告更强调牙医在说服和鼓励病人接受美容治疗方面的作用。绝大多数牙医表示,他们会减少不到2mm的牙齿结构,他们在进行美容手术时对TMJ和咬合有完全的义务,他们也报告了期刊作为他们的信息来源。在研究的限制范围内,可以得出结论,伦理包括基本价值观和实践问题,基本价值观不会改变,然而,实践问题可能会受到经验和临床职称的影响,有趣的是,性别似乎并不影响实践美学牙科的伦理,因此结束伦理是知道你有权利做什么,什么是正确的。
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引用次数: 1
Gingivitis and Periodontitis among the Elderly in Port Harcourt Nigeria: A Population-based Study 尼日利亚哈科特港老年人牙龈炎和牙周炎:一项基于人群的研究
Pub Date : 2019-04-01 DOI: 10.5005/JP-JOURNALS-10062-0038
O. Braimoh, G. Alade
{"title":"Gingivitis and Periodontitis among the Elderly in Port Harcourt Nigeria: A Population-based Study","authors":"O. Braimoh, G. Alade","doi":"10.5005/JP-JOURNALS-10062-0038","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10062-0038","url":null,"abstract":"","PeriodicalId":197236,"journal":{"name":"Journal of Oral Health and Community Dentistry","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125142862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Comparative Evaluation of Tooth Size Discrepancies in Different Types of Malocclusions by using Bolton's Analysis: An Odontometric Study 不同类型错咬合中牙尺寸差异的博尔顿分析比较研究
Pub Date : 2019-04-01 DOI: 10.5005/JP-JOURNALS-10062-0040
Harshala S Patil, A. Handa, Uddhav Y Alane
Patients attending orthodontic clinics normally complain of crowding or spacing or both, which represents big esthetic and functional problems. The link between the upper and lower teeth sizes and its repercussions on the occlusal harmony of these dental arches is a cause of major concern in orthodontic treatment. Hence, this study is carried out to compare the anterior and overall ratios of tooth sizes in different types of Angle's malocclusions. For this study, we examined and selected 100 patients from the Department of Orthodontics and Dentofacial Orthopedics, Aditya Dental College, Beed, Maharashtra, India and divided into 4 malocclusion groups namely Angle's class I (n = 25), Angle's class II (n = 50) [class II division 1 (n = 25), class II division 2 (n = 25)], Angle's class III (n = 25). For all selected patients the impressions were taken, casts were poured and models were prepared. Then the greatest width of the teeth from the first molar to the contralateral first molar was measured by using a caliper on the study models. The anterior and overall ratios between the maxillary and mandibular teeth were evaluated by using Bolton’s analysis. All the parameters were subjected to statistical analysis.
到正畸诊所就诊的患者通常会抱怨拥挤或间隔,或两者兼而有之,这代表了很大的审美和功能问题。上下牙大小之间的联系及其对这些牙弓咬合和谐的影响是正畸治疗中主要关注的问题。因此,本研究比较不同类型的Angle错颌的前牙大小与整体牙大小的比值。本研究选取来自印度马哈拉施特拉邦Beed市Aditya牙科学院正畸与牙面矫形科的100例患者,分为Angle的I类(n = 25)、Angle的II类(n = 50) [II类1组(n = 25)、II类2组(n = 25)]、Angle的III类(n = 25) 4个错颌组。对所有选定的患者取印模,浇铸模,制作模型。然后用卡尺在研究模型上测量第一磨牙到对侧第一磨牙的最大牙齿宽度。采用博尔顿分析方法评估上颌牙和下颌骨的前牙和总牙比。所有参数都进行了统计分析。
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引用次数: 0
Knowledge, Attitude and Practice Regarding Tobacco Cessation Methods among the Dental Professionals: A Cross-sectional Study 牙科专业人员关于戒烟方法的知识、态度和实践:一项横断面研究
Pub Date : 2019-04-01 DOI: 10.5005/JP-JOURNALS-10062-0042
P. Madhu
ABSTRACT INTRODUCTION In India, the proportion of all deaths that can be attributed to tobacco use is expected to rise from 1.4% in 1990 to 13.3% in 2020 .In this regard, health care professionals have a key role to play by working through the health care system to motivate and advise users to quit. AIM AND OBJECTIVES The aim of the present study is to assess the dental students attitude and practice towards tobacco cessation programmes in the dental setting and to explore the influence of knowledge in its promotion. MATERIALS AND METHODOLOGY This cross sectional survey was carried out at the college of dental sciences in davangere among the dental professionals i.e. final year, interns, post graduates students. A questionnaire was designed to test the knowledge, attitude and practice of dental surgeons regarding tobacco use. The self-administered survey included a set of questions .The data were analyzed using the SPSS 22. The chi-squared test was used to test associations between the responses among the age, qualification, and academic year. A critical p-value of 0.05 was regarded as significant. RESULTS A total of 300 questionnaires were distributed, with a response rate of 96.39%. Out of the 250 participants, 54% were females and 46 % were males. About 68% students were in the age group between 20 to 23 years. About 32.4% were pursuing MDS and 67.6% pursuing BDS in the present study. Almost 50% preferred to recommend NRT as a tobacco cessation advise to the patients,48% with self quitting practice and 1.2% with pharmacological methods. DISCUSSION More than half of the respondents had an average level of knowledge on smoking cessation interventions while a majority had a positive attitude towards the provision of smoking cessation interventions. Hence it’s a need of hour to influence the students for generating interest in attaining knowledge about tobacco cessation methods.
在印度,烟草使用导致的死亡比例预计将从1990年的1.4%上升到2020年的13.3%。在这方面,卫生保健专业人员通过卫生保健系统的工作来激励和建议使用者戒烟,发挥关键作用。目的和目的本研究的目的是评估牙科学生对牙科戒烟计划的态度和做法,并探讨知识对其推广的影响。材料和方法本横断面调查是在davangere牙科科学学院进行的,调查对象包括牙科专业人员,即大四学生、实习生、研究生。设计了一份调查问卷,以测试牙科医生对烟草使用的知识、态度和做法。自我管理的调查包括一系列问题,数据使用SPSS 22进行分析。采用卡方检验检验年龄、学历、学年之间的相关性。临界p值为0.05为显著性。结果共发放问卷300份,回复率为96.39%。在250名参与者中,54%是女性,46%是男性。大约68%的学生年龄在20至23岁之间。32.4%的患者选择MDS, 67.6%的患者选择BDS。近50%的人倾向于推荐NRT作为戒烟建议,48%的人推荐自我戒烟,1.2%的人推荐药理学方法。超过一半的受访者对戒烟干预措施有平均水平的知识,而大多数受访者对提供戒烟干预措施持积极态度。因此,影响学生产生获得戒烟方法知识的兴趣需要一个小时。
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引用次数: 5
Prevalence of Dental Caries and Its Relationship with Oral Hygiene and Type of Female Schools in Al-Kharj City, Kingdom of Saudi Arabia 沙特阿拉伯Al-Kharj市女性学校类型及口腔卫生与龋病患病率的关系
Pub Date : 2019-04-01 DOI: 10.5005/JP-JOURNALS-10062-0041
Saad A Al Hazzani, E. Z. Alanazi, Shaikha A Al Bejadi, Maha A Al Wabil
Objectives: The purpose of this study was to determine the prevalence of dental caries and its correlation with the oral hygiene status of 6 to 9-year-old school girls studying indifferent types of schools. Materials and methods: A total of (n = 382) subjects were grouped into 4 clusters according to their school type (group 1—Government School (n = 117), group 2—Holy Quran Memorization Schools (n = 62), group 3—Private School (n = 89) and group 4—Boosting Health (n = 114). A single trained, and calibrated examiner recorded dental caries decayed missing filled teeth (DMFT index) by applying WHO diagnosis criteria. Plaque index and gingival index of the study participants were recorded and compared between the groups. All the data were analyzed by using statistical package for social sciences (SPSS) version 21. Descriptive statistics, one-way analysis of variance (ANOVA) and Pearson’s correlation tests were applied. Results: Government school students showed higher mean DMFT score (7.21), PI score (1.81) and gingival index score (1.97) followed by other schools. When mean DMFT scores were compared between the four types of schools no significant difference was found (p = 0.39). On the contrary, the study showed significant differences in the mean GI score ( p = 0.04) and PI score ( p = 0.049) between the four types of schools. DMFT score was found to be significantly correlated with the PI score (r = 0.225, p = 0.000) and GI scores (r = 0.192, p = 0.000). But DMFT did not show any significant correlation with the type of school. Conclusion: This study indicated a high prevalence and severity of dental caries among 6 to 9-year school going female children from Al-Kharj city. Further; it revealed caries experience of the female students is significantly correlated with the plaque deposition on the teeth rather than the type of school. Hence there is a need to implement and evaluate oral health education and promotion programs targeted towards these students.
目的:了解不同类型学校6 ~ 9岁女学生的龋患病率及其与口腔卫生状况的关系。材料与方法:将382名被试按学校类型分为4组(1 -公办学校117人,2 -圣可兰经背诵学校62人,3 -私立学校89人,4 -健康促进学校114人)。一名经过培训和校准的检查员应用世卫组织诊断标准记录蛀牙、缺补牙(DMFT指数)。记录研究对象的菌斑指数和牙龈指数,并进行组间比较。所有数据均采用SPSS (statistical package for social sciences) version 21进行分析。采用描述性统计、单因素方差分析(ANOVA)和Pearson相关检验。结果:公办学校学生DMFT得分(7.21)、PI得分(1.81)、牙龈指数得分(1.97)均高于其他学校。四类学校DMFT平均分比较,差异无统计学意义(p = 0.39)。相反,研究显示四类学校的GI得分均值(p = 0.04)和PI得分均值(p = 0.049)存在显著差异。DMFT评分与PI评分(r = 0.225, p = 0.000)和GI评分(r = 0.192, p = 0.000)显著相关。但DMFT与学校类型没有显著相关。结论:本研究表明Al-Kharj市6 - 9岁学龄女童龋齿患病率高,严重程度高。进一步;结果显示,女学生患龋的经历与牙菌斑沉积的程度有显著的相关性,而与学校类型无关。因此,有必要实施和评估针对这些学生的口腔健康教育和促进计划。
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引用次数: 2
期刊
Journal of Oral Health and Community Dentistry
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