婴幼儿期牙齿健康检查。第2部分。牙齿普查及龋病筛检结果[j]。

N Nagatani
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引用次数: 0

摘要

本研究旨在分析1.5岁婴幼儿龋齿发生率、口腔环境与3.5岁婴幼儿龋齿患病率的关系,为建立婴幼儿牙齿健康调查方法和预防龋齿提供依据。对436名先后接受1.5岁和3岁儿童口腔健康检查的儿童进行口腔健康检查和龋齿活动性(Cariostat)试验,得到以下结果:龋齿患病率方面,1.5岁儿童龋齿发生率为10.6%,平均灵巧率为0.36%,平均缺陷率为0.68%,3.5岁儿童龋齿发生率为4.43%,平均缺陷率为8.41%,占67.2%。2. 从牙面来看,1.5岁时上颌初级中切牙近中近面和舌面缺损率为4.6%。3.5岁时,下颌第一磨牙咬合面、上颌第一中切牙近近近近面、上颌第一第二磨牙咬合面缺陷率高达35%以上。3.在咬合情况上,正常咬合和深覆咬合出现的频率几乎相同,约占全部咬合的70%。4. 出生时体重越重、萌牙越早、牙釉质裂隙越深、牙槽器pH值越低、上颌切牙间无牙间隙时患龋风险越高;因此,笔者认识到个体健康指导和善后护理的必要性。
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[Dental health examination in infancy and early childhood. Part 2. The results of dental survey and screening of dental caries].

The purpose of this study was to analyze the relationship between the caries incidence, oral environment at the age of 1.5 years and the prevalence of the caries at the age of 3.5 years in order to establish the methods of dental health surveys on infants and to prevent dental caries. Oral health examination and caries activity (Cariostat) test were performed on 436 children successively undergoing dental health examinations of 1.5-year-old and 3-year-old children, and the following results were obtained: 1. Concerning the condition of dental caries prevalence, percentages of children with dental caries, mean deft and mean defs were 10.6%, 0.36 and 0.68 at the age of 1.5 years and 67.2% 4.43 and 8.41 at the age of 3.5 years, respectively. 2. According to dental surfaces, the mesial proximal surface and lingual surface of primary central incisor in the upper jaw showed a high defs rate of 4.6% at the age of 1.5 years. At the age of 3.5 years, the occlusal surface of primary second molar in the lower jaw, the mesial proximal surface of primary central incisor in the upper jaw and the occlusal surface of primary second molar in the upper jaw had defs rates as high as over 35%. 3. Concerning the condition of occlusion, normal occlusions and deep overbites appeared at almost the same frequencies occupying about 70% of overall occlusions. 4. A risk of dental caries became higher when the body weight at birth was higher, eruption occurred earlier, a fissure in the enamel of primary was deeper, Cariostat pH was lower, and/or no interdental spaces between primary incisors in the upper jaw; therefore the author recognized the necessity of individual health guidance and aftercare.

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