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カザフスタン共和国とウクライナの自閉症スペクトル障害児における早期の虫歯の危険因子

Abdukalikova Delmira Bakytbekovna1, Zhamilya U Erkibayeva2, Gulzhan T Yermukhanova2

  • 1Department of Public Health and Social Sciences, Kazakhstan School of Public Health, Kazakhstan's Medical University, Almaty, Kazakhstan.

Journal of International Society of Preventive & Community Dentistry
|August 21, 2025
PubMed
まとめ
この要約は機械生成です。

自閉症スペクトル障害 (ASD) の子供は,口腔衛生の不良と酸性口腔のpHにより,幼児期カリエス (ECC) のリスクが高くなります. この集団の口腔健康を改善するためには 標的を絞った介入が不可欠です

キーワード:
自閉症ECC についてカリエス

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科学分野:

  • 小児歯科
  • 発達障害
  • 公衆衛生

背景:

  • 自閉症スペクトル症候群 (ASD) と幼児期カリエス (ECC) の罹患率は世界的に増加しています.
  • ASDとECCの関連性については,さらなる調査が必要である.

研究 の 目的:

  • カザフスタンとウクライナの自閉症の子供におけるECCの危険因子を評価する.
  • 自閉症と非自閉症の子供の口腔衛生,食事,口腔液のpHを比較する.

主な方法:

  • 多中心の観察研究では,ASDを患っている125人を含む190人の子供 (5~6歳) が参加した.
  • 親の調査と口腔衛生,食事,口腔液のpHに関する臨床試験によるデータ収集
  • 口腔衛生は,修正されたプラーク指数 (カザフスタン) とフェドロフ・ヴォロドキナ指数 (ウクライナ) を用いて評価された.

主要な成果:

  • 両国ではASDの子どもたちの口腔衛生が著しく低下し,口腔液のpHが低下した (より酸性).
  • 自閉症の子供たちのうち,毎日2回ブラシを磨くのは,わずか16.07% (カザフスタン) と33.33% (ウクライナ) であった.
  • ASDの子供の8. 70~25%でゆっくりとした食事パターンが観察されました.

結論:

  • カザフスタンとウクライナのASDの子供たちは,ECCのリスクが高くなります.
  • 口腔衛生の不良と口腔の酸性pHはASDとECCに関連した主要なリスク因子です.
  • 世界中で自閉症の子供たちに 合わせた口腔衛生戦略は不可欠です