在初级医疗保健机构的幼儿中预测牙损伤
M Fontana1, G J Eckert2, B P Katz3
1University of Michigan, Ann Arbor, MI, USA.
Journal of dental research
|June 17, 2023
概括
一个新的10项工具准确地识别了年龄在1岁之前患的高风险的幼儿. 这种查有助于针对最需要儿童的早期牙科护理和预防.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 幼儿 (ECC) 是一个重要的公共卫生问题,需要有效的查工具进行早期干预.
- 在初级保健机构中识别患有牙高风险的儿童对于公平获得预防性牙科服务至关重要.
研究的目的:
- 开发和验证一个简短的,由家长完成的虫病风险评估工具,用于初级卫生保健机构.
- 该工具旨在准确识别1岁儿童在4岁时患有腔病变的风险增加.
主要方法:
- 一项纵向的前性队列研究跟踪了1至4岁的985名儿童.
- 在多个时间点进行了使用国际虫检测和评估标准 (ICDAS) 的家长问卷和临床牙科检查.
- 统计分析,包括多变量后勤回归,确定了脏体验的显著预测因素.
主要成果:
- 在1岁时使用的10项空风险工具,在4岁时显示出空洞化空病变的良好预测一致性 (AUC=0.73).
- 关键预测因素包括参与公共援助 (例如,医疗补助),非白人种族,早产,以及特定的照顾者报告的行为,如含糖零食的消费和口腔卫生实践.
结论:
- 在1岁时使用的10项空风险评估工具有效地识别了儿童早期空风险较高的儿童.
- 这种工具可以促进有针对性的预防策略,并改善初级保健机构中风险人群获得牙科护理的机会.
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