基于ICDAS和世卫组织标准对牙损伤的评估:一项比较研究
Amita Rai1, Sunanda Sundas1, Neha Dhakal1
1Department of Pediatric and Preventive Dentistry, People's Dental College and Hospital, Kathmandu, Nepal.
International journal of paediatric dentistry
|June 18, 2023
概括
国际牙检测和评估系统 (ICDAS II) 在儿童中发现的牙比世界卫生组织 (WHO) 的标准更多. 使用ICDAS II早期检测非化病变对于有效预防牙损伤至关重要.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 流行病学 流行病学
- 皮肤病学 皮肤病学 皮肤病学
背景情况:
- 世界卫生组织 (WHO) 的腐烂,缺失和填充牙 (DMFT/dmft) 指数,专注于腔化病变,广泛用于牙损流行率研究.
- 早期诊断非化病变对于预防策略至关重要,可能降低牙发病率和医疗保健成本.
- 国际 Caries 检测和评估系统 (ICDAS II) 提供可靠的检测,既有洞穴和非洞穴的病变.
研究的目的:
- 用ICDAS II标准与世卫组织标准比较牙损伤的流行率.
- 与传统的WHO方法相比,评估ICDAS II在识别早期牙损伤方面的有效性.
主要方法:
- 在尼泊尔加德满都人民牙科学院和医院对362名儿童进行了横截面研究.
- 使用ICDAS II和世卫组织的标准来评估牙损伤的流行率.
- 进行了统计分析,以比较两个诊断系统之间的流行率.
主要成果:
- 与世卫组织标准 (83.18%初级,43.32%永久牙) 相比,ICDAS II (90.34%初级,68.42%永久牙) 的牙损伤患病率显著更高.
- 在ICDAS II和世卫组织标准之间的患病率差异是统计学上显著的 (p < .001) 对于初级和永久牙.
- 检测到大量非化病变,突出显示了世卫组织标准的潜在限制.
结论:
- 根据使用的诊断标准 (ICDAS II与世卫组织),报告的牙损伤患病率存在显著差异.
- 由ICDAS II检测到的非化病变的高患病率表明需要早期干预.
- ICDAS II似乎是一个更有价值的工具,用于检测早期/非化病变,促进及时的预防性牙科护理.
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