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当前青少年牙炎分类的歧视性有效性:一个队列研究
Camila S Sfreddo1, Leandro M Oliveira2, Bruna Z Gomes3
1Department of Semiology and Clinic, Faculty of Dentistry, Graduate Program in Dentistry, Federal University of Pelotas, Gonçalves Chaves Street, 457, 509 Room, Centro, Pelotas, RS, 96015-560, Brazil. camilassfreddo@gmail.com.
Clinical oral investigations
|September 19, 2023
概括
2018年欧洲牙周学会/美国牙周学会 (EFP/AAP) 的分类有效地识别了青少年的牙周炎风险因素,类似于其他定义. 该系统有助于优先考虑青少年口腔健康的公共卫生干预措施.
科学领域:
- 牙周病学 牙周病学
- 公共卫生 公共卫生
- 青少年口腔健康 青少年口腔健康
背景情况:
- 牙炎的患病率及其相关风险因素对于青少年口腔健康管理至关重要.
- 准确的诊断标准对于有效的公共卫生干预和流行病学研究至关重要.
研究的目的:
- 为了比较2018年欧洲牙周学会/美国牙周学会 (EFP/AAP) 牙周炎分类与其他定义.
- 评估EFP/AAP分类对青少年牙炎的社会人口统计和临床风险因素进行歧视的能力.
主要方法:
- 一组1134名12岁的青少年使用社区牙周指数进行了全口腔检查.
- 牙炎使用三个标准进行评估:≥10%的出血部位 (2018年EFP/AAP),≥15%的出血部位和平均全口出血部位.
- 多级波桑回归分析了基线变量与两年随访时的牙炎之间的关联.
主要成果:
- 2018年EFP/AAP标准在742名重新评估的14岁儿童中发现牙周炎的患病率为28.7%.
- 所有标准都显示,青少年的牙炎发病率较高,收入低,斑块水平高,牙未经治疗.
- 血流部位≥15%的门显示出与已识别的危险因素的最强相关性.
结论:
- 2018年EFP/AAP牙炎分类表现出与其他定义相比具有可比的判别有效性.
- 这种分类有效地识别了关键的风险因素,支持其在大型治疗计划中的使用.
- EFP/AAP系统对于优先考虑改善青少年口腔健康的干预措施是有价值的.
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