使用ICDAS预测墨西哥学龄儿童治疗需求时牙损伤的患病率和严重程度
Arturo Emiliano Carrillo Ortiz1, Cesar Abraham Olvera Fuentes1, Alvaro García Pérez2
1Pediatric Stomatology Specialties, Faculty of Higher Studies (FES) Iztacala, National Autonomous University of Mexico (UNAM), 53000 Naucalpan, Mex, Mexico.
The Journal of clinical pediatric dentistry
|November 15, 2024
概括
一项针对1139名墨西哥学龄儿童 (8-12岁) 的研究发现82.1%的人患有,需要大量治疗. 口腔卫生不良和母亲教育水平较低与牙科问题增加有关.
科学领域:
- 口腔健康 口腔健康
- 儿科牙科 儿科牙科
- 公共卫生 公共卫生
背景情况:
- 牙损是全球普遍存在的口腔健康问题,特别影响儿童.
- 在特定人群中了解病的流行率和相关因素对于有针对性的干预至关重要.
研究的目的:
- 评估在8-12岁的墨西哥学童中永久牙的牙损伤的发生率和严重程度.
- 确定牙与牙科治疗需求之间的关联.
- 确定其他促成因素,如口腔卫生和社会经济地位.
主要方法:
- 一项涉及墨西哥州两所公立小学1139名学童的横截面研究.
- 使用国际虫检测和评估系统 (ICDAS) 进行虫评估.
- 使用后勤回归来分析,治疗需求和人口/社会经济变量之间的关联.
主要成果:
- 在所有病变严重程度上,脏病的患病率高达82.1% (ICDAS 1-6).
- 观察到的治疗需求指数为77.3%.
- 中度至严重的 (ICDAS 3-6) 显著增加了需要牙科治疗的可能性 (OR=1.61-1.77).
- 糟糕的口腔卫生,母亲的教育水平低,牙医的访问不频繁与更高的治疗需求有关.
结论:
- 墨西哥8-12岁的学龄儿童患有牙的发病率很高,需要大量的牙科治疗.
- 诸如口腔卫生不良,母亲教育水平较低,牙科访问不频繁等因素是治疗需求的重要预测因素.
- 实施有针对性的口腔健康促进和预防计划对于解决这个年龄组中脏病的高负担至关重要.
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