基于学校的预防计划中的空发病率在间隔审查的存在下
1Department of Epidemiology & Health Promotion, New York University, New York, NY 10010, USA.
Children (Basel, Switzerland)
|November 27, 2024
概括
基于学校的牙腐烂预防计划在减少牙空洞方面表现有前途. 患有现有的牙的儿童面临更高的发展新的牙的风险,强调了早期干预的必要性.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 牙科 公共卫生 牙科
- 牙科流行病学 牙科流行病学
背景情况:
- 基于学校的牙预防计划改善了获得牙科护理的机会,并减少了口腔健康差异.
- 关于这些计划中儿童牙损伤发生率的数据有限.
- 牙诊断通常涉及间隔审查,使发病率估计复杂化.
研究的目的:
- 估计参与学校预防试验的儿童每次牙损伤的发病率.
- 为了比较白银二胺化物和玻璃离子体密封剂处理之间的新皮的发展危险.
- 通过使用先进的统计方法,分析考虑间隔审查的虫病发病率.
主要方法:
- 一个纵向的,基于学校的随机临床试验,涉及3040名儿童.
- 银二胺化物 (SDF) 与玻璃离子体 (GI) 密封剂和无创性修复的比较.
- 半参数转换模型和G推算被用于处理间隔审查数据.
主要成果:
- 在SDF和GI治疗之间没有观察到虫危险的显著差异 (HR = 0.99).
- 患有基线牙的儿童患新牙的风险明显更高 (HR = 2.54).
- 每次访问的虫发病率从4.8%到11.1%不等,并且随着时间的推移而增加.
结论:
- 基于学校的空预防计划可以积极影响空发病率.
- 这些发现可以指导未来学校口腔健康计划的设计和实施.
- 早期识别和治疗牙对于防止疾病进一步进展至关重要.
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