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目的:建立7~12岁儿童第一恒磨牙(六龄牙)患龋流行病学资料,为制定本市初级卫生保健发展战略和有效防治龋病提供科学依据。方法:采用世界卫生组织通用的龋齿调查方法,以荆门市城区十二所小学2159名学生为对象,调查第一恒磨牙患龋情况,按PEMS 3.1标准进行数据分析。结果:在2159名学生中,第一恒磨牙患龋人数625人,患龋率为28.95%,龋均1.65;患龋牙数1029颗,以12岁儿童多见;女生患龋356人,高于男生的296人,P<0.01,有显著意义;患龋率随年龄增长而升高,9岁时达高峰;龋坏主要发生在面;下颌的患龋率高于上颌。结论:该市儿童第一恒磨牙患龋情况符合龋病的一般流行病学特点。充分认识第一恒磨牙患龋对儿童的健康危害,有的放矢地指导小学生良好的口腔卫生习惯和生活饮食习惯,采取窝沟封闭、局部及全身补氟,可有效预防龋病,降低第一恒磨牙患龋率。
Objective: To establish the epidemiological data of the first permanent molars (six-year-old teeth) in children aged 7-12 years and provide a scientific basis for the development of the primary health care development strategy and the effective prevention and treatment of dental caries. Methods: A total of 2159 students from 12 primary schools in Jingmen City were investigated using the universal dental caries survey by WHO. The caries status of the first permanent molars was investigated and the data were analyzed according to the PEMS 3.1 standard. Results: Among the 2159 students, the number of caries in the first permanent molars was 625, the prevalence of caries was 28.95% and the number of caries was 1.65. The number of caries was 1029, which was more common in children aged 12 years. The number of female caries was 356, 296 boys, P <0.01, significant; caries prevalence increased with age, peaked at 9 years of age; caries mainly in the noodles; mandibular caries prevalence higher than the maxillary. Conclusion: The prevalence of dental caries in the first permanent molars in the city is in accordance with the general epidemiological characteristics of dental caries. Fully understand the first permanent molars caries on children’s health hazards, targeted to guide the good oral hygiene habits and life eating habits of primary students, to take pit and fissure sealant, local and systemic fluoride, which can effectively prevent dental caries, reduce the first permanent molars Caries rate.