背景:在21世纪,龋齿仍然是一个全球性的负担,特别严重影响12岁儿童的成长和生活质量。幸运的是,窝沟封闭(PFS)程序可以有效防止磨牙龋齿。因此,本研究关注12岁儿童PFS与口腔流行病学因素之间的关系.
方法:对浙江省11个城市的12岁儿童进行横断面调查。他们的牙齿状况是通过问卷调查收集的,以及相关家庭信息等基本信息,口腔健康知识和行为。然后,采用logistic回归分析确定与PFS相关的影响因素。
结果:共包括1204名儿童,PFS组中有252个,非PFS组中有952个。两组在腐烂方面有显著差异,缺失和填充牙齿(DMFT)评分,第一恒磨牙DMFT评分,住宅区,父母的教育水平,刷牙频率,使用牙线,在医疗机构进行口腔检查,参加了口腔保健课程,以及知道刷牙可以有效预防牙龈炎症,PFS可以保护牙齿,口腔疾病可能会影响整体健康。根据进一步的逻辑回归分析,影响PFS的独立因素包括使用牙线[比值比(OR)=1.672,95%置信区间(CI)=1.235-2.263,P=0.001],参加过口腔保健课程(OR=0.713,95%CI=0.515-0.988,P=0.042),了解刷牙可有效预防牙龈炎症(OR=0.627,95%CI=0.389-0.987,P=0.044),并了解PFS可以保护牙齿(OR=0.589,95%CI=0.438-0.791,P<0.001)。
结论:PFS可以降低12岁儿童的平均DMFT评分。PFS的独立影响因素包括牙线的使用,参加了口腔保健课程,口腔健康行为和知识水平。
BACKGROUND: In the 21st century, dental caries remains a global burden, particularly severely affecting the growth and quality of life of 12-year-old children. Fortunately, pit and fissure sealing (PFS) procedures can effectively prevent molars from caries. Hence, this study focused on the relationship between PFS and oral epidemiological factors in 12-year-old children.
METHODS: A cross-sectional survey was conducted in 12-year-old children from 11 cities in Zhejiang Province. Their dental conditions were collected through questionnaires, as well as basic information such as relevant family information, oral health knowledge and behavior. Then, logistic regression analysis was used to identify the influencing factors associated with PFS.
RESULTS: A total of 1204 children were included, with 252 in the PFS group and 952 in the non-PFS group. There were significant differences between the two groups in terms of decayed, missing and filled teeth (DMFT) score, first permanent molar DMFT score, residential area, educational level of parents, tooth-brushing frequency, use of dental floss, oral examination in a medical institution, having taken courses on oral health care, as well as having knowledge that tooth brushing could effectively prevent gingival inflammation, PFS could protect teeth, and oral disease may affect general health. According to further logistic regression analysis, the independent factors influencing PFS included use of dental floss [odds ratios (OR) = 1.672, 95% confidence intervals (CI) = 1.235-2.263, P = 0.001], having taken courses on oral health care (OR = 0.713, 95% CI = 0.515-0.988, P = 0.042), having knowledge that tooth brushing is effective in preventing gingival inflammation (OR = 0.627, 95% CI = 0.389-0.987, P = 0.044) and having knowledge that PFS can protect teeth (OR = 0.589, 95% CI = 0.438-0.791, P < 0.001).
CONCLUSIONS: PFS can reduce the mean DMFT score of 12-year-old children. Independent influencing factors of PFS consist of use of dental floss, having taken courses on oral health care, oral health behavior and knowledge level.