绵阳市6~18岁儿童、青少年龋病与牙颌面畸形的相关性研究

doi:10.12183/j.scjpm.2021.1109

摘要/Abstract

摘要： 目的调查绵阳市6~18岁儿童、青少年龋病发生情况,分析龋病对牙颌面畸形的影响。方法采用分层整群抽样法选择绵阳市12所中小学的6~18岁儿童、青少年,检查其龋病及牙颌面畸形的发生情况,分析其龋病与牙颌面畸形的相关性。结果共调查绵阳市6~18岁儿童、青少年3 005人,男1 589人,女1 416人,平均年龄（12.06±5.99）岁。龋病患病率为51.31%（1 542/3 005）。不同年龄组的患龋率、龋均、乳牙龋失补牙面数/恒牙龋失补牙面数（dmft/DMFT）差异有统计学意义（均P<0.01）,其中6~9岁、10~12岁患龋率、龋均、dmft/DMFT和龋病活跃性（CAT）均较高。共检出1 382例牙颌面畸形,Logistic回归分析结果显示不良口腔习惯（OR=2.151）、龋病（OR=1.690）、dmft/DMFT越多（OR=2.061）,儿童、青少年发生牙颌面畸形的风险越大。结论 6~12岁是绵阳市儿童、青少年龋病高发年龄,龋病、因龋失牙是导致6~18岁儿童、青少年牙颌面畸形的危险因素。

关键词: 龋病, 龋失补牙数, 牙颌面畸形, 儿童青少年, 口腔健康

Abstract: Objective To investigate the incidence of dental caries in children and adolescents aged 6-18 years in Mianyang, and to analyze the effect of dental caries on dento-maxillofacial deformities. Methods Stratified cluster sampling method was used to select children and adolescents aged 6-18 years from 12 primary and secondary schools in Mianyang. The incidence of dental caries and dento-maxillofacial deformities was examined, and the correlation between dental caries and dento-maxillofacial deformities was analyzed. Results A total of 3 005 children and adolescents were investigated, including 1 589 boys and 1 416 girls, with an average age of （12.06±5.99） years. The prevalence of dental caries was 51.31% （1 542/3 005）. There were significant differences in the prevalence rate of dental caries, mean caries, number of decayed, missing and filled teeth of deciduous teeth/number of decayed, missing and filled teeth of permanent teeth （dmft/DMFT） among different age groups （all P<0.01）, and the prevalence rate of dental caries, mean caries, dmft/DMFT and caries activity test （CAT） among 6-9 years old and 10-12 years old were higher. A total of 1 382 cases of dento-maxillofacial deformities were detected. Logistic regression analysis showed that bad oral habits （OR=2.151）, dental caries （OR=1.690） and more dmft/DMFT （OR=2.061） were correlated with the incidence of dento-maxillofacial deformities in children and adolescents. Conclusion 6-12 years old is the high incidence age of dental caries in children and adolescents in Mianyang. Dental caries and missing teeth due to caries are the risk factors of dento-maxillofacial deformities in children and adolescents aged 6-18 years.

Key words: Dental caries, Decayed, missing and filled teeth, Dento-maxillofacial deformities, Children and adolescents, Oral health

中图分类号:

R179

杨春丽, 王荣, 喻明成, 林萤, 李新. 绵阳市6~18岁儿童、青少年龋病与牙颌面畸形的相关性研究[J]. 华南预防医学, 2021, 47(9): 1109-1112.

YANG Chun-li, LI Xin, WANG Rong, YU Ming-cheng, LIN Ying. Correlation between dental caries and dento-maxillofacial deformities in children and adolescents aged 6-18 years in Mianyang[J]. South China Journal of Preventive Medicine, 2021, 47(9): 1109-1112.

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