Caries prevalence and caries experience (ICDAS II criteria) of 5-, 12- and 15-year-old Greek children in relation to socio-demographic risk indicators. Trends at the national level in a period of a decade.

Iliana Diamanti, Elias D Berdouses, Katerina Kavvadia, Konstantinos N Arapostathis, Christina Reppa, Maria Sifakaki, Olga Panagopoulou, Argy Polychronopoulou, Constantine J Oulis
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引用次数: 8

Abstract

Purpose: To study the caries status of 5, 12 and 15-year-old Greek children, assess how disease parameters are related to socio-demographic indicators and identify relevant trends at the national level.

Methods: A stratified cluster sample of 3702 children in total was randomly selected and examined clinically for caries (ICDAS II criteria). Caries experience was outlined by adapting ICDAS0-6 criteria to the d/D component of the WHO dmf/DMF index configuration. Percentages (%) of caries experience-free children, of children with initial caries (ICDAS1-2), and the mean d1-2t/D1-2T, d3-6mft/D3-6MFT and d3-6mfs/D3-6MFS indices were calculated. The probability of presenting with d1-2t/D1-2T ≥ 1 was assessed by binary logistic regression analysis, whereas negative binomial regression models examined the effect of socio-demographic parameters on d3-6mfs/D3-6MFS indices (level of significance: p ≤ 0.05).

Results: 60.1%, 48.1%, and 34.7% of the 5, 12, and 15-year-old children, respectively, had no caries experience at the defect level (d3-6mft/D3-6MFT = 0). Initial lesions (ICDAS1-2) were detected in 17.7%, 19.3% and 17.4% of the 5, 12 and 15-year-olds, accordingly. Mean d1-2t/D1-2T was 0.93, 1.70, and 2.51, whereas mean d3-6mft/D3-6MFT was 1.48, 1.61, and 2.46 for the 5, 12, and 15-year-olds, respectively. Children with higher educated parents and 15-year-old urban residents exhibited significantly less caries experience at the defect level. Initial caries lesions presented a significantly higher probability of being detected in urban-residing 5- and 15-year-olds, while no consistent trend could be identified for parental education level. Caries prevalence and experience levels declined for all age groups in ten years.

Conclusion: Although the dental health of Greek children has improved disparities remain, calling for organised primary and secondary preventive interventions.

5岁、12岁和15岁希腊儿童龋齿患病率和龋齿经历(ICDAS II标准)与社会人口风险指标的关系十年期间国家一级的趋势。
目的:研究5岁、12岁和15岁希腊儿童的龋齿状况,评估疾病参数与社会人口指标的关系,并确定国家一级的相关趋势。方法:随机抽取3702例儿童分层整群样本进行临床龋病检查(ICDAS II标准)。通过使ICDAS0-6标准适应世卫组织dmf/ dmf指数配置的d/ d部分,概述了龋病经验。计算无龋经历儿童、初发龋儿童的百分比(ICDAS1-2),以及d1-2t/ d1-2t、d3-6mft/ d3-6mft和d3-6mfs/ d3-6mfs的平均值。采用二元logistic回归分析评估d1-2t/ d1-2t≥1的概率,采用负二项回归模型检验社会人口学参数对d3-6mfs/ d3-6mfs指数的影响(显著性水平:p≤0.05)。结果:5岁、12岁和15岁儿童中60.1%、48.1%和34.7%的儿童在缺损水平无龋(d3-6mft/ d3-6mft = 0)。5岁、12岁和15岁儿童的初始病变(ICDAS1-2)检出率分别为17.7%、19.3%和17.4%。5岁、12岁和15岁患者的平均d1-2t/ d1-2t分别为0.93、1.70和2.51,而平均d3-6mft/ d3-6mft分别为1.48、1.61和2.46。父母受教育程度较高的儿童和15岁的城市居民在缺陷水平上表现出明显较少的龋病经历。在5岁和15岁的城市居民中,早期龋齿病变的检出率明显更高,而父母的教育水平没有一致的趋势。十年来,所有年龄组的龋患病率和经验水平均有所下降。结论:尽管希腊儿童的牙齿健康有所改善,但差距仍然存在,需要有组织的初级和二级预防干预措施。
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