与学校课程中第一恒磨牙咬合龋相关的风险因素

Bianca Mattos dos Santos Guerra, Patrícia Papoula Gorni Reis, R. C. Jorge, V. Soviero
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摘要

目的:评估第一恒磨牙(FPM)咬合面龋齿的纵向状况,并确定学校口腔健康计划中发展为龋洞的风险因素。研究方法纳入2017年9月至2019年10月期间参加该项目、5至10岁、出现四颗FPM的儿童。四名经过校准的检查员根据 Nyvad 标准对龋齿进行评估。描述性分析包括频率、平均值和标准差计算。双变量分析中使用了卡方检验(Chi-square test),并使用调整了聚类效应的逻辑回归(Logistic regression)在以下自变量中识别出龋齿的重要风险因素:性别、基线年龄、脱发、上/下臼齿、初始龋齿评分、臼齿切牙低矿化(MIH)、氟中毒、咬合封闭。结果显示了比值比(OR)和各自的置信区间(CI)。结果:在 2017/2019 年间参加该计划的 174 名儿童中,有 120 名儿童在 2022 年接受了重新评估。11名儿童(9.2%)中的11名(2.6%)FPM在后续检查中出现龋齿。造成龋齿的重要风险因素是基牙龋坏(OR = 5.59;CI:1.4 - 22.3)和存在MIH(OR = 5.33;CI:1.6 - 18.1)。大多数随访中的活动性病变在基线检查中被认为是活动性的。结论龋齿的发展程度相对较低,但受既往龋病经历和MIH的影响较大。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk factors associated with occlusal caries in first permanent molars in a school program
Aim: Evaluate the longitudinal status of dental caries in the occlusal surface of first permanent molars (FPM) and to identify risk factors for the progression to cavitated caries lesions in a school oral health program. Methods: Children who were enrolled in the program between September 2017 and October 2019, 5 to 10 years-old, presenting the four FPM were included. Four calibrated examiners assessed dental caries according to Nyvad criteria. Descriptive analysis included frequency, mean, and standard deviation calculations. Chi-square test was used in the bivariate analysis and, logistic regression adjusted for cluster effect was used to identify significant risk factors for cavity among the following independent variables: gender, age in the baseline, deft, upper/lower molar, initial caries score, Molar Incisor Hypomineralization (MIH), fluorosis, occlusal sealing. Odds ratio (OR) and respective confidence intervals (CI) are presented. Results: From 174 children enrolled in the program between 2017/2019, 120 were reevaluated in 2022. Eleven (2.6%) FPM in 11 children (9.2%) presented cavitated caries in the follow up examination. Significant risk factors for cavity were caries experience in the primary teeth (OR = 5.59; CI: 1.4 – 22.3) and the presence of MIH (OR = 5.33; CI: 1.6 – 18.1). Most of the active lesions in the follow up were considered active in the baseline examination. Conclusions: The progression to cavity was relatively low, significantly influenced by past caries experience and MIH.
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