超重/肥胖、社会经济地位和口腔卫生对初级牙列龋的影响

Q1 Medicine

Journal of Investigative and Clinical Dentistry Pub Date : 2019-01-20 DOI:10.1111/jicd.12394

Wieland Elger, Wieland Kiess, Antje Körner, Annett Schrock, Mandy Vogel, Christian Hirsch

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引用次数: 17

摘要

目的探讨超重/肥胖对初级牙列龋的可能影响。社会经济地位(SES)和口腔卫生质量也被考虑在内。方法选取1628例6个月~ 9岁的儿童为研究对象。除对原牙列龋齿、缺牙、补牙(dmft)指数进行口腔检查和口腔卫生评价外，测定体重指数标准偏差评分(BMI SDS)，并记录SES。结果OW/肥胖与高龋患病率相关(P <0.001)。较低的社会经济地位和不理想的口腔卫生也与dmft增加有关。泊松回归还显示，高SES和OW/肥胖组合的风险显著增加(βlow-high = 0.21, P = 0.01)。口腔卫生状况良好和不佳的人都有明显的增加。而中低阶层间无差异(βlow-medium = 0.03, P = 0.6)。随着年龄的增长，BMI的影响减小(βage:BMI SDS = - 0.06, P <0.001)。结论BMI、口腔卫生、社会经济地位是影响龋病发生的重要因素。然而，在最高的社会阶层，体重增加会产生不利影响，而不考虑口腔卫生。

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Influence of overweight/obesity, socioeconomic status, and oral hygiene on caries in primary dentition

Aim

The aim of the present study was to investigate possible influences of overweight (OW)/obesity on caries in primary dentition. Socioeconomic status (SES) and quality of oral hygiene were also considered.

Methods

In the present study, 1628 children between the ages of 6 months and 9 years were included. In addition to dental examinations regarding the decayed, missing, filled teeth (dmft) index in primary dentition and the evaluation of oral hygiene, the body mass index standard deviation score (BMI SDS) was determined, and SES was recorded.

Results

The presence of OW/obesity was associated with higher caries prevalence (P < 0.001). A lower SES and non-optimal oral hygiene were also associated with increased dmft. The Poisson regression also showed a significantly higher risk in the combination of a high SES and OW/obesity (β_low-high = 0.21, P = 0.01). The increase was evident in both good and poor oral hygiene. In contrast, there was no difference between the lower and middle social strata (β_low-medium = 0.03, P = 0.6). With increasing age, the BMI influence decreased (β_age:_BMI _SDS = −0.06, P < 0.001).

Conclusions

BMI, oral hygiene, and SES are important factors in caries prevalence. In the highest social class, however, increased body weight has an adverse effect regardless of oral hygiene.

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来源期刊

Journal of Investigative and Clinical Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.90

自引率

0.00%

发文量

期刊介绍： Journal of Investigative and Clinical Dentistry (JICD) aims to publish quality, peer reviewed original research and topical reviews on all aspects of investigative and clinical dentistry and craniofacial research, including molecular studies related to oral health and disease. Although international in outlook, the Editor especially encourages papers from the Asia Pacific. The journal also aims to provide clinicians, scientists and students of dentistry with a knowledge transfer platform for rapid publication of reports through an international journal, which will be available free online until 2012. Its scope, therefore, is broad, inclusive and international, but with a particular focus on Asia Pacific. The Editor welcomes manuscripts in the following key thematic areas in oral and maxillofacial sciences: Community Dentistry and Oral Epidemiology, Conservative Dentistry, Dental Biomaterials, Dental Pedagogy, Endodontics and Traumatology, Implant Dentistry, Oral Biosciences, Oral and Maxillofacial Surgery, Oral Medicine, Oral Pathology and Oral Microbiology, Orthodontics, Oral Radiology, Oral Rehabilitation, Paedodontics, Periodontology and Periodontal Medicine.