从9岁到23岁,非空化病变的患病率、进展、消退和无变化

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Mahrukh Zafar BDS, MS, Steven M. Levy DDS, MPH, John J. Warren DDS, MS, Xian Jin Xie PhD, Justine Kolker DDS, MS, PhD, Chandler Pendleton MS
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引用次数: 0

摘要

目的部分非空泡性龋病变(D1),由初期龋向空泡性龋发展。本文报道了9 - 23岁不同时期D1水平和表面水平的患病率及D1病变状态的变化。方法对艾奥瓦州氟化物研究(IFS)参与者进行纵向随访;在9岁、13岁、17岁和23岁时,采用标准化标准对所有恒牙表面进行临床检查,以确定是否有龋齿,标准分为健全(S)、可疑(D0)、无空化(D1)、空化(D2+)、填充(F)或因龋齿而缺失(M)。每个间隔开始时的D1病变在每个随访年龄重新评估,以确定过渡(向5类或无过渡)。结果样本社会经济地位较高,高社会经济地位占52% ~ 55%,中等社会经济地位占32 ~ 35%,低社会经济地位占12 ~ 13%。D1病变在9岁、13岁、17岁和23岁时的个人水平患病率分别为23%、38%、60%和45%。地表患病率在9岁和13岁时低于1%,在17岁时为3%,在23岁时为2%。13%的9岁儿童在13岁时发病,18%从13岁到17岁发病,11%从17岁到23岁发病。回归(声音或D0)的百分比分别为72%、54%和72%。结论17岁非空化病变发生率高于9岁、13岁和23岁。与进展或无变化相比,高退行率表明许多非空化病变不会进展为空化病变,并且可以逆转;因此,手术干预不应该是早期病变的治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Prevalence of non-cavitated lesions and progression, regression, and no change from age 9 to 23 years

Prevalence of non-cavitated lesions and progression, regression, and no change from age 9 to 23 years

Prevalence of non-cavitated lesions and progression, regression, and no change from age 9 to 23 years

Prevalence of non-cavitated lesions and progression, regression, and no change from age 9 to 23 years

Objectives

Some non-cavitated caries lesions (D1), the initial stage of caries, progress to cavitation. This article reports participant-level and surface-level D1 prevalence and changes in status of D1 lesions through different periods from age 9 to 23.

Methods

The Iowa Fluoride Study (IFS) participants were followed longitudinally; all permanent tooth surfaces were examined clinically for caries at ages 9, 13, 17, and 23 using standardized criteria for sound (S), questionable (D0), non-cavitated (D1), cavitated (D2+), filled (F), or missing due to decay (M). D1 lesions at the beginning of each interval were reassessed at each follow-up age to determine transitions (to the 5 categories or no transition).

Results

The sample had relatively high socioeconomic status (SES), with about 52%–55% high SES, 32–35% middle SES, and 12–13% low SES. Person-level prevalences of D1 lesions were 23%, 38%, 60%, and 45% at ages 9, 13, 17, and 23, respectively. Surface-level prevalences were less than 1% at ages 9 and 13, 3% at 17, and 2% at 23. Thirteen percent of D1s at age 9 progressed at 13, 18% progressed from 13 to 17, and 11% progressed from 17 to 23. The percentages regressing (to sound or D0) were 72%, 54%, and 72%, respectively.

Conclusion

Non-cavitated lesions were more prevalent at age 17 than at ages 9, 13, and 23. The high rates of regression compared to progression or no change suggest that many non-cavitated lesions do not progress to cavitated lesions and could be reversed; therefore, surgical intervention should not be the treatment of choice for incipient lesions.

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来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
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