口腔医学研究 ›› 2022, Vol. 38 ›› Issue (7): 650-653.DOI: 10.13701/j.cnki.kqyxyj.2022.07.014

• 儿童龋病研究 • 上一篇    下一篇

2017~2021年上海市闵行区学龄前儿童口腔一级预防效果评价

田芝娟, 施宏燕, 韩祥永*   

  1. 上海市闵行区牙病防治所 上海 201107
  • 收稿日期:2022-03-30 出版日期:2022-07-28 发布日期:2022-07-22
  • 通讯作者: * 韩祥永,E-mail:t13671604872@163.com
  • 作者简介:田芝娟(1982~ ),女,浙江人,硕士,副主任医师,研究方向:乳牙龋病。

Evaluation of Effect of Oral Primary Prevention for Preschool Children in Shanghai Minhang District During 2017-2021

TIAN Zhijuan, SHI Hongyan, HAN Xiangyong*   

  1. Dental Clinics of Minghang District, Shanghai 201107, China
  • Received:2022-03-30 Online:2022-07-28 Published:2022-07-22

摘要: 目的:了解2017~2021年上海市闵行区学龄前儿童患龋状况,评价口腔一级预防干预措施效果,为儿童龋病预防提供政策基础。方法:2017年选择闵行区40所公立幼儿园,2017~2021年开展口腔检查、口腔健康教育、氟化物防龋、儿童口腔健康状况反馈等口腔一级预防,获得儿童口腔状况资料,建立儿童口腔记录档案,应用SPSS 24.0软件包进行结果分析。结果:2017~2021年3~5岁儿童患龋率和龋均随着年龄的增加升高(P<0.01);2018年起口腔一级预防效果逐渐体现,2018~2020年学龄前儿童患龋率和龋均呈下降趋势(P<0.01),但学龄前儿童龋齿充填率较低,至2021年龋补充填比仍小于20%。结论:学龄前儿童龋病预防和干预是关键,一级预防效果显著;但学龄前儿童龋齿充填率低,应加强和诱导学龄前儿童龋病的早期充填。

关键词: 学龄前儿童, 乳牙龋, 口腔一级预防, 氟化漆

Abstract: Objective: To understand the oral health status of preschool children in Minhang District during 2017-2021, to evaluate the effect of oral primary prevention, and to provide scientific reference for caries prevention. Methods: Forty public kindergartens in Minhang District were selected in 2017. From 2017 to 2021, oral examination, oral health education, fluoride varnish, and oral health status notification were carried out to obtain the oral health condition data of children and establish their personal oral health record. Results: During 2017-2021, the prevalence of caries and the mean dmft of children aged 3-5 increased with age (P<0.01). The prevalence of caries and the mean dmft of preschool children showed a downward trend from 2018 to 2020 (P<0.01) due to the effect of oral primary prevention. The caries filling rate of preschool children was low, which was less than 20% in 2021. Conclusion: For preschool children, the prevention and intervention of dental caries is the key, and oral primary prevention has a significant effect on dental caries prevention. Early filling of dental caries should be strengthened to improve the filling rate in preschool children.

Key words: preschool children, caries, oral primary prevention, fluoride varnish