北京市0～2岁低龄儿童龋与龋活跃性Cariostat值的相关关系
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摘要
目的调查北京市0～2岁儿童的患龋状况及检测Cariostat龋活跃性,探索该年龄段儿童菌斑产酸能力Cariostat值和低龄儿童龋(ECC)的关系。方法以2016年3-9月北京市海淀区妇幼保健院儿童保健科1 123名0～2岁儿童为调查对象,进行口腔检查,并采集牙面软垢和菌斑的混合样本进行菌斑产酸能力Cariostat检测(北京冈大医疗科技有限公司),同时对母亲/监护人进行口腔健康检查和相关问卷调查。结果该年龄段患龋率为13.2%,龋均(dmft)为0.44±1.35,龋严重程度指数(CSI)为1.86±6.42。患龋率、dmft、CSI及Cariostat值均随年龄增加而升高;患龋儿童的Cariostat值分布区域明显高于无龋儿童,差异有统计学意义(P<0.001)。结论菌斑的产酸能力Cariostat值能够反映该年龄段儿童的患龋状况,有助于龋风险评估及筛选龋高危儿童,并对该年龄段儿童个性化的龋病管理提供数据支持和指导依据。
Objective To investigate the prevalence of early childhood caries(ECC)in children aged 0 to 2 years in Beijing,and to analyze the correlation between ECC and caries activity test(Cariostat score). Methods Totally 1 123 children aged 0 to 2 years from Haidian district in Beijing were examined by a cross-sectional sampling method from March to September 2016.The plaque samples were collected from buccal surfaces and incubated in the Cariostat test medium(Beijing GangDa Medical Technology CO.,Ltd,China).Meanwhile mother/primary caregivers were also surveyed by oral health questionnaires. Results The ECC prevalence of children aged 0 to 2 years was found to be 13.2% with a mean decayed missed filled teeth(dmft)score of 0.44±1.35,and caries severe index(CSI)was 1.86±6.42.ECC,dmft,CSI and Cariostat value all increased significantly with age(P<0.001).Cariostat test showed that most of the caries-free children were at lower level while most of the ECC children were at higher level(P<0.001). Conclusions A strong correlation between the caries activity test(Cariostat score)and ECC exists in children aged 0 to 2 years.It is clear that Cariostat score can be used as an indicator for caries risk assessment and ECC prediction,and can provide reference for individualized management of caries.
Objective To investigate the prevalence of early childhood caries(ECC)in children aged 0 to 2 years in Beijing,and to analyze the correlation between ECC and caries activity test(Cariostat score). Methods Totally 1 123 children aged 0 to 2 years from Haidian district in Beijing were examined by a cross-sectional sampling method from March to September 2016.The plaque samples were collected from buccal surfaces and incubated in the Cariostat test medium(Beijing GangDa Medical Technology CO.,Ltd,China).Meanwhile mother/primary caregivers were also surveyed by oral health questionnaires. Results The ECC prevalence of children aged 0 to 2 years was found to be 13.2% with a mean decayed missed filled teeth(dmft)score of 0.44±1.35,and caries severe index(CSI)was 1.86±6.42.ECC,dmft,CSI and Cariostat value all increased significantly with age(P<0.001).Cariostat test showed that most of the caries-free children were at lower level while most of the ECC children were at higher level(P<0.001). Conclusions A strong correlation between the caries activity test(Cariostat score)and ECC exists in children aged 0 to 2 years.It is clear that Cariostat score can be used as an indicator for caries risk assessment and ECC prediction,and can provide reference for individualized management of caries.
引文
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[7]苗江霞,荣文笙,王文红,等.北京市海淀区1743名0~2岁儿童患龋状况分析[J].中国妇幼健康研究,2017,28(7):761-762,777.
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[9]吴燕玲,周燕,支清惠,等.纵向研究0-2岁婴幼儿变异链球菌群与早期婴幼儿龋的关系[J].现代口腔医学杂志,2011,25(6):417-419.
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[11]褚昊月,张颖,亓庆国.低龄儿童龋直线回归预测模型的研究[C].广州,第九次全国牙体牙髓病学学术会议,2014.
[12]玄松玉,袁峻伟,王珏,等.Cariostat龋易感性检测技术用于评价3岁儿童患龋风险的研究[J].中华口腔医学杂志,2017,52(11):667-671.
[13]许世梃,石四箴,梁勤.两种龋病活跃性检测法的比较研究[J].上海医学,2010,33(7):663-666.
[14]苗江霞,王文红,邹晓璇,等.0~2岁儿童重症婴幼儿龋危险因素分析[J].中国妇幼卫生杂志,2015,32(4):5-8.
[15]李文卿,林家成,卢佳璇,等.重症婴幼儿龋及无龋儿童牙菌斑中变形链球菌的致龋性比较[J].中华口腔医学研究杂志:电子版,2011,5(4):15-18.
[16]王丹丹.牙齿健康部位与龋损部位菌斑pH变化的比较研究[J].世界最新医学信息文摘,2016,16(67):88.
[17] Hughes CV,Dahlan M,Papadopolou E,et al.Aciduric microbiota and mutans streptococci in severe and recurrent severe early childhood caries[J].Pediatric Dentistry,2012,34(2):e16.
[2] World Health Organization.Oral health survey:basic methods[M].4th.Geneva:World Health Organization,1997.
[3]袁峻伟,王珏,玄松玉,等.北京市海淀区两所幼儿园儿童乳牙龋病的调查[J].中日友好医院学报,2017,31(3):164-166.
[4]李静,秦满,谢盼.北京市幼儿园3~4岁儿童龋齿活动性研究[J].现代口腔医学杂志,2006,20(6):640-642.
[5]王文红,苗江霞,邹晓璇,等.北京市海淀区2010年1~5岁儿童乳牙龋病抽样调查报告[J].中国儿童保健杂志,2015,23(5):545-547.
[6]邓辉,徐征.北京市1~4岁儿童龋流行情况调查及其危险因素的初步研究[J].现代口腔医学杂志,2006,20(4):418-421.
[7]苗江霞,荣文笙,王文红,等.北京市海淀区1743名0~2岁儿童患龋状况分析[J].中国妇幼健康研究,2017,28(7):761-762,777.
[8]刘敏,石一谷,王鹏,等.2013年北京市3~5岁儿童乳牙龋病患病状况调查报告[J].北京口腔医学,2015,23(5):282-287.
[9]吴燕玲,周燕,支清惠,等.纵向研究0-2岁婴幼儿变异链球菌群与早期婴幼儿龋的关系[J].现代口腔医学杂志,2011,25(6):417-419.
[10]曾欣,于艳玲,王万春.婴幼儿口腔变形链球菌群感染的相关因素研究[J].口腔医学,2011,31(3):175-177.
[11]褚昊月,张颖,亓庆国.低龄儿童龋直线回归预测模型的研究[C].广州,第九次全国牙体牙髓病学学术会议,2014.
[12]玄松玉,袁峻伟,王珏,等.Cariostat龋易感性检测技术用于评价3岁儿童患龋风险的研究[J].中华口腔医学杂志,2017,52(11):667-671.
[13]许世梃,石四箴,梁勤.两种龋病活跃性检测法的比较研究[J].上海医学,2010,33(7):663-666.
[14]苗江霞,王文红,邹晓璇,等.0~2岁儿童重症婴幼儿龋危险因素分析[J].中国妇幼卫生杂志,2015,32(4):5-8.
[15]李文卿,林家成,卢佳璇,等.重症婴幼儿龋及无龋儿童牙菌斑中变形链球菌的致龋性比较[J].中华口腔医学研究杂志:电子版,2011,5(4):15-18.
[16]王丹丹.牙齿健康部位与龋损部位菌斑pH变化的比较研究[J].世界最新医学信息文摘,2016,16(67):88.
[17] Hughes CV,Dahlan M,Papadopolou E,et al.Aciduric microbiota and mutans streptococci in severe and recurrent severe early childhood caries[J].Pediatric Dentistry,2012,34(2):e16.