氟保护漆Duraphat联合口腔健康宣教预防学龄前儿童乳牙龋病的效果观察
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摘要
目的观察氟保护漆duraphat联合口腔健康宣教在预防学龄前儿童乳牙龋病中的效果。方法采用随机整群抽样法选取乌鲁木齐市水磨沟区4所幼儿园420名4岁儿童为研究对象,分为试验组和对照组。试验组使用duraphat涂布牙面,每6个月进行一次,涂氟同时对幼儿及其家长进行口腔健康知识的宣教,共干预4次;对照组进行早晚刷牙、饭后漱口等一般的口腔护理。在试验前后分别对两组儿童乳牙龋齿情况进行调查,准确统计两次检查的患龋率和龋均。结果试验前,试验组儿童患龋率和龋均分别为63.05%和(3.04±2.15),对照组患龋率和龋均为62.12%和(3.01±2.31),两组儿童患龋率和龋均差异无统计学意义(P>0.05);试验后,试验组患龋率和龋均分别为66.01%和(3.56±3.72),对照组患龋率和龋均为78.28%和(4.61±3.01),两组儿童患龋率虽没有明显下降,但试验组儿童乳牙患龋率升高较对照组缓慢,龋均增加较对照组少,两组相比,差异有统计学意义(P<0.05)。结论氟保护漆duraphat联合口腔健康宣教应用于学龄前儿童乳牙防龋效果明显,能有效控制学龄前儿童乳牙龋病的发生,对乳牙有明显保护作用。
Objective to investigate the effectiveness of fluoride varnish duraphat combined with oral health education in preventing primary caries in preschool children. Methods totally 420 four-year-old children chosen from four kindergartens in Urumqi were randomly divided into the experimental group and the control group. in the experimental group, the surface was coated with duraphat, once every 6 months, the application of fluorine to children and their parents in oral health education, the total intervention was 4 times; the control group were brushing in the morning and evening, mouthwash after meals and other conventional oral care. the dental caries of two groups of children's deciduous teeth were investigated before and after the test, and the rate of caries and caries were calculated accurately for two times. Results Before the test, the rate of caries and caries in the experimental group were 63.05% and(3.04±2.15), respectively, the rate of caries and caries in the control group were 62.12% and(3.01±2.31), respectively, there was no significant difference in the rate of caries and caries between the two groups(P>0.05); after the test, the rate of caries and caries in the experimental group were 66.01% and(3.56±3.72), respectively, the rate of caries and caries in the control group were78.28% and(4.61±3.01), both the rates of caries were not significantly reduced,but the rate of dental caries increased in the experimental group was slower than that in the control group,the increase of caries was less than that of the control group, and the difference between the two groups was statistically significant(P<0.05). Conclusion fluoride varnish duraphat combined with oral health education in preschool children's teeth caries prevention effect is obvious, it can effectively control the occurrence of deciduous dental caries in preschool children, and has an obvious protective effect on the deciduous teeth.
Objective to investigate the effectiveness of fluoride varnish duraphat combined with oral health education in preventing primary caries in preschool children. Methods totally 420 four-year-old children chosen from four kindergartens in Urumqi were randomly divided into the experimental group and the control group. in the experimental group, the surface was coated with duraphat, once every 6 months, the application of fluorine to children and their parents in oral health education, the total intervention was 4 times; the control group were brushing in the morning and evening, mouthwash after meals and other conventional oral care. the dental caries of two groups of children's deciduous teeth were investigated before and after the test, and the rate of caries and caries were calculated accurately for two times. Results Before the test, the rate of caries and caries in the experimental group were 63.05% and(3.04±2.15), respectively, the rate of caries and caries in the control group were 62.12% and(3.01±2.31), respectively, there was no significant difference in the rate of caries and caries between the two groups(P>0.05); after the test, the rate of caries and caries in the experimental group were 66.01% and(3.56±3.72), respectively, the rate of caries and caries in the control group were78.28% and(4.61±3.01), both the rates of caries were not significantly reduced,but the rate of dental caries increased in the experimental group was slower than that in the control group,the increase of caries was less than that of the control group, and the difference between the two groups was statistically significant(P<0.05). Conclusion fluoride varnish duraphat combined with oral health education in preschool children's teeth caries prevention effect is obvious, it can effectively control the occurrence of deciduous dental caries in preschool children, and has an obvious protective effect on the deciduous teeth.
引文
[1]葛立宏.儿童口腔医学[M].第4版.北京:人民卫生出版社,2014:4-5.
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[4]缪羽,张双阳,于蕴之,等.应用生存分析方法随访观察氟保护漆对学龄前儿童龋病的预防效果[J].中国实用口腔科杂志,2016,9(10):600-604.
[5]肖亦芳,唐黎黎,王小杰,等.氟保护漆与氟化泡沫预防学龄前儿童龋病的效果对比[J].广西医学,2016,38(6):854-855.
[6]蒋小玲,符永霞.窝沟封闭术联合氟保护漆在预防儿童龋齿中的疗效观察[J].世界最新医学信息文摘,2017,17(71):160.
[7]Milgrom P,Taves DM,Kim AS,et al.Pharmacokinetics of fluoride in toddlers after application of 5%sodium fluoride dental varnish[J].Pediatrics,2014,134(3):870–874.
[8]崔晶,曹军,赵信义,等.多乐氟、护牙素及含氟牙膏促进釉质再矿化的体外研究[J].牙体牙髓牙周病学杂志,2016,26(4):231-235.
[9]Keightley AJ,Taylor GD.Fluoride varnish applications and caries incidence in pre-schoolers[J].Evid Based Dent,2014,15(3):83-84.
[10]Vongsavan K,Surarit R,Rirattanapong P.The combined effect of xylitol and fluride in varnish on bovine teeth surface microhardness[J].Southeast Asian J Trop Med Public Health,2014,45(2):505-510.
[11]何美英,刘向辉,张林.多乐氟促进乳牙脱矿后再矿化的研究[J].临床口腔医学杂志,2016,32(3):178-179.
[12]梅银娥,卢秀兰,张丽萍,等.武汉市东西湖区幼儿口腔健康促进项目2年的效果评价[J].临床口腔医学杂志,2014,30(8):503-504.
[2]齐小秋.第三次全国口腔健康流行病学调查报告[M].第1版.北京:人民卫生出版社,2008:11-12.
[3]高祯,蔡蔚,霍东婷,等.氟保护漆预防学龄前儿童乳牙龋的疗效观察[J].中国儿童保健杂志,2017,25(5):519-522.
[4]缪羽,张双阳,于蕴之,等.应用生存分析方法随访观察氟保护漆对学龄前儿童龋病的预防效果[J].中国实用口腔科杂志,2016,9(10):600-604.
[5]肖亦芳,唐黎黎,王小杰,等.氟保护漆与氟化泡沫预防学龄前儿童龋病的效果对比[J].广西医学,2016,38(6):854-855.
[6]蒋小玲,符永霞.窝沟封闭术联合氟保护漆在预防儿童龋齿中的疗效观察[J].世界最新医学信息文摘,2017,17(71):160.
[7]Milgrom P,Taves DM,Kim AS,et al.Pharmacokinetics of fluoride in toddlers after application of 5%sodium fluoride dental varnish[J].Pediatrics,2014,134(3):870–874.
[8]崔晶,曹军,赵信义,等.多乐氟、护牙素及含氟牙膏促进釉质再矿化的体外研究[J].牙体牙髓牙周病学杂志,2016,26(4):231-235.
[9]Keightley AJ,Taylor GD.Fluoride varnish applications and caries incidence in pre-schoolers[J].Evid Based Dent,2014,15(3):83-84.
[10]Vongsavan K,Surarit R,Rirattanapong P.The combined effect of xylitol and fluride in varnish on bovine teeth surface microhardness[J].Southeast Asian J Trop Med Public Health,2014,45(2):505-510.
[11]何美英,刘向辉,张林.多乐氟促进乳牙脱矿后再矿化的研究[J].临床口腔医学杂志,2016,32(3):178-179.
[12]梅银娥,卢秀兰,张丽萍,等.武汉市东西湖区幼儿口腔健康促进项目2年的效果评价[J].临床口腔医学杂志,2014,30(8):503-504.