Predictors of Dental Caries Progression in Primary Teeth
Predictors of Dental Caries Progression in Primary Teeth
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DOI：
10.1177/0022034508331011
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发表时间：
2009-03-01
影响因子：
7.6
通讯作者：
Willem, J. M.
中科院分区：
文献类型：
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作者：
Ismail, A. I.;Sohn, W.;Willem, J. M.
目前关于龋齿的社会、行为和社区决定因素的作用的证据是基于横断面分析的。现有的证据并不是基于对同一人群中多个决定因素的分析。这项纵向研究解决了这两个限制。该研究包括788对儿童及其照顾者的数据（77%随访），他们在2002-03年和2004-05年接受了检查。在这两个时期，这些家庭的龋齿严重程度由校准过的牙医进行评估。此外，护理人员还回答了由训练有素的采访者管理的问卷。龋齿的增量根据逆转情况进行了调整。较高的龋齿增量的显著预测因子是苏打饮料的消费量较高，儿童年龄较大，年龄体重较大，较少的牙科治疗就诊，儿童及其护理人员的基线龋齿水平较高，牙科宿运论和社区弱势地位。最终模型中选定的风险因素解释了增量中约20%的变化。
The current evidence on the role of the social, behavioral, and community determinants of dental caries is based on cross-sectional analyses. The available evidence has not been based on analysis of multiple determinants within the same population. This longitudinal study addresses both of these limitations. The study included data from 788 dyads of children and their caregivers (77% follow-up), who were examined in 2002-03 and 2004-05. The families were assessed by calibrated dentists for severity of caries at both time periods. Additionally, the caregivers answered questionnaires administered by trained interviewers. The caries increment was adjusted for reversals. Significant predictors of higher caries increment were higher consumption of soda drinks, older age of child, greater weight-for-age, fewer dental treatment visits, higher baseline caries levels of children and their caregivers, dental fatalism, and neighborhood disadvantage status. The selected risk factors in the final model explained about 20% of the variation in the increment.