The dental health of children subject to a child protection plan
The dental health of children subject to a child protection plan
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DOI：
10.1111/ipd.12149
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发表时间：
2015-11-01
影响因子：
3.8
通讯作者：
Balmer, Richard C.
中科院分区：
文献类型：
--
作者：
Keene, Emily J.;Skelton, Ruth;Balmer, Richard C.
在英国，儿童虐待问题日益引起人们的注意和关注。目的比较儿童保护计划与对照组儿童的牙齿健康状况。设计儿童年龄必须在2至11岁之间，身体健康，参加儿童保护计划或在儿科骨科门诊或普通外科诊所就诊（对照组）。所有的孩子都进行了标准化的口试。结果每组检查79例。有儿童保护计划的儿童的初级蛀牙水平在统计学上高于对照组（平均dmft为3.82和2.03，Mann-Whitney U检验P=0.002）。在对社会经济状况进行调整后，与对照组相比，儿童保护计划儿童的初级牙列龋齿发生率为1.76 （95% CI: 1.44-2.15）。研究组和对照组的恒牙蛀牙水平无统计学差异（平均DMFT分别为0.71和0.30）。研究组护理指数（1.69%）显著低于对照组（6.02%）（P=0.008， Mann-Whitney U检验）。结论儿童保护计划组儿童的初级牙列龋率明显高于对照组。
BackgroundIn the United Kingdom, child maltreatment is an area of increased awareness and concern.AimTo compare the dental health of children subject to child protection plans with controls.DesignChildren had to be aged between two and 11years, medically healthy, and subject either to a child protection plan or attending the paediatric outpatient orthopaedic or general surgery clinics (control group). All children had a standardized oral examination.ResultsSeventy-nine children were examined in each group. Children with child protection plans had statistically higher levels of primary tooth decay than controls (mean dmft 3.82 and 2.03, Mann-Whitney U test P=0.002). After adjusting for socioeconomic status, the incidence rate ratios for the occurrence of dental caries in the primary dentition in children with a child protection plan was 1.76 (95% CI: 1.44-2.15) relative to the controls. There was no statistical difference in the levels of permanent tooth decay between the study and control groups (mean DMFT 0.71 and 0.30, respectively). The care index was significantly lower (P=0.008, Mann-Whitney U test) in the study group (1.69%) compared to the control group (6.02%).ConclusionsChildren subject to child protection plans had significantly higher levels of dental caries in the primary dentition.