Dental check-up intervals and caries preventive measures received by adolescents in Finland.
Dental check-up intervals and caries preventive measures received by adolescents in Finland.
复制标题
芬兰青少年的牙科检查间隔和龋齿预防措施。
作者：
S. Kärkkäinen;L. Seppä;H. Hausen
目的
目的是首先估计1990-1992年和1993-1995年期间芬兰两个城镇的牙科检查间隔的平均时间和预防程序的平均数量。其次，确定检查间隔的长度和预防的强度是否根据治疗期开始时的龋齿经历而变化。1992年和1995年，在于韦斯屈莱和库奥皮奥两个城镇随机抽取了所有12岁和15岁的儿童。
方法
在过去三年，研究人员从公立牙科诊所取得口腔健康纪录，以搜集有关牙科检查、牙科治疗及所有预防及治疗措施的资料。1992年和1995年分别有267名和590名受试者的数据。
结果
1990-1992年，库奥皮奥和于韦斯屈莱12岁儿童的平均检查间隔时间分别为13.0个月和12.4个月，而1993-1995年分别为18.1个月和16.1个月。1990-1992年期间，库奥皮奥15岁儿童的平均死亡率为12.3，于韦斯屈莱14.7。在后一时期，库奥皮奥的间隔延长了1.2个月（P<0.05），但于韦斯屈莱没有延长。氟化物保护漆、密封剂和口腔卫生指导是最常用的预防措施。实际上，在牙科诊所中，除了使用保护漆外，没有其他氟化物方法。预防似乎主要是基于由牙科诊所的工作人员进行的程序，很少注意促进自我保健。在治疗期开始时无龋齿的儿童和那些有现在或过去龋齿经历的儿童之间，检查间隔和预防的平均长度几乎没有差异。
结论
在1990-1992年和1993-1995年期间，牙科检查的频率和预防程序的数量有所减少。没有迹象表明龋齿频率增加。预防似乎是陈规定型的，往往与个别病人的实际需要没有多大关系。
OBJECTIVE
The aim was first to estimate the mean length of dental examination intervals and the mean number of preventive procedures in two Finnish towns during the periods of 1990-1992 and 1993-1995. Secondly, to ascertain whether the length of the check-up interval and the intensity of prevention varied according to the caries experience at the beginning of a treatment period. Participants A random sample of all 12- and 15-year-old children was drawn in 1992 and 1995 in the towns of Jyväskylä and Kuopio.
METHOD
Oral health records obtained from public dental clinics were used for gathering the data on dental check-ups, DMFT and all preventive and treatment measures during the previous three years. The data were available for 267 and 590 subjects in 1992 and 1995, respectively.
RESULTS
For 12-year-old children in 1990-1992, the mean length of check-up interval was 13.0 months in Kuopio and 12.4 months in Jyväskylä, while in 1993-1995 it was 18.1 months and 16.1 months, respectively. Among 15-year-old children in 1990-1992, the mean was 12.3 in Kuopio and 14.7 in Jyväskylä. During the latter period the interval was 1.2 months longer (P<0.05) in Kuopio, but there was no lengthening in Jyväskylä. Fluoride varnish applications, sealants, and instruction in oral hygiene were the most commonly used preventive measures. Practically no other fluoride methods than varnish applications were performed in dental clinics. Prevention seemed to be based mainly on procedures performed by the staff at the dental clinics and less attention was paid to the promotion of self-care. There was very little difference in the mean length of check-up interval and prevention between children who were caries free at the beginning of the treatment period and those with present or past caries experience.
CONCLUSION
Between 1990-1992 and 1993-1995, the frequency of dental check-ups and the number of preventive procedures decreased. There was no indication of an increased caries frequency. Prevention appeared to be stereotyped and often had little relevance to the actual needs of the individual patient.