Prevalence and polarization of dental caries among young, healthy adults: Cross-sectional epidemiological study
Prevalence and polarization of dental caries among young, healthy adults: Cross-sectional epidemiological study
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DOI：
10.3109/00016357.2013.767932
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发表时间：
2013-11-01
影响因子：
2
通讯作者：
Anttonen, Vuokko
中科院分区：
文献类型：
--
作者：
Tanner, Tarja;Kamppi, Antti;Anttonen, Vuokko
目标。在过去的几十年里，工业化国家年轻人的口腔健康得到了改善。然而，最近有报道称这一进展停滞不前。本流行病学研究的主要目的是调查20世纪90年代初出生的健康年轻男性人群的龋齿治疗史和需求水平（DMFT， DT）和龋齿极化情况。材料和方法。2011年1月和7月，芬兰国防军20个驻军（共24个）的15名校准牙医根据世卫组织流行病学研究标准对1990年、1991年或1992年出生的13 564名男子和255名妇女进行了口腔健康检查。计算除智齿外DMFT和DT （SD）平均值及其分布。利用洛伦兹分析研究了极化现象。结果。DMFT、DT、FT均值分别为DMFT = 4.1 （SD = 4.2）、DT = 1.4 （SD = 2.5）、FT = 2.7 （SD = 2.9）。近一半的男性（45.1%）和三分之一的女性（37.3%）至少有一颗牙齿需要修复治疗。大约30%的应征入伍者有90%的龋齿病变，大约10%的应征入伍者有一半的龋齿病变。结论。年轻男性的口腔健康状况自15年前在应征入伍者中进行的上一次研究以来并没有得到改善。龋齿的两极分化仍然存在。大约一半的年轻男性仍然有明显的龋齿。即使在龋齿发病率低的国家，也不能忽视促进口腔健康。
Objective. Oral health of young people has improved in the industrialized countries during past decades. However, stagnation of this progress has been reported recently. The main aim of this epidemiological study was to investigate the level of cariological treatment history and need (DMFT, DT) and polarization of dental caries among a healthy young male population born in the early 1990s. Materials and methods. Oral health of 13,564 men and 255 women born in 1990, 1991 or 1992 was screened based on the WHO criteria for epidemiological studies by 15 calibrated dentists in 20 garrisons (of a total 24) of the Finnish Defence Forces in January and July 2011. Mean DMFT and DT (SD) values and their distribution were calculated excluding wisdom teeth. Polarization was investigated using the Lorentz analysis. Results. Mean DMFT, DT and FT values were DMFT = 4.1 (SD = 4.2), DT = 1.4 (SD = 2.5) and FT = 2.7 (SD = 2.9). Almost half of the men (45.1%) and one third of the women (37.3%) had at least one tooth needing restorative treatment. About 30% of the conscripts had 90% of all caries lesions and similar to 10% of the conscripts had half of all lesions. Conclusions. Oral health of young males has not improved since the previous study among conscripts 15 years ago. Polarization of dental caries still exists. About half of the young male population still has manifested dental caries. Oral health promotion must not be neglected, even in countries with low caries prevalence.