A randomised controlled trial of the efficacy of supervised toothbrushing in high-caries-risk children
A randomised controlled trial of the efficacy of supervised toothbrushing in high-caries-risk children
复制标题
DOI：
10.1159/000063925
复制
发表时间：
2002-07-01
期刊：
影响因子：
4.2
通讯作者：
Huntington, E
中科院分区：
文献类型：
--
作者：
Curnow, MMT;Pine, CM;Huntington, E
苏格兰儿童的患龋率是欧洲最高的之一。在邓迪的5岁儿童中，只有33%的人在7岁时第一颗恒磨牙出现龋齿，每天刷牙两次。如果高龋齿儿童更频繁地使用含氟牙膏刷牙，他们应该会受益。这项临床试验的目的是确定在上学期间每天监督刷牙，使用含1,000 ppm氟化物(作为一氟化钠)和0.13%甘油磷酸钙的牙膏，并结合推荐的日常家庭使用，与除6个月临床检查外不进行任何干预的对照组相比，可以减少2年的龋齿增量。在泰赛德贫困地区的学校招募了534名儿童，平均年龄5.3岁。每所学校都有两个平行的班级，一个是随机选择的刷牙班，另一个是对照班。当地的母亲接受了刷牙监督员的培训。孩子们在开学日刷牙，并收到家庭用品。一名检查员接受为期6个月的检查，记录菌斑、龋齿(D-1级)，并使用FOTI补充视力龋齿检查。对于刷牙班的儿童，第一恒磨牙的2年平均龋齿增量在D-1和D-3分别为0.81和0.21，而对照班的儿童分别为1.19和0.48(D和D3分别显著减少32%和56%)。总而言之，在参加了一项使用含氟牙膏的监督刷牙计划后，高龋齿风险儿童的龋齿明显减少。版权所有(C)2002年S KargerAG，巴塞尔。
Scottish children have one of the highest levels of caries experience in Europe. Only 33% of 5-year-old children in Dundee who developed caries in their first permanent molars by 7 brushed their teeth twice a day. High-caries-risk children should benefit if they brush more often with fluoridated toothpaste. The aim of this clinical trial was to determine the reduction in 2-year caries increment that can be achieved by daily supervised toothbrushing on school-days with a toothpaste containing 1,000 ppm fluoride (as sodium monofluorophosphate) and 0.13% calcium glycerophosphate, combined with recommended daily home use, compared to a control group involving no intervention other than 6-monthly clinical examinations. Five hundred and thirty-four children, mean age 5.3, in schools in deprived areas of Tayside were recruited. Each school had two parallel classes, one randomly selected to be the brushing class and the other, the control. Local mothers were trained as tooth-brushing supervisors. Children brushed on school-days and received home supplies. A single examiner undertook 6-monthly examinations recording plaque, caries (D-1 level), and used FOTI to supplement the visual caries examination. For children in the brushing classes, the 2-year mean caries increment on first permanent molars was 0.81 at D-1 and 0.21 at D-3 compared to 1.19 and 0.48 for children in the control classes (significant reductions of 32% at D, and 56% at D3). In conclusion, high-caries-risk children have been shown to have significantly less caries after participating in a supervised toothbrushing programme with a fluoridated toothpaste. Copyright (C) 2002 S KargerAG, Basel.