Prevalence and Measurement of Dental Caries in Young Children.
Prevalence and Measurement of Dental Caries in Young Children.
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发表时间：
2015-05
影响因子：
1.6
通讯作者：
B. Dye;K. Hsu;J. Afful
中科院分区：
文献类型：
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作者：
B. Dye;K. Hsu;J. Afful
学龄前儿童的龋齿在历史上被认为具有独特的和更强烈的衰变模式，并被称为各种术语。1999年，提出了幼儿龋齿（ECC）一词沿着分类系统，以促进幼儿龋齿的流行病学研究。本研究的目的是评估这些早期儿童龋齿建议对学龄前儿童龋齿患病率和测量的影响。方法系统检索MEDLINE数据库。关键检索词包括：ECC、龋齿、龋齿、龋性牙本质、奶瓶龋、哺乳龋、上颌前牙龋和唇龋。英语语言研究和对100多名6岁以下儿童的研究有资格入选。从1988年至1994年，1999年至2004年和2011年至2012年收集的国家健康和营养检查调查数据被用来评估使用不同操作定义的ECC患病率。结果共纳入87篇文献。在55%的选定文章中使用术语ECC作为主要结局指标。大多数研究采用横断面研究设计，但诊断标准差异很大。幼儿的龋齿经历可能会从大多数未经处理的表面转移到大多数经过修复的表面。乳牙龋面和充填面的分布按牙面类型差异不大。结论：虽然早期儿童龋齿一词被广泛使用，但不同的诊断标准和操作定义继续限制研究之间的可比性。在美国，龋齿和填充表面比例的新变化也提出了关于ECC病例定义的问题，限制了我们了解学龄前儿童龋齿流行病学的能力。
PURPOSE Dental caries in preschool children was historically considered to have a unique and more intense pattern of decay and was known by a variety of terms. In 1999, the term early childhood caries (ECC), along with a classification system, was proposed to facilitate epidemiologic research of dental caries in young children. The purpose of this study was to assess the impact of those early childhood caries recommendations on the prevalence and measurement of caries in preschool children. METHODS A systematic search of the MEDLINE database was performed. Key search words included: ECC, dental decay, dental caries, carious dentin, baby bottle tooth decay, nursing caries, maxillary anterior caries, and labial caries. English language studies and studies on more than 100 children younger than six years old were eligible for selection. National Health and Nutrition Examination Survey data collected from 1988 to 1994, 1999 to 2004, and 2011 to 2012 were used to assess ECC prevalence using different operational definitions. RESULTS There were 87 articles selected for this review. The term ECC was used in 55 percent of the selected articles as the primary outcome measure. The majority of studies used a cross-section study design, but diagnostic criteria varied greatly. Caries experience in young children may be shifting away from majority of untreated surfaces to a majority of restored surfaces. Little difference was observed by dental surface type in the distribution of decayed and filled surfaces in primary teeth. CONCLUSIONS Although the term early childhood caries is widely used, varied use of diagnostic criteria and operational definitions continue to limit comparability across studies. Emerging changes in the proportion of decayed and filled surfaces in the United States also raises questions regarding the ECC case definition limiting our ability to understand the epidemiology of dental caries in preschool children.