National Supervised Toothbrushing Program and Dental Decay in Scotland
National Supervised Toothbrushing Program and Dental Decay in Scotland
复制标题
DOI：
10.1177/0022034512470690
复制
发表时间：
2013-02-01
影响因子：
7.6
通讯作者：
McMahon, A. D.
中科院分区：
文献类型：
--
作者：
Macpherson, L. M. D.;Anopa, Y.;McMahon, A. D.
我们的目的是在苏格兰范围内的人口研究中评估国家幼儿园刷牙计划的推出与五岁儿童龋齿减少之间的关联。干预措施是在托儿所监督刷牙，并分发家庭使用的含氟牙膏和牙刷，衡量的是参加每个卫生服务管理委员会地区的托儿所的百分比。终点是99,071名5岁儿童的平均d（3）mft，涵盖了7%至25%的相关人群（不同年份），他们参加了1987年至2009年的多项横断面牙科流行病学调查。刷牙时摄取的斜率与d3 mft减少的斜率相关。第-2至0年的平均d3 mft（相对于启动第0年）为3.06，第10至12年降至2.07（差异= -0.99; 95% CI-1.08，-0.90; p < 0.001）。刷牙与d3 mft下降相关（相关性= -0.64;-0.86，-0.16; p = 0.011）。当排除一个偏远的卫生局时，结果有所改善（相关性= -0.90;-0.97，-0.70; p < 0.0001）。五奥尔兹牙齿健康的改善被检测到，并与托儿所刷牙的摄取有关。
We aimed to assess the association between the roll-out of the national nursery toothbrushing program and a reduction in dental decay in five-year-old children in a Scotland-wide population study. The intervention was supervised toothbrushing in nurseries and distribution of fluoride toothpaste and toothbrushes for home use, measured as the percentage of nurseries participating in each health service administrative board area. The endpoint was mean d(3)mft in 99,071 five-year-old children, covering 7% to 25% of the relevant population (in various years), who participated in multiple cross-sectional dental epidemiology surveys in 1987 to 2009. The slope of the uptake in toothbrushing was correlated with the slope in the reduction of d3mft. The mean d3mft in Years -2 to 0 (relative to that in start-up Year 0) was 3.06, reducing to 2.07 in Years 10 to 12 (difference = -0.99; 95% CI -1.08, -0.90; p < 0.001). The uptake of toothbrushing correlated with the decline in d3mft (correlation = -0.64; -0.86, -0.16; p = 0.011). The result improved when one outlying Health Board was excluded (correlation = -0.90; -0.97, -0.70; p < 0.0001). An improvement in the dental health of five-year-olds was detected and is associated with the uptake of nursery toothbrushing.