MAXILLARY ANTERIOR CARIES ASSOCIATED WITH INCREASED CARIES RISK IN OTHER PRIMARY TEETH
MAXILLARY ANTERIOR CARIES ASSOCIATED WITH INCREASED CARIES RISK IN OTHER PRIMARY TEETH
复制标题
DOI：
10.1177/00220345930720120801
复制
发表时间：
1993-12-01
影响因子：
7.6
通讯作者：
TINANOFF, N
中科院分区：
文献类型：
--
作者：
OSULLIVAN, DM;TINANOFF, N
有研究表明，儿童上颌前乳磨牙患龋可能会增加其他牙齿的患龋率。本研究的目的是量化的程度，后牙龋的儿童谁最初提出的上颌前龋相比，那些谁没有。收集了217名参加为期一年的研究以确定龋齿危险因素的儿童的数据。牙齿表面被记录为龋坏、修复或拔除（由于龋坏而缺失）。然后将龋分为以下模式：上颌前部（MA）、窝/裂（PF）、后近端（PP）和后颊/舌光滑表面（BL）。与最初未出现上颌前部模式的儿童相比，上颌前部模式的儿童的后部龋坏、缺失和填充面（dmfs）平均数是PP和BL模式的2.5倍（p <0.01），患病率约为PP和BL模式的3倍（p < 0.01）。MA模式的阳性预测值为86.8%的儿童谁开发的PF模式，和阴性预测值大于91%的儿童谁没有开发的PP和BL模式。在这项研究中，儿童上颌前牙龋的患病率与后牙龋的发病率显著增加有关。
It has been suggested that children with caries of maxillary anterior primary teeth may have increased caries incidence in other teeth. This study aimed to quantify the extent of posterior dental caries in those children who initially presented with maxillary anterior caries compared with that of those who did not. Data were collected for 217 Head Start children participating in a one-year study to determine caries risk factors. Tooth surfaces were recorded as carious, restored, or extracted (missing due to caries). Caries was then categorized into the following pattern(s): maxillary anterior (MA), pit/fissure (PF), posterior proximal (PP), and posterior buccal/lingual smooth surface (BL). Compared with children who did not initially present with the maxillary anterior pattern, those with the maxillary anterior pattern had 2.5 times (p < 0.01) the mean number of posterior decayed, missing, and filled surfaces (dmfs) and approximately 3 times the prevalence (p < 0.01) of the PP and BL patterns. The positive predictive value of the MA pattern was 86.8% for children who developed the PF pattern, and the negative predictive values were greater than 91% for children who did not develop the PP and BL patterns. The prevalence of maxillary anterior caries among children in this study is associated with a significantly greater caries incidence in posterior teeth.