CARIES PATTERNS IN HEAD-START CHILDREN IN A FLUORIDATED COMMUNITY
CARIES PATTERNS IN HEAD-START CHILDREN IN A FLUORIDATED COMMUNITY
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DOI：
10.1111/j.1752-7325.1984.tb03049.x
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发表时间：
1984-01-01
影响因子：
2.3
通讯作者：
EASLEY, MW
中科院分区：
文献类型：
--
作者：
JOHNSEN, DC;SCHULTZ, DW;EASLEY, MW
基于人而不是牙齿对龋齿经历的评估为定性描述人群中的龋齿以及研究与不同龋齿经历相关的特定因素提供了可能性。对邻近氟化社区的先导人群的研究分为两部分。研究第一部分的目的是确定特定龋齿模式（可能与不同病因相关）的患病率。 39% 的儿童没有龋齿； 32% 的人仅在磨牙的窝沟缺损处出现龋损； 6.5% 的人患有发育不全缺陷中的龋齿； 11% 的人患有面部舌部病变，符合“哺乳期龋齿”； 11.5%的人有磨牙附近的病变；研究中没有儿童患有猖獗的龋齿。第二部分将特定的生活方式变量与特定的龋齿模式进行比较。在母亲的教育水平、与祖父母相处的时间、母亲认为的蛀牙主要原因以及母亲允许孩子不受限制地吃甜食的倾向方面，无龋齿儿童和表面光滑病变的儿童之间存在统计学上的显着差异或趋势。在无龋齿儿童和仅患有与牙齿缺陷相关的病变的儿童之间，没有发现生活方式变量存在显着差异或趋势。
Assessment of caries experience based on the person rather than on the tooth opens the possibility for qualitative descriptions of caries in a population, as well as for the study of specific factors associated with different caries experiences. The study of a Head Start population in adjacent fluoridated communities was divided into two parts.It was the purpose of part one of the study to determine the prevalence of specific caries patterns (presumably associated with different etiologies). Of the children, 39 percent were caries‐free; 32 percent had carious lesions only in pit‐and‐fissure defects of molars; 6.5 percent had carious lesions in hypoplastic defects; 11 percent had facial‐lingual lesions, compatible with “nursing caries”; and 11.5 percent had approximal lesions of molars; no child in the study had rampant caries.The second part compared specific lifestyle variables with specific caries patterns. Statistically significant differences or trends were found between caries‐free children and those with smooth‐surface lesions for mother's educational level, time spent with grandparents, mother's perceived primary reason for cavities, and mother's tendency to permit the child to eat sweets without restriction. No significant differences or trends were found for lifestyle variables between caries‐free children and those having lesions associated only with tooth defects.