PREVALENCE OF NONCAVITATED AND CAVITATED CARIOUS LESIONS IN A RANDOM SAMPLE OF 7-9-YEAR-OLD SCHOOLCHILDREN IN MONTREAL, QUEBEC

PREVALENCE OF NONCAVITATED AND CAVITATED CARIOUS LESIONS IN A RANDOM SAMPLE OF 7-9-YEAR-OLD SCHOOLCHILDREN IN MONTREAL, QUEBEC
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DOI:
10.1111/j.1600-0528.1992.tb01693.x
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发表时间:
1992-10-01
影响因子:
2.3
通讯作者:
EASTWOOD, BJ
EASTWOOD, BJ
中科院分区:
医学3区
文献类型:
--
作者:
ISMAIL, AI;BRODEUR, JM;EASTWOOD, BJ

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本报告描述了在加拿大魁北克蒙特利尔岛随机选择的911名一到三年级儿童中非龋蚀和龋蚀的患病率。诊断标准的制定是为了进行一项纵向流行病学研究,由牙科医生根据省级儿童牙科保险计划进行恢复性治疗决策。两名检查员的检查员内和检查员间信度相关系数均为优秀(Kappa ≥ 0.80)。最常见的龋损在检查的儿童中发现的非空洞龋损(初期)在1.5牙龈线光滑的牙齿表面,和染色或非空洞龋损的窝沟和裂缝。在研究的911名儿童中,19.6%使用了密封剂。父母完成了大学教育的儿童有一个显着较低的患病率,非空洞和空洞龋病变和填充物,和显着较高的密封剂的平均数量比父母只有小学教育的儿童。父母的教育程度是高龋患率儿童的一个显著危险标志,这些儿童的非龋蚀病变的平均数显著较高。这项研究发现,儿童非龋蚀性龋损比龋蚀性龋损明显更普遍。
This report describes the prevalence of non-cavitated and cavitated carious lesions in 911 randomly selected children in grades one through three on the Island of Montreal, Quebec, Canada. The criteria for diagnosis were developed for a longitudinal epidemiological study of restorative treatment decisions by dentists practising under a provincial dental insurance program for children. The intra- and inter-examiner reliability correlation coefficients of the two examiners were excellent (Kappa greater-than-or-equal-to 0.80). The most frequent carious lesion found in the examined children were non-cavitated carious lesions (incipient) within 1.5 of the gingival line on smooth tooth surfaces, and stained or non-cavitated carious lesions on pits and fissures. Out of 911 children in the study, 19.6% had sealants. Children whose parents completed a university education had a significantly lower prevalence of non-cavitated and cavitated carious lesions and fillings, and a significantly higher mean number of sealants than children whose parents had only primary school education. Education status of the parents was a significant risk marker of children with high caries experience and these children had a significantly higher mean number of non-cavitated carious lesions. This study has found that non-cavitated carious lesions are significantly more prevalent than cavitated carious lesions in children.