Effects of Community Caries Preventive System for 1.5-year-old Children

1.5岁儿童社区防龋效果

• 批准号: 11794025
• 负责人: KAWASAKI Koji
• 金额: $ 5.63万
• 依托单位: Nagasaki University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for University and Society Collaboration
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11794025/
• 关键词: community caries prevention system; caries prevention; 1.5-year-old health checkup; 3-year-old health checkup; regional collaboration; factor analysis; cost-benefit analysis; 乳歯齲蝕; う蝕予防管理システム; 継続者率; 年間増加う歯数; リスク評価; 幼児; 地域歯科保健; ネットワークシステム

A community caries preventive system for 1.5-year-old children was evaluated. In this project, all the subjects could receive periodic preventive managements for two years free of charge. Objectives : The aim of study was to evaluate the caries preventive effects and its cost-benefit after two years, and to analyze the factors related to caries prevalence. Methods : The participants to this, system were 2,379 of 3,686 children who received a 1.5-year-old health checkup in 1999. They received periodic preventive managements at the dental offices. Two years later we evaluated caries prevalence and analyzed the factors related to caries prevalence using 13 items of the questionnaire at the age of 1.5 years. Results : dmf-rate at the age of 3.5 years was 25.5% for participant group, 42.4% for non-participant group, respectively. The duration of preventive managements influenced dmf-rate significantly ; 39.8% for the less than 6 months group, 30.0% for the 6-12 months group, 29.3% for the 12-18 months group and 20.3% for 18 months and more group. Statistically significant factors related to caries prevalence at the age of 3.5 years were "grandparents as a daytime caregiver", "breast feeding during the night", "bottle feeding during the night", soft drink", "snacks within 2 hours before dinner", "older brother/sister has cavities" and "never visited dentist for oral health checkup before". The total cost of the community caries preventive system was approximately \36,160,000. Compared the intervention year with the control year, it costs \158,091 in order to increase one subject who is caries free among 3,300 subjects aged 3.5 years in Nagasaki city, and it costs \19,947 in order to decrease 1 draft. Compared the participant group with the non-participant group, it costs \10,847 per person in order to get the decrease of 16.9% in dmf-rate and of 0.88 in dmft-index.

评价了一个针对1.5岁儿童的社区防龋系统。在本项目中，所有受试者都可以免费接受为期两年的定期预防管理。目的：目的评价两年后的防龋效果和成本效益，并分析龋病患病率的相关因素。方法：本系统的参与者是1999年接受1岁半健康检查的3,686名儿童中的2,379名。他们在牙科诊所接受定期的预防管理。两年后，在1.5岁时用13个项目的调查表评估患龋率，并分析患龋率的相关因素。结果：参与组和非参与组在3.5岁时的dmf率分别为25.5%和42.4%。预防性管理的持续时间对dmf率有显著影响，小于6个月组为39.8%，6-12个月组为30.0%，12-18个月组为29.3%，18个月及以上组为20.3%。影响3.5岁儿童龋病患病率的显著因素有：“祖父母白天照顾孩子”、“晚上母乳喂养”、“晚上奶瓶喂养”、“软饮料”、“晚餐前2小时内吃零食”、“哥哥/姐姐有蛀牙”和“以前从未看过牙医进行口腔健康检查”。社区龋齿预防系统的总费用约为36 160 000日元。干预年与对照年相比，在长崎市3,300名3.5岁的受试者中，每增加1名无龋受试者的费用为158,091日元，每减少1名无龋受试者的费用为19,947日元。参加者组与非参加者组相比，dmf率降低16.9%，dmft指数降低0.88，每人花费10，847日元。

项目成果

Kawasaki K. et al.: "Community caries preventive system for 1.5-year-old children-Effects of caries prevention after 2 years -"Journal of Dental Health. 52(4). 274-275 (2002)

Kawasaki K.等人：“1.5岁儿童的社区防龋系统-2年后防龋的效果-”牙科健康杂志。

原口尚久,川崎浩二,田口知義,飯島洋一,高木興氏: "1歳6か月児を対象とした地域齲蝕予防管理システム構築の試み-幼児歯科保健医療ネットワークシステムの概要-"口腔衛生学会雑誌. 50巻4号. 596-597 (2000)

Naohisa Haraguchi、Koji Kawasaki、Tomoyoshi Taguchi、Yoichi Iijima 和 Oki Takagi：“尝试构建 1 岁 6 个月大儿童的区域龋齿预防和管理系统 - 婴儿牙齿保健网络系统概述 -”杂志口腔健康协会第 50 卷，第 4 期。596-597 (2000)

Kawasaki K. et al.: "Community caries preventive system for 1.5-year-old children in Nagasaki"Journal of Dental Research. 80, (Special Issue). 540-540 (2001)

Kawasaki K.等人：“长崎1.5岁儿童的社区龋齿预防系统”牙科研究杂志。

Haraguchi N. et al.: "Community caries preventive system for 1.5-year-old children - Evaluation of community caries preventive system by participants -"Journal of Dental Health. 51(4). 576-577 (2001)

Haraguchi N.等人：“1.5岁儿童的社区龋齿预防系统-参与者对社区龋齿预防系统的评价-”牙科健康杂志。

川崎浩二: "1歳6か月児を対象とした地域う蝕予防管理システム構築の試み -2年後のう蝕予防評価-"口腔衛生学会雑誌. 52. 274-275 (2002)

Koji Kawasaki：“尝试建立 18 个月大儿童的区域龋齿预防管理系统 - 2 年后的龋齿预防评估 -”口腔卫生学会杂志 52. 274-275 (2002)。