Community Dental Caries Prevention System Integrated Population Strategy and High-risk Strategy

社区防龋系统 综合人口策略和高危策略

• 批准号: 15390653
• 负责人: KAWASAKI Koji
• 金额: $ 8.9万
• 依托单位: Nagasaki University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15390653/
• 关键词: dental caries; community; high risk strategy; eighteen-month-old children; caries prevention; intervention study; cohort study; 地域う蝕予防管理システム; う蝕ハイリスク者; リスクスクリーニング; 1歳6か月児健康診査; 3歳児健康診査; 不参加理由; 予防管理支払い意志額; 予防管理間隔; フッ化物歯磨剤推奨時期

<Subjects and Methods> Of 1,820 eighteen-month-old children who underwent a health checkup provided by the city of Nagasaki in 2004, 638 were eligible to join the caries-prevention program as High-Risk group defined by this study. In this program, we administered periodic preventive management for 2 years, including an oral checkup, monitoring MS acquisition using Dentocult SM[○!R], applying topical fluoride, and counseling. The eligible children were also sent nine oral health leaflets. <Results> 1. The participation rate was 20.7%. 2. Caries incidence at 3-year-old children were 31.2% for the Low Risk group, and 55.0% for the High Risk group. 3. There was no statistical difference of caries incidence of 3-year-old between participants group and non-participants group of High Risk children. 4. We reevaluated this value using case control, that is, each non-participant child had the same sex, risk score, CO (caries observation) as matched participant child. However there was no statistical difference among the two groups. 5. Among the participants group, the logistic regression was used to test multivariable associations (CO, Risk score, participation times, Maximum value of Dentocult SM) with caries incidence at 3-year-old. Having CO at 1.5-year-old and the Maximum value of Dentocult SM during the program were statistically associated with the caries incidence at 3-year-old in the participants group. <Discussion> 1. The low participation rate to the caries prevention program for the High Risk children indicates that the preventive program which needs autonomy may not suitable for the High Risk children. 2. The one of considerable reason why no statistical difference of caries incidence of 3-year-old between participants group and non-participants group of High Risk children is that the most children discontinued this preventive program. The High Risk children may need the more intensive preventive care.

<对象与方法>在2004年接受长崎市提供的健康检查的1820名18个月大的儿童中，有638名符合加入本研究定义的高危组龋齿预防计划的条件。在这个项目中，我们进行了为期2年的定期预防性管理，包括口腔检查，使用Dentocult SM监测MS获取情况[〇！][R]，局部使用氟化物，并进行咨询。此外，还向符合条件的儿童派发了九份口腔健康单张。<结果> 1。参与率为20.7%。2. 低危组3岁儿童龋齿发生率为31.2%，高危组为55.0%。3. 参与组与未参与组3岁儿童龋发病率比较，差异无统计学意义。4. 我们使用病例对照重新评估该值，即每个非参与者儿童的性别、风险评分、CO（龋齿观察）与匹配的参与者儿童相同。但两组间无统计学差异。5. 在参与者组中，采用logistic回归检验多变量相关性（CO、风险评分、参与次数、Dentocult SM最大值）与3岁时龋发病率的关系。参与组1.5岁时的CO和项目期间的Dentocult SM最大值与3岁时的龋发病率有统计学相关性。<讨论> 1。高危儿童龋齿预防项目参与率低，说明需要自主性的预防项目可能不适合高危儿童。2. 参与组和非参与组3岁儿童龋齿发生率无统计学差异的一个重要原因是大多数儿童停止了预防项目。高危儿童可能需要更深入的预防护理。

项目成果

Community Caries Preventive System for 1.5-old-year High Risk Children

1.5岁高危儿童社区防龋系统

• 发表时间: 2005
• 期刊: Journal of Dental Health 55-4
• 作者: Ohba T;Takata Y;et al.;Koji Kawasaki
• 通讯作者: Koji Kawasaki

1.6歳う蝕ハイリスク児を対象とした地域予防管理システム-1年後の評価-

1.6岁龋齿高危儿童社区预防管理体系-1年评估-

• 发表时间: 2005
• 期刊: 口腔衛生学会雑誌 55巻・4号
• 作者: Akifusa S;et al.;Takata Y;川崎浩二
• 通讯作者: 川崎浩二

長崎市幼児う蝕予防管理システムにおける協力歯科医の管理方法と参加者の実態

长崎市幼儿龋病预防管理系统合作牙科医生的管理方法及参加者的现状

• 发表时间: 2004
• 期刊: 口腔衛生学会雑誌 54巻・4号
• 作者: Suzuki;K.;Nomura;T.;Sakurai;M.;Sugihara;N.;Yamanaka;S.;Matsukubo;T.;川崎浩二 他
• 通讯作者: 川崎浩二 他

長崎市における1歳6か月High Risk児を対象としたう蝕予防プログラムの評価

长崎市1岁6个月高危儿童防龋项目评价

• 发表时间: 2007
• 期刊: 口腔衛生学会雑誌 57・4
• 作者: Tanaka T;et al.;Takata Y;川崎 浩二
• 通讯作者: 川崎 浩二

High Risk Strategy Program of Caries Prevention for Young Children

幼儿防龋高危策略方案

• 发表时间: 2006
• 期刊: IADR Program Book
• 作者: Takata Y;et al.;Kawasaki K
• 通讯作者: Kawasaki K