口腔医学 ›› 2026, Vol. 46 ›› Issue (4): 295-299.doi: 10.13591/j.cnki.kqyx.2026.04.010

• 基础与临床研究 • 上一篇    下一篇

儿童龋病综合防治效果及龋风险因素关联性分析

王敏永1, 冯立晓2, 王冬梅3, 王衣祥4()   

  1. 1 北京赛德阳光口腔临床研究院, 北京 (100000)
    2 中国航天科工集团七三一医院口腔科, 北京 (100071)
    3 北京大学口腔医院第二门诊部, 北京 (100101)
    4 北京大学口腔医院中心实验室, 北京 (100081)
  • 收稿日期:2025-06-24 出版日期:2026-04-28 发布日期:2026-04-17
  • 通讯作者: 王衣祥 E-mail:kqwangyx@bjmu.edu.cn
  • 基金资助:
    国家重点研发计划项目子课题03(2021YFC2301000);北京大学口腔医学院青年科研基金(PKUSS20240112)

Analysis of comprehensive prevention and treatment effects of childhood caries and correlation with caries risk factors

WANG Minyong1, FENG Lixiao2, WANG Dongmei3, WANG Yixiang4()   

  1. Institute for Clinical Research and Application of Sunny Dental, Beijing 100000, China
  • Received:2025-06-24 Online:2026-04-28 Published:2026-04-17

摘要:

目的 研究儿童龋病综合防治措施的临床效果及其对患龋风险因素的影响。方法 选取2019—2022年按“儿童综合防龋方案”要求连续就诊的儿童。通过定期专项检查、个性化宣教、涂氟、窝沟封闭、龋齿充填等措施进行龋病综合防治,并记录饮食习惯、口腔卫生、龋态值、新发龋齿牙数等信息。使用Stata 17软件的线性回归分析综合防治措施的临床效果,以及龋风险因素与龋齿发病的关联性。结果 共544名儿童符合标准纳入研究,综合防治显著降低龋齿数量(P<0.001),而性别、年龄和初始龋风险对新发龋齿没有显著影响;龋风险因素中的口腔卫生、饮食习惯和龋态值对龋齿发病有显著影响。结论 对儿童进行长期龋病综合防治对于降低儿童龋病发生率有明确效果,改善饮食习惯在提高综合防龋效果中的作用值得高度重视。

关键词: 儿童, 龋病, 疾病预防, 临床效果评价, 病因分析

Abstract:

Objective To investigate the clinical effect of long-term comprehensive prevention and treatment of dental caries in children and its influence on caries-related factors. Methods Children who visited continuously for three consecutive years(2019—2022)according to the requirements of the “Comprehensive Children’s Caries Prevention Program” were selected. Comprehensive caries prevention and treatment measures were carried out, including periodic specialized examinations, personalized health education, fluoride application, pit and fissure sealing, and caries filling. Information on dietary habits, oral hygiene, caries status values, and the number of new caries teeth were recorded. Stata 17 software for linear regression analysis was used to analyze the clinical effect of comprehensive prevention and treatment measures, and the association between caries risk factors and caries incidence during the process. Results A total of 544 children met the criteria and were included in the study. The results showed that comprehensive prevention and treatment was the main determinant of the number of caries teeth before and after intervention(P<0.001). Gender, age and initial caries risk had no statistically significant effect on new caries;oral hygiene, dietary habits, and caries status values had significant effects on caries incidence. Conclusion Long-term comprehensive prevention and treatment of dental caries in children has a definite effect on reducing the incidence of dental caries and optimizing dietary habits is worthy of particular emphasis to enhance preventive outcomes.

Key words: children, dental caries, disease prevention, clinical efficacy evaluation, etiological analysis

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