儿童龋病综合防治效果及龋风险因素关联性分析

doi:10.13591/j.cnki.kqyx.2026.04.010

Abstract

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

CLC Number:

R788.1

WANG Minyong, FENG Lixiao, WANG Dongmei, WANG Yixiang. Analysis of comprehensive prevention and treatment effects of childhood caries and correlation with caries risk factors[J]. Stomatology, 2026, 46(4): 295-299.

Figures/Tables 5

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References 23

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风险因素	风险等级
生物学因素
儿童每天两餐之间进食含糖零食或饮料>3次	高
儿童有特殊的健康看护需要	中
保护性因素
儿童每天使用含氟牙膏刷牙	低
儿童在医生处进行局部用氟	低
其他的家庭口腔护理方法(例如漱口水、牙线等)	低
儿童定期进行口腔检查	低
临床检查
儿童的dmfs≥1	高
儿童口腔内有活跃性的白斑龋或釉质发育缺损	高
儿童口腔内有不良修复体	中
儿童口腔内有矫治器	中

龋风险	复查间隔	氟化物	干预措施		龋齿充填
龋风险	复查间隔	氟化物	保健指导	窝沟封闭	龋齿充填
低	12个月	①含氟牙膏2次/d ②专业涂氟1次/年	每次复诊	及时治疗	及时治疗
中	6个月	①含氟牙膏2次/d ②专业涂氟2次/年	每次复诊	及时治疗	及时治疗
高	3个月	①含氟牙膏2次/d ②专业涂氟4次/年	每次复诊	及时治疗	及时治疗

组别	n	初诊(2019)			末次复诊(2021—2022)
组别	n	龋齿均数	患龋率	P	龋齿均数	患龋率	P
低风险	126	0	0		0.26	26.19%
中风险	169	1.51	100.00%	<0.001	0.43	33.73%	0.08
高风险	249	6.46	100.00%		0.25	19.84%
合计	544	3.10	76.84%		0.31	25.55%

统计项	综合防治	性别× 综合防治	年龄× 综合防治	初始龋风险× 综合防治
新发龋齿牙数	-3.118^***	-3.084^***	-3.354^***	-3.069^***
t		-0.344	0.616	-0.174
F	483.216	241.471	241.660	21.408
R²	0.308	0.308	0.308	0.308

龋相关因素	模型1	模型2	模型3	模型4	模型5	模型6
口腔卫生	3.461^***	1.271^***	0.156	-0.010	-0.010	-0.146
饮食习惯		1.245^***	0.837^***	0.583^***	0.583^***	0.563^***
龋态值			1.124^***	1.321^***	1.322^***	1.379^***
年龄				0.216	0.216	0.190
性别					0.007	0.009
初始龋风险						0.130
R²	0.595	0.686	0.750	0.761	0.761	0.761
F	1 594.255	1 186.049	1 081.403	861.372	688.467	573.874

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

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