镇雄和威信县燃煤型高氟区氟牙症修复状况抽样调查

Investigation of epidemic fluorosis and the current prosthodontical therapy status in coal-burning pollution area of Zhenxiong and Weixin

目的调查云南省镇雄和威信县35～44岁人群氟牙症患者的口腔修复状况,探究氟牙症患病率和已修复状况以及患者对修复治疗需求间的关系,为该地区氟牙症的美容修复诊疗服务提供建议。方法采用分层等容量随机抽样方法,对镇雄和威信35～44岁人群氟牙症及其修复状况进行检查和问卷调查。结果该人群氟牙症的患病率为100.0%,氟牙症指数为3.49,性别和城乡间无差异。接受过修复治疗的城乡人数有差异(P<0.05),性别无差异(P>0.05);不同程度的氟牙症修复人数有显著差异(P<0.01),修复体合格率仅为7.7%。93.3%的人群有迫切的治疗需求和愿望,但所能承受的治疗费用仅为300元左右。结论建议相关的医疗部门在当地进行树脂贴面术培训或直接向患者提供树脂贴面修复治疗,以降低氟牙症对其的生活工作和社会心理造成的负面影响。

Objective To study the prevalence of fluorosis and the current prosthodontical therapy status, to find out relationship between them in high fluoride areas of Zhenxiong and Weixin. Methods Use stratified random sampling method. The dental fluorosis prevalence index and current prosthodontical therapy status were studied in people aged 35-44 in the high fluoride areas of Zhenxiong and Weixin. Results The incidence of the fluorosis was 100%. The total community fluorosis index was 3.49 which indicated the area was serious coal-polluted fluorosis area. There was no significant difference between urban and rural, male and female. Concerned the current prosthodontical therapy status, there was significant difference between urban and rural. It was also related to the degrees of the fluorosis, but no significant difference between male and female. Restoration pass rate was only 7.7%. 93.3% people urged to get the prosthodontical therapy, but most of them only could afford about $300 yuan for the therapy. Conclusion According to the serious prevalence of fluorosis and poor economic condition, we advised that the resin venner restorations are the fitable methed to improve the health and the cosmetology of the teeth in that area.