西安市178名4～15岁特殊学校残障儿童患龋状况调查分析

Dental caries status of 178 4-15 years old disabled children at special schools in Xi＇an

目的了解并分析西安市4~15岁特殊学校残障儿童患龋现况,为制定残障儿童龋病防治对策提供依据。方法整群抽取西安市4所特殊学校4~15岁残障儿童共178名,检查其患龋情况,并评估其对龋病防治的配合程度。结果被调查对象总患龋率和龋均分别为39.33%和1.70±2.27,龋齿充填和因龋丧失构成比分别为1.66%和10.93%。混合牙列期总患龋率最高（47.87%）。被调查残障儿童配合度属于中高难度者占24.16%。结论西安市残障儿童口腔保健水平低,治疗配合难度较大,应引起口腔医务工作者和相关部门的关注;尤其是对混合牙列期残障儿童应给予更多地重视。

Objective To investigate the caries status of primary and permanent teeth among 4-15-year-old disabled children in the special schools in Xi＇an, and to evaluate their cooperation degree to the treatment and prevention measures. Methods The disabled children aged 4-15-year-old were selected from 4 special schools in Xi＇an. Clinical examination were performed to examine the dental caries. Types of disability and degree of compliance （DC） were used to evaluate the cooperation degree of the children for the prevention and treatment measures. Results Of the 178 disabled children, the prevalence of tooth caries was 39.33% with the mean DMFT/dmft of 1.70±2.27. Among the DMFT/dmft, the rate of the filling teeth and missing teeth was 1.66% and 10.93%, respectively. Caries prevalence in transitional dentition was high （47.87%）. For the DC, 24.16% of disabled children were in medium and severe level. Conclusion The oral health care situation was poor for disabled children in Xi＇an and it is not easy to perform the prevention and treatment method for them. More oral health concern should be girven for them, especially for the children in transitional dentition period.