0～2岁儿童重症婴幼儿龋危险因素分析

Analysis of severe early childhood caries risk factors among 0-2 years old children

目的探讨0-2岁儿童重症婴幼儿龋（S-ECC）的危险因素。方法采用病例对照研究方法,对146对病例组母子及146对对照组母子进行口腔检查、龋齿活动性检测（Cariostat test）及问卷调查,并对数据进行logistic回归分析,观察与0-2岁儿童S-ECC相关的危险因素。结果孩子Cariostat值、母乳喂养持续时间、孩子的第一颗乳牙萌出时间、不良的喂养习惯、进行常规口腔检查、孩子开始刷牙的时间及家长为孩子刷牙等因素是儿童龋齿的影响因素（P〈0.05）。结论孩子Cariostat值越高、婴幼儿喂养方式不当、孩子的牙齿萌出越早是0-2岁儿童重症婴幼儿龋重要危险因素;而早期进行常规口腔检查、越早为孩子开始正确的口腔卫生护理是预防0-2岁儿童重症婴幼儿龋发生的重要保护因素。

Objective To explore the risk factors of severe early childhood caries among 0 - 2 years old children. Methods Case-control study was used in this study, 146 pair mother and children at the age of 0 -2 were included in ease group and another 146 pair mother and children in control group. Examination of the oral cavity and cariostat test were tested for all children and their mothers. The mothers finished the standardized questionnaire including dietary and oral hygiene habits of the children, breast and bottle feeding history and so on. Results children＇ Cariostat, breast-feeding duration time, the time of eruption of first deciduous teeth, improper feeding habits, routine examination, children brush teeth start time and parent help children brush teeth were influencing factors of severe infant caries （ P 〈 0.05 ）. Conclusions High level of children＇ cariostat, improper infant feeding habits, early time of eruption of first deciduous teeth were the important risk factors for severe early childhood caries at the age of 0 - 2 ; early routine oral examination and children brush teeth start time were the important protect factors for preventing severe early childhood caries.