口腔综合保健措施对于低龄儿童龋的保健效果及调节口腔指数的作用探讨

The Effect of Oral Comprehensive Health Care Measures on Caries in Young Children and the Effect of Adjusting Oral Index

目的研究口腔综合保健措施对于低龄儿童龋的保健效果及调节口腔指数的作用。方法简单随机选取2018年12月—2021年1月于该院行口腔检查的60名低龄儿童为研究对象,以随机抽取的方式进行对等分组。A组(n=30)对儿童开展常规健康教育与检查;B组(n=30)对儿童采取口腔综合保健措施。比较两组的保健效果。结果干预后,B组儿童的含氟牙膏使用率为96.67%、早晚坚持刷牙率为100.00%、时间3 min以上刷牙率为93.33%、睡前甜食禁食率为86.67%、饭后漱口率为83.33%及口腔定期检查率为90.00%与A组的80.00%、83.33%、73.33%、63.33%、60.00%及66.67%相比均明显更高,差异有统计学意义(χ^(2)=4.043、5.454、4.320、4.355、4.021、4.811,P<0.05);B组儿童的因龋缺失(mt)(0.54±0.11)、乳牙龋坏(dt)(2.83±0.32)、龋均(dmft)值(3.21±0.64)及因龋填充(ft)数量(0.83±0.23)相较于A组的(0.79±0.22)、(3.41±0.82)、(3.88±0.79)及(1.35±0.51)均明显更低,差异有统计学意义(t=5.567、3.609、3.609、5.090,P<0.05);B组的dt牙面数量(3.18±1.05)、mt牙面数量(2.62±0.51)、ft牙面数量(1.03±0.27)及dmft牙面数量(5.28±1.21)相较于A组的(4.21±1.43)、(3.16±0.87)、(1.72±0.62)及(6.21±1.79)均明显更低,差异有统计学意义(t=3.179、2.932、5.588、2.357,P<0.05)。结论口腔综合保健不仅可以提升家长对儿童口腔保健的重视度,还能帮助儿童养成良好的口腔卫生、饮食等行为与习惯,对预防低龄儿童龋有积极作用。

Objective To study the effect of comprehensive oral health care measures on caries in young children and the effect of adjusting oral index.Methods A total of 60 young children who underwent oral examination in the hospital between December 2018 and January 2021 were simple randomly selected as research subjects.They were divided into equal groups by random sampling.Group A(n=30)children are given routine health education and examination;group B(n=30)children were given oral comprehensive health care intervention.The health effects of the two groups were compared.Results After the intervention,the use rate of fluoride toothpaste in group B was 96.67%,and the rate of brushing teeth in the morning and evening was 100.00%,the rate of brushing teeth for more than 3 min was 93.33%,the rate of fasting sweets before bed was 86.67%,the rate of gargling after meals was 83.33%,and the rate of regular oral examination was 90.00%,compared with 80.00%,83.33%,73.33%,63.33%,60.00%and 66.67%of group A,the difference was statistically significant(χ^(2)=4.043,5.454,4.320,4.355,4.021,4.811,P<0.05).The values of missing due to caries(mt)(0.54±0.11),decayed deciduous teeth(dt)(2.83±0.32)and mean caries(dmft)(3.21±0.64),and the number of filling(ft)due to caries(0.83±0.23)of children in group B,compared with group A(0.79±0.22),(3.41±0.82),(3.88±0.79)and(1.35±0.51)were significantly lower,and the difference was statistically significant(t=5.567,3.609,3.609,5.090,P<0.05).In group B,the number of dt tooth surfaces(3.18±1.05),the number of mt tooth surfaces(2.62±0.51),the number of ft tooth surfaces(1.03±0.27)and the number of dm-ft tooth surfaces(5.28±1.21),compared with group A(4.21±1.43),(3.16±0.87),(1.72±0.62)and(6.21±1.79)were significantly lower,and the difference was statistically significant(t=3.179,2.932,5.588,2.357,P<0.05).Conclusion Comprehensive oral health care can not only increase parents'attention to children's oral health care,but also help children develop good oral hygiene,diet and other behaviors and habits.