台灣南部地區0-6歲兒童齲齒狀況之探討

The Dental Caries Status of 0~6-year-old Children in Southern Taiwan

蕭思郁(Szu-Yu Hsiao) ； 黃純德(Shun-Te Huang) ； 趙聆惠(Ling-Hui Chao) ； 劉秀月(Hsiu-Yueh Liu) ； 張綺舫(Chi-Fang Chang)

《中華牙醫學雜誌（中文版）》 26卷1期 (2007/03) Pp. 52-60

https://doi.org/10.7106/CJD.200703.0052

摘要

本研究目的針對台灣南部地區0-6歲兒童的齲齒狀況作探討。研究方法採分層集束隨機抽樣調查法，研究對象為台灣南部地區0-6歲的兒童。研究結果發現：齲蝕顆數(dt)為3.54顆、齲齒指數(deft)為4.40、齲齒盛行率為68.97%、填補率為18.35%。齲齒狀況中兒童早發性齲齒(ECC)者有825人(68.97%)，兒童嚴重早發性齲齒(S-ECC)者有536人(44.81%)；齲齒狀況在城鄉呈現統計上顯著的差異。結論為台灣南部地區0-6歲兒童之口腔健康狀況比台灣地區之兒童為差，但齲齒填補率比台灣地區為低。南部城市地區兒童的口腔健康狀況比鄉村地區的兒童為佳，相對的城市地區兒童的填補率比鄉村地區高。鄉村地區的齲齒醫療需求高於城市地區。顯示在南部地區口腔狀況存在著城鄉差距，可能與醫療資源的分布與多寡有關。建議應培養各類師資加強幼托所之口腔保健課程，培養兒童的口腔保健習慣。媽媽教室、褓姆培訓時，宜加入嬰幼兒口腔保健課程。

關鍵字

齲齒指數 ； 齲齒盛行率 ； 齲齒填補率 ； 城鄉差距

並列摘要

To survey children's dental caries status in southern Taiwan, children of aged 0 to 6 years participated in this study, which used a stratified cluster sampling design and probability proportional to size. The number of decayed teeth was 3.54 and the decayed, extracted, and filled teeth deft index was 4.40. The caries prevalence rate was 68.97%, and the filling rate was 18.35%. There were 825 children (68.97%) with early childhood caries (ECC) and 536 children (44.81%) with severe early childhood caries (S-ECC). A statistically significant inequality existed between rural and urban children. In conclusion, the oral health status of 0~6-year-old children in southern Taiwan is worse than that of other areas of Taiwan, but the rate of filling was lower than for other areas of Taiwan. The oral health status of 0~6-year-old children in southern urban areas is better than that of the children in southern rural areas; therefore, the filling rate of children in urban areas is higher than that of children in rural areas. There are greater treatment needs in rural areas than in urban areas. The discrepancy between rural and urban areas of southern Taiwan might be related to the distribution of dental resources. We suggest training of diverse professionals, and reinforcing oral health care programs in kindergartens to teach children good oral habits. Educational programs for mothers and babysitters could also improve oral health care.

並列關鍵字

deft index ； caries prevalence ； filling rate ； rural and urban areas