台灣東部地區六歲以下兒童齲齒狀況之探討

台灣東部地區醫療資源與西部地區相比有很大的差異性，本研究之目的在探討醫療資源的缺乏對於兒童齲齒狀況的影響。本研究是採分層多段隨機集束抽樣法。以台灣東部地區六歲以下兒童為研究對象進行抽樣，樣本數共計600人，男生317人(52.82%)、女生283人(47.18%)。研究結果顯示台灣來部地區兒童的deft index為5.01±4.82、龋齒顆數(dt)為4.09颗，乳齒之龋齒盛行率71.93%。東部地區鄉村兒童的deft index為5.33，較居住在市、鎮兒童(4.88、4.83)為嚴重，顯示出鄉村兒童並未受到足夠的口腔醫療照護。因此必須加強家長及照護者之口腔衛生教育宣導，讓幼兒能定期至牙科診所接受塗氟或裂溝封塡等預防工作，以達到早期診斷早期治療的目的，並鼓勵牙醫師參與巡迴醫療計畫，以改善偏遠鄉鎮居民醫療缺乏的問題。

關鍵字

齲齒；六歲以下兒童；城鄉差距

並列摘要

The medical and dental resources of eastern Taiwan are fewer than those in other parts of the country. The aim of this paper was to study the effect of medical resources on children's dental health condition. The study examined 600 cases. We used a multiple-layer randomized method. There were 317 males (52.82%), 283 females (47.18%) enrolled in this study. The decayed, extracted, filled teeth (deft) index was 5.01±4.82, and the caries prevalence rate was 71.93%. Children living in the countryside of eastern Taiwanese had a higher deft index and caries prevalence rate than those living in the city, while their filling rate was lower. This shows that those living in areas with insufficient medical resources receive inadequate medical care. So we need to strengthen dental health promotion for infants who have caries and who need to see their dentist for preventive fluoride application and to deal with any fissures in their teeth. Parents and caregivers should be advised to bring the children in their care to a dentist for routine check-ups, to achieve early diagnosis and early treatment.

並列關鍵字

dental caries ； 0~6-year-old children ； eastern Taiwan

國際替代計量

台灣東部地區六歲以下兒童齲齒狀況之探討

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