臺北市萬華區五歲幼童齲齒狀況之研究

Dental Caries among Five-year-old Children in the Wanhua District of Taipei City

許玲欣(Ling-Hsin Hsu)

《北市醫學雜誌》 4卷2期 (2007/02) Pp. 182-189

https://doi.org/10.6200/TCMJ.2007.4.2.10

摘要

Background and Purpose: The aim of this study was to measure the caries experiences and its related factors of 5-year-old children in Wanhua district of Taipei city. Methods: Eight kindergartens and nursery schools with a total of 380 children were recruited using systemic random sampling, and results of 365 children's were collected for analysis. Subjects were orally examined. Additional analyses were based on questionnaire survey from subjects. Results: We found that the prevalence of caries in primary dentition was 71.5%, and the deft index was 3.64±3.54. Statistically significant differences in caries prevalence were found between groups with different dental visit experiences, kinds of sweet snack that was often taken, the usual tooth-brushing practice and whether the child's mother was a career woman or not. Statistically significant differences in the severity of caries as reflected by deft index were also found between groups with differences in the dental visit experience, kinds of sweet snack that was often taken, the usual tooth-brushing practice, the number of children of a child’s family, and the health condition that a child felt about himself. Conclusion: As the results showed that children's oral health education and regular dental examination were the most significant factors affecting the prevalence and severity of caries. Children's resting time in kindergartens, nursery schools and home should be adjusted to comply a long-term implementation for cleaning teeth after meal and before going to sleep. Also oral health education and practical promotion programs for parents are suggested to be implemented. Schools, parents and community dentists should work together to share the caring responsibility to promote young children's oral health.

關鍵字

齲齒 ； 乳齒 ； 相關因素

並列摘要

Background and Purpose: The aim of this study was to measure the caries experiences and its related factors of 5-year-old children in Wanhua district of Taipei city. Methods: Eight kindergartens and nursery schools with a total of 380 children were recruited using systemic random sampling, and results of 365 children's were collected for analysis. Subjects were orally examined. Additional analyses were based on questionnaire survey from subjects. Results: We found that the prevalence of caries in primary dentition was 71.5%, and the deft index was 3.64±3.54. Statistically significant differences in caries prevalence were found between groups with different dental visit experiences, kinds of sweet snack that was often taken, the usual tooth-brushing practice and whether the child's mother was a career woman or not. Statistically significant differences in the severity of caries as reflected by deft index were also found between groups with differences in the dental visit experience, kinds of sweet snack that was often taken, the usual tooth-brushing practice, the number of children of a child’s family, and the health condition that a child felt about himself. Conclusion: As the results showed that children's oral health education and regular dental examination were the most significant factors affecting the prevalence and severity of caries. Children's resting time in kindergartens, nursery schools and home should be adjusted to comply a long-term implementation for cleaning teeth after meal and before going to sleep. Also oral health education and practical promotion programs for parents are suggested to be implemented. Schools, parents and community dentists should work together to share the caring responsibility to promote young children's oral health.

並列關鍵字

dental caries ； primary dentition ； related factor