台灣六到十二歲學童之第一大臼齒齲齒型態之演變

Changes of First Permanent molars of Children Aged from Six to Twelve Years Old in Taiwan

林妤珊(Yu-Shan Lin) ； 黃純德(Shun-Te Huang) ； 陳俊志(Chun-Chih Chen)

《臺灣兒童牙醫學雜誌》 14卷2期 (2014/06) Pp. 55-60

https://doi.org/10.6319/TJPD.2014.14(2).2

摘要

研究目的：分析台灣六至十二歲學童之第一大臼齒齲齒型態之演變。方法：本研究採分層多階段隨機集束抽樣調查法，收集台灣六至十二歲學童口腔檢查結果的資料。口腔檢查以WHO頒布之標準為依據，並分析第一大臼齒齲齒型態的演變。結果：共收集4416位六至十二歲學童的資料。下顎第一大臼齒是最易發生齲齒的後牙，其次為上顎第一大臼齒。第一大臼齒齲齒的部位，在下顎以咬合面及頰側面居多，上顎第一大臼齲齒部位以咬合面及顎側面居多。結論：台灣六至十二歲學童之第一大臼齲齒狀況不佳，早期恆牙齒列齲齒的預防，應考慮公共衛生政策及學校的介入來預防。建議在學童第一大臼齒萌出發，儘快進行溝隙封填劑的充填。

關鍵字

永久性磨牙 ； 窩溝封閉 ； 齲齒

並列摘要

Objectives: Purpose of this study is to analyze changes of caries patterns in permanent first molar of children aged from six to twelve years old in Taiwan. Material and Methods: The research was conducted on children aged from six to twelve years old selected by stratified cluster sampling in Taiwan. The protocol of examination was based upon the criteria from WHO, and the data was analyzed for changes of permanent first molar caries patterns. Result: Data of 4416 children from six to twelve of age were collected. The mandibular permanent first molars were the most susceptible teeth in mixed dentition. The second were maxillary permanent first molars. The most susceptible tooth surfaces of mandibular molars were occlusal surfaces and buccal surfaces. And the most susceptible tooth surfaces of maxillary molars were occlusal surfaces and palatal surfaces. Conclusion: The caries status of children from six to twelve years of age is still poor in Taiwan. The caries prevention program should be combined with school and public policy. After the eruption of permanent first molars, pit and fissure sealants should be performed as soon as possible.

並列關鍵字

Permanent first molar ； Pit and fissure sealant ； Caries