推動校園口腔保健計劃對學童口腔狀況成效的探討

The effectiveness on oral health condition of a school-based oral prevention program on school-children

邱耀章(Yao-Chang Chiu)

指導教授 ： 黃純德

高雄醫學大學/口腔醫學院/口腔衛生科學研究所碩士在職專班/碩士(2003年)

摘要

中文摘要
學校間對校園學童口腔保健計劃參與度的不同，對學童口腔健康狀況成效的差異度是本研究的重點，更希望能藉由本研究的結果，來做為校園口腔保健計劃活動成果的評估及做為日後計劃繼續推動的參考。本研究的母群體是台灣地區足6?12歲的國小學童，以分層多段集束隨機抽樣的方法，抽出具代表性來自104所學校的2496名學童，依世界衛生組織的Oral Health Surveys第四版的方法檢查學童的口腔健康情形。同時將抽樣學校與中華民國牙醫師公會全國聯合會校園含氟水漱口計劃各年度實施學校資料及校園餐後潔牙計劃最近五年各地方潔牙觀摩及全國潔牙觀摩參賽及得獎學校名單作一比對歸類，再分析探討其對學童口腔健康狀況的成效。
研究結果發現：實施含氟漱口水不同學期數在乳牙、恒牙、恒牙乳牙的齲齒盛行率、齲齒指數、齲齒填補率均呈現顯著性差異。實施含氟漱口水11學期（5年）以後，恒牙齲齒盛行率所造成有意義的差異度可以達到31.76﹪?40.74﹪，恒牙齲齒指數的差異度可以達到19.10﹪?37.11﹪。含氟漱口水功效必須連續實施3年以上才可能達到較大功效。潔牙觀摩活動的是否參與在乳牙、恒牙乳牙的齲齒指數、齲齒填補率及恒牙齲齒盛行率、乳牙齲齒盛行率皆呈現顯著性差異。參與潔牙觀摩的學校有較低的齲齒盛行率與齲齒指數，有較高的齲齒填補率。氟斑齒的案例只有發現一個。
因此校園餐後潔牙推廣計劃的潔牙觀摩有實質的效益在，建議應繼續推廣與實施，含氟漱口水的效益不是短時間即可得到，建議應持續性的繼續實施推動。
關鍵字：口腔保健計劃、潔牙觀摩、含氟漱口水

關鍵字

口腔保健計劃 ； 潔牙觀摩 ； 含氟漱口水

並列摘要

Abstract
The purpose of this study was to compared the effectiveness variation on oral health condition of school children with the different participating to the school-based oral prevention program. Based on these results, the effectiveness of the oral prevention program can be evaluated. And as a conference for further establishments of oral prevention program in future .
The target is the 6-12years old primary school children, with the stratified multi-stage cluster random sampling , 2496 comprehensive students from 104 schools were selected. By the criteria of the WHO oral health survey.The oral health condition of these students were recorded.These data were then be matched with the data of those schools that participated in the fluoride water mouth rinsing program and the cleaning teeth contest of the Cleaning Teeth After Meal Program as to the winners of the regional ＆ national that were held by the national TDA in the past 5 years.
As the results show：The primary&permanent&total caries prevalence and DMFT and filling rate of the school-children that have been promoting the fluoride water mouth rinsing program for over 7 semesters have the variation significantly compare with those school-children that have not been. The decrease variation of the permanent caries prevalence among different group is more than 31.76% to 40.74%.The decrease variation of the permanent DMFT among different group is more than 19.10% to 37.11%.The fluoride water mouth rinsing program should be promoting at least 3 years for the efficiency purpose.The primary&total DMFT、caries filling rate as the same with primary&permanent caries prevalence of the schools that have been attending Cleaning Teeth Contest have the variation significantly with those that have never been.And they have lower caries prevalence&DMFT and higher caries filling rate.Only one case of fluorosis was found.
So we suggested that the Cleaning Teeth Contest of the school-based Cleaning Teeth After Meal Program got the definite effects , and it should be promoting for long. Effects of the fluoride mouth rinse water can’t get in a short time, the program should proceeding promote.
Key world：oral health promoting program，cleaning teeth contest
fluoride mouthrinse water

並列關鍵字

oral health promoting program ； cleaning teeth contest ； fluoride mouthrinse water

參考文獻

參考文獻

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