2006年台灣國小學童口腔健康狀況及治療需求

Oral health status and treatment needs of elementary school children of Taiwan in 2006

林妤珊(Yu-Shan Lin)

指導教授 ： 黃純德

高雄醫學大學/口腔醫學院/牙醫學研究所/碩士(2007年)

https://doi.org/10.6832/KMU.2007.00059

摘要

中文摘要
背景:
根據以往的調查，台灣國小學童的口腔健康狀況距離WHO所制定的目標仍有一小段距離。目前我國的公共衛生政策，包括含氟漱口水、餐後潔牙、牙科納入健保內、健康學校促進計畫等，對於我國學童的口腔健康狀況，相信也有不小助益。其中，最常以齲齒來做為分析的重要議題。
研究目的：
　　　分析我國國小學童的口腔健康狀況及治療需求情形，另外也分析齲齒型態，增齡的變化及恆牙齲齒指數。
材料與方法：
採分層抽樣調查以及等比隨機抽樣法。各縣市皆選出192人，共選取4416人。口檢內容包含乳恆牙之齲齒盛行率、填補率；DMFT index、deft index；牙周狀態、牙菌斑指數、牙結石指數；咬合狀態及矯正治療需求。
結果：
乳牙6歲的平均deft index及乳牙齲齒率分別為5.03顆和66.05%；恆牙12歲的平均DMFT index及恆牙齲齒率分別為2.29顆和66.96%。
而整體學童其治療需求，不需治療的顆數為26.18顆，需單面填補的顆數為0.55顆，需雙面填補顆數為0.54顆，需三面以上填補顆數為0.12顆，需根管治療顆數為0.17顆，而需拔除者為0.25顆。
結論：
　　　　　　2002年的全國大調查相比，台灣6到12歲，其dt、et、deft index、DMFT index、齲齒率等都有下降的趨勢

關鍵字

國小學童 ； 齲齒 ； 治療需求

並列摘要

Abstract
Background:
According to previous research, the oral health status of Taiwanese elementary school children is still a little below the standard set by WHO. Current national public health policy, including Fluoride Containing Mouth rinse, Brush after meal, National Health insurance containing dental treatment and Health-promoting school program. These program had made much benefit to the oral health status of our elementary school children. Furthermore, caries was often the subject for analyze.
Objective:
Purpose of this study is to analyze oral health status, treatment needs of elementary school in our country, caries patterns, changes with age growth, and DMFT index. .

Material and Methods:
In this study, 4416 children from 1 to 6 grade, were recruited by a stratified cluster sampling method with probability proportional to size. Subjects were examined for caries prevalence of primary and permanent teeth, filling rates, DMFT index, deft index, periodontal status, plaque index, calculus index, occlusal status, and orthodontic treatment needs.

Results:

In 6-year-old children, deft index and caries prevalence of primary teeth were 5.03 and 66.05%.In 12-year-old children, DMFT index and caries prevalence of permanent teeth were 2.29 and 66.96%.
Among all the treatment needs, 26.18 teeth needed no treatment, 0.55 tooth needed one-surface restoration, 0.54 tooth needed two-surface restoration, 0.12 tooth needed more than three-surface restoration, 0.17 tooth needed pulp therapy, and 0.25 tooth needed extraction.

Conclusion:
Compared with the national survey in 2002, the dt, et, deft index, DMFT index and caries prevalence had declining trend.

並列關鍵字

elementary school children ； caries ； treatment needs

參考文獻

參考文獻

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