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首页> 外文期刊>BMC Public Health >Prevalence of sealants in relation to dental caries on the permanent molars of 12 and 15-year-old Greek adolescents. A national pathfinder survey
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Prevalence of sealants in relation to dental caries on the permanent molars of 12 and 15-year-old Greek adolescents. A national pathfinder survey

机译：在12和15岁的希腊青少年恒牙上，与龋齿有关的密封胶的患病率。全国探路者调查

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Background The use of sealants as an effective measure for the prevention of pit and fissure caries in children has been well documented by several studies; either they are used on an individual or on a public health basis. In order to plan and establish a national preventive program with sealants in a community, it is mandatory to know the epidemiological pattern of caries along with other variables influencing their use and effectiveness. Aims: To assess the utilization and distribution pattern of pit and fissure sealants on the first and second permanent molars of Greek adolescents and to evaluate whether the existing usage of sealants and some socio-demographic factors are correlated to caries prevalence on the population examined Methods A stratified cluster sample of 2481 Greek adolescents was selected according to WHO guidelines (1224 twelve and 1,257 fifteen-year-old), living in urban and rural areas in 11 districts within the country. Five calibrated examiners carried out clinical examinations, recording caries experience at the dentine threshold (BASCD criteria) and presence or absence of sealants along with Socio-demographic indicators associated with oral health. Mann Whitney and Pearson's chi-square non parametric tests were utilized for assessing the data. The level of significance was p Results Sealants utilization varied considerably within the different districts, with 8,3% of the 12 and 8,0% of the 15-year-old adolescents having at least one sealed molar. Sealants reduced DMFS scores by 11% in the 12-year-olds and by 24% in the 15-year-olds, while 15-year-old adolescents from rural areas had a statistically significant (p = 0.002) less chance of having sealants (71%) compared to children from urban areas. Girls had higher chance to receive sealants in both age groups (26% for the 12 and 19% for the 15-year-old) as well as patients that visited the dentist for prevention compared to those visiting the dentist because they thought they needed a restoration or because they were in pain. Conclusions The finding that sealants reduced DMFS scores despite their very low utilization, along with the high prevalence of dental caries found on the occlusal surfaces of the posterior teeth of Greek adolescents, is calling for a national preventive program with sealants which could eliminate caries to a larger extent.
机译：背景技术多项研究已充分证明了使用密封胶作为预防儿童龋齿和龋齿的有效措施。它们既可以用于个人，也可以用于公共卫生。为了计划和建立社区中的密封剂国家预防计划，必须了解龋齿的流行病学模式以及其他影响其使用和有效性的变量。目的：评估希腊青少年第一和第二永久性磨牙上凹坑和裂隙密封胶的利用和分布方式，并评估密封胶的现有使用量和某些社会人口统计学因素是否与龋齿患病率相关（方法A）根据WHO指南（1224岁的12岁和1,257岁的15岁）选择了2481名希腊青少年的分层整群样本，他们生活在该国11个地区的城市和农村地区。五名经过校准的检查员进行了临床检查，记录了在牙本质阈值（BASCD标准）下的龋齿经历以及是否存在密封剂以及与口腔健康相关的社会人口统计学指标。 Mann Whitney和Pearson的卡方非参数检验用于评估数据。显着性水平为p。结果不同地区的密封胶利用率差异很大，在15岁的12岁和8％的青少年中，至少有一个密封磨牙的比例为8.3％。密封剂使12岁的儿童的DMFS分数降低了11％，使15岁的儿童的DMFS分数降低了24％，而来自农村地区的15岁的青少年拥有密封剂的机会具有统计学意义（p = 0.002）减少（71％）与城市地区的儿童相比。与去看牙医的女孩相比，在两个年龄组中，女孩都有更高的机会接受密封剂（12岁的女孩为26％，15岁的女孩为19％），而去看牙医以进行预防的患者比他们去看牙医的患者更高。恢复或因为他们感到痛苦。结论尽管密封剂的利用率很低，但在希腊青少年后牙的咬合面发现龋齿的患病率很高，发现密封剂降低了DMFS评分，这呼吁建立一项全国性的预防方案，采用密封剂可以消除龋齿。更大的范围。

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