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Association between a New Sugar Index and Caries Experience: Results of a Cross-Sectional Field Study

机译:新的糖指数和龋齿经验之间的关联:横截面研究的结果

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Objectives: The aim of this study was to test the relationship between a newly developed sugar index and caries experience in 4th- and 6th-graders. Materials and Methods: A total of 1,019 fourth-graders and 925 sixth-graders from 2 regions in Northern Germany participated in the study. Caries experience was recorded by applying the ICDAS criteria. Tooth-brushing habits and other independent variables were examined psychometrically. Structured questions were formulated that were related to specific everyday eating situations, especially between main meals, which proved to be relevant for a higher caries risk. To compare mean caries scores, nonparametric tests were applied. The Pearson coefficient was calculated in order to verify the correlation between the sugar index and the caries experience. The influence of various independent variables on caries experience was assessed by stepwise backward logistic regression analysis. Results: With regard to the primary teeth of the 4th-graders, significant correlations with values >0.1 were found for all ICDAS outcome variables. With regard to the permanent teeth of the 6th-graders, the only significant correlations with the sugar index were for the ICDAS outcome variables D3-6MFT and D3-6FS. Conclusion: The results of our study show that not only the correlation between the sugar index and caries experience was stronger for 4th-graders than for 6th-graders, but also more distinctly visible differences were observed when comparing extreme groups. This indicates that protective factors, such as fluoridation and the preventive sealing of fissures, help level out the differences in caries occurrence in older children when compared to younger children. (c) 2018 The Author(s) Published by S. Karger AG, Basel
机译:目的:本研究的目的是测试第四年级和第6层级的新开发的糖指数和龋齿经验之间的关系。材料和方法:共有1,019分的二年级学生和925年从德国北部的2个地区参加了这项研究。通过应用ICDAS标准记录龋齿经验。精神刷牙习惯习惯和其他独立变量。制定了与特定日常饮食情况有关的结构性问题,特别是在主要餐点之间,这被证明与更高的龋齿风险有关。为了比较意味着龋病评分,应用非参数测试。计算Pearson系数以验证糖指数与龋齿体验之间的相关性。通过逐步向后逻辑回归分析评估各种独立变量对龋齿经验的影响。结果:关于第4种的主要牙齿,对所有ICDAS结果变量都发现了与值> 0.1的显着相关性。关于第6种的常牙牙齿,与糖指数的唯一显着相关性是ICDAS结果变量D3-6MFT和D3-6FS。结论:我们的研究结果表明,糖指数与龋齿经验之间的相关性不仅比第6年级的4年级的相关性,而且在比较极端群体时也观察到更明显的可见差异。这表明保护因素,如氟化物和裂缝的预防性密封,有助于降低与年幼儿童相比年龄较大的儿童龋病发生的差异。 (c)2018年由巴塞尔的S. Karger AG发布的提交人

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