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Caries risk indicators in preschool children : Maternal and family conditions in pregnancy and early childhood and dental caries development in preschool children

机译：学龄前儿童的龋病风险指标：学龄前儿童的孕期和幼儿期的母亲和家庭状况以及龋齿发展

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摘要

Caries risk indicators in preschool children. Maternal and family conditions in pregnancy and early childhood and dental caries development in preschool children.Caries prevalence in preschool children in Norway has decreased during the last thirty years, and the distribution of the disease has become skewed with a smaller proportion having many lesions and a greater proportion having no lesions. Early identification of children at risk of developing caries is desirable so that preventive advice may be put in place before clinical caries become apparent. The main purpose was to study factors contributing to early identification of children at risk of developing caries, and especially, structural characteristics of the family and maternal health and lifestyle during pregnancy and the child's early life, and caries development in preschool children.The thesis is based on data from the Norwegian Mother and Child Cohort Study and the Public Dental Services. Cross-sectional and longitudinal studies, following the children from before birth to 5 years of age, were conducted. Data were collected using questionnaires during the mother's pregnancy and the child's early years, and at the dental examination at 5 years of age. More than 80% of the 5-year-old children had no dentine caries experience, and 10% of the children had five or more teeth with dentine caries experience. A social gradient in caries prevalence in 5-year-old children was found. The high-risk group was children of non-western origin with parents with short education. A change in family situation before five years of age increased the risk of caries development in children. Parental tooth-brushing habits and attitudes to tooth-brushing, missed dental appointments in children and maternal lifestyle during pregnancy and in early childhood were associated with caries development. Characteristics of the family and maternal lifestyle during pregnancy and in early childhood can be used as caries risk indicators in preschool children, and may increase the possibility of targeting preventive care at those with the highest risk of dental caries.
机译：学龄前儿童龋病风险指标。学龄前儿童的孕产妇和家庭状况以及学龄前儿童和龋齿的发展。挪威的学龄前儿童的龋病流行率在过去30年中有所下降，该疾病的分布呈偏斜状态，比例较小，有很多病变和没有损伤的比例更大。尽早发现有龋齿风险的儿童是可取的，这样就可以在临床龋齿变得明显之前就采取预防措施。本研究的主要目的是研究有助于早期识别有龋齿风险的儿童的因素，特别是妊娠和儿童早年家庭的结构特征，孕产妇健康状况和生活方式以及学龄前儿童的龋齿发展。基于来自挪威母婴队列研究和公共牙科服务的数据。对从出生前到5岁的儿童进行横断面和纵向研究。在母亲怀孕和孩子早年期间以及在5岁时进行牙齿检查时，使用问卷调查收集数据。超过80％的5岁儿童没有龋齿经验，而10％的孩子有5颗或更多牙齿具有龋齿经验。发现5岁儿童的龋病流行程度呈社会梯度。高危人群是非西方血统的儿童，父母的教育程度较短。五岁之前家庭状况的改变增加了儿童龋齿发展的风险。父母的刷牙习惯和刷牙态度，儿童错过牙科预约以及孕妇和幼儿期的孕妇生活方式与龋齿的发展有关。怀孕和幼儿时期的家庭特征和母亲的生活方式可以用作学龄前儿童龋齿风险指标，并且可能增加针对龋齿风险最高的人群进行预防保健的可能性。

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    Wigen Tove Irene;

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  • 年度 2011
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  • 原文格式 PDF
  • 正文语种 eng
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