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研究生:柯秀伶
研究生(外文):Hsiu Ling Ko
論文名稱:北台灣一至三歲兒童早期性齲齒之相關因子探討
論文名稱(外文):The study of factors associated with early childhood caries in northern Taiwanese children aged 1-3 years
指導教授:黃炯興黃炯興引用關係許光宏許光宏引用關係
指導教授(外文):C. S. HuangK. H. Hsu
學位類別:碩士
校院名稱:長庚大學
系所名稱:顱顏口腔醫學研究所
學門:醫藥衛生學門
學類:牙醫學類
論文種類:學術論文
論文出版年:2008
畢業學年度:96
論文頁數:103
中文關鍵詞:兒童早期性齲齒嚴重兒童早期性齲齒危險指標齲齒相關因子
外文關鍵詞:early childhood cariessevere- early childhood cariesrisk factorcariesfactors
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兒童早期性齲齒(ECC,early childhood caries)為多致病因子的疾病,影響兒童之咀嚼、發音、美觀及生活品質。乳齒齲齒亦會影響繼發恆齒的情況,使恆牙齲齒發生率提高,瞭解兒童早期性齲齒的狀況及相關因子,有助於齲齒的預防工作,促進國民健康。
本研究於北台灣440 名1至3歲的兒童,經口腔檢查及結構式問卷調查研究其早發性齲齒的發生率及相關的危險指標。相關因子分為四大類:兒童個人基本資料與家庭背景、口腔衛生行為、飲食習慣和家長的口腔健康知識。結果顯示兒童早期性齲齒盛行率在1 歲、2歲、3歲分別為5.11%、37.82%、63.27%。乳牙齲齒經驗指數(deft)分別為0.09、1.53、3.39。齲齒型態以頰舌側型齲齒(facial-lingual lesions)為最多(72.32%)。兒童早期性齲齒之危險性與年齡成正相關[2歲,OR=11.13, 95%C.I.= (4.20, 29.51);3歲OR=29.77, 95%C.I.= (10.60, 83.59)]、居住在偏遠地區者較高[OR=5.56, 95%C.I.= (1.84, 16.80)]、兒童半夜吵鬧喝奶者較高[OR=1.82, 95%C.I.= (1.00, 3.30)]、家長忽略兒童的飲食速度者較高[OR=7.98, 95%C.I.= (1.59, 40.0)]、較易入睡的兒童者較高[OR=2.53, 95%C.I.= (1.05, 6.14)]與家長的口腔衛生認知缺乏者較高[OR=3.39, 95%C.I.= (1.27, 9.05)]。乳牙齲齒經驗指數(deft)之危險性與年齡成正相關(2歲,p=0.0093;3歲,p<0.0001)、與居住在偏遠地區(p=0.0028)及都市地區(p=0.0358)、兒童半夜吵鬧喝奶(p=0.0292)、家長忽略兒童的飲食速度(p=0.0381)及家長的口腔健康認知缺乏相關(p=0.0284)。
兒童飲食習慣、居住地區、家長的口腔衛生認知為影響早期性齲齒的相關因子,宜於衛生政策宣導上提供家長幼兒正確飲食習慣建立方式,並加強特殊地區口腔衛生觀念及醫療服務,同時加強家長之口腔認知,方能有效降低齲齒狀況促進口腔健康。
The purpose of this study is to investigate the prevalence and the associated risk factors of early childhood caries in northern Taiwanese children aged 1-3 years.
A total of 440 healthy children between 1-3 years of age were examined. General data, social demographics, dental health behaviors, dietary habits, and concepts of oral health were obtained by a validated questionnaire. The prevalence of ECC was 5.11% at age 1, 37.82% at age 2 and 63.27% at age 3. The deft was 0.09 at age 1, 1.53 at age 2, and 3.39 at age 3. 72.32% of carious children fit the facial and lingual pattern of caries. Multivariable – adjusted odds ratios analysis found significant variables associated with ECC were: older age [2 years-old, OR=11.13, 95%C.I.= (4.20, 29.51);3 years-old, OR=29.77, 95%C.I.= (10.60, 83.59)], living in remote areas [OR=5.56, 95%C.I.= (1.84, 16.80)], night milking habit [OR=1.82, 95%C.I.= (1.00, 3.30)], parents did not heed child’s eating speed [OR=7.98, 95%C.I.= (1.59, 40.0)], easy to sleep [OR=2.53, 95%C.I.= (1.05, 6.14)] and less knowledge of parents’ oral health [OR=3.39, 95%C.I.= (1.27, 9.05)]. Multivariable -linear regression analysis found significant variables associated with caries experiences (deft) were older age (2 years-old, p=0.0093;3 years-old, p<0.0001), living in remote areas (p=0.0028) and urban areas (p=0.0358), night milking habit (p=0.0292), parents did not heed child’s eating speed (p=0.0381) and less knowledge of parents’ oral health (p=0.0284).
The present study may contribute to the development of more effective strategies for oral health promotion and prevention of early childhood caries.
目 錄
指導教授推薦書………………………………………………… i
口試委員會審定書……………………………………………… ii
授權書…………………………………………………………… iii
致謝……………………………………………………………… iv
中文摘要………………………………………………………… v
英文摘要………………………………………………………… vi
目錄……………………………………………………………… vii
圖表目錄…………………………………………………………. viii
附錄目錄………………………………………………………… ix
第一章 緒論
1.1 研究背景…………………………………………… 1
1.2 研究目的…………………………………………… 2
第二章 文獻回顧
2.1 兒童早期性齲齒及分類…………………………… 3
2.2 國內兒童齲齒率相關文獻回顧…………………… 4
2.3 國外兒童齲齒率相關文獻回顧…………………… 6
2.4 兒童齲齒相關因子文獻回顧……………………… 9
第三章 材料與方法
3.1 研究對象及抽樣方法……………………………… 20
3.2 研究內容…………………………………………… 20
3.3 研究方法與步驟…………………………………… 22
3.4 統計分析…………………………………………… 25
3.5 名詞解說…………………………………………… 26
第四章 結果
4.1 調查收案情形……………………………………… 30
4.2 齲齒狀況檢查結果………………………………… 30
4.3 齲齒相關因子結果………………………………… 32
第五章 討論
5.1 研究發現…………………………………………… 59
5.2 齲齒狀況與國內外研究比較……………………… 59
5.3 齲齒相關因子討論………………………………… 61
5.4 研究限制…………………………………………… 66
第六章 結論與建議…………………………………………… 68
參考文獻………………………………………………………… 69
附錄……………………………………………………………… 83
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