Intensywność próchnicy i stan higieny jamy ustnej warszawskich dzieci w wieku przedszkolnym obciążonych dużym ryzykiem wystąpienia próchnicy

Abstract

Background. Fast progression of caries in primary teeth may lead to pulpitis or even to premature tooth loss. Poor oral hygiene is a risk factor for caries, although it is not considered to be an important one.Objectives. The objective of this study was to assess the correlation between dental caries and oral hygiene in Warsaw preschool children at high risk for caries.Material and Methods. One hundred and eighty preschool children (average age 50.27 ±11.27 months) at risk for caries were eligible to participate in the study. Oral hygiene, carious lesions, fillings and missing teeth were evalnated. White spot lesions, dmft, dmfs, d1-2dmft, d1-2dmfs, and their components were calculated. The study was conducted by 3 calibrated examiners.Results. Dmft was 7.20 ±5.33, dmfs 15.65 ±15.82, d1-2dmft 10.81 ±5.63, d1-2dmfs 20.84 ±16.56, including d1-2t and d1-2s dp – 3.59 ±2.86 and 5.14 ±4.51 respectively for 19.04 ±1.99 examined primary teeth. The main component of the indicators was the average number of teeth/tooth surfaces with caries (4.71 ±4.54/8.72 ±10.77 respectively). The average number of teeth/surface fillings amounted to 1.73 ±1.99 and 3.58 ±5.01; those lost due to the caries of 0.79 ±1.74 and 3.39 ±7.56. Treatment index amounted to 0.27 and DI-S to 1.1 ±0.57. There was a statistically significant positive correlation between dmft and dmfs, dt and ds, and the DI-S.Conclusion. Poor oral hygiene caused severe caries. Massive accumulation of dental plaque was accompanied by a greater number of teeth and tooth surfaces with caries.