アブストラクト(23巻4号:神奈川歯学)

神奈川歯学

Japanese

Title : 乳幼児歯科健診に関する研究 - 第2編 口腔内状況と齲蝕のスクリーニングについて -
Subtitle : 原著
Authors : 長谷則子, 檜垣旺夫
Authors(kana) :
Organization : 神奈川歯科大学小児歯科学教室
Journal : 神奈川歯学
Volume : 23
Number : 4
Page : 537-555
Year/Month : 1989 / 3
Article : 原著
Publisher : 神奈川歯科大学学会
Abstract : 「緒言」 厚生省は, 昭和37年の3歳児歯科保健指導要領につづき, 昭和52年からの1歳6ヵ月児歯科保健指導要領によって, 1歳6ヵ月児と3歳児との関連をもたせた歯科健康診査票ならびに実施要領を提示して, 幼児期の齲蝕予防を図ってきた. しかし, 実際には齲蝕罹患型分類等, 齲蝕が存在することが是認されるとともに, スクリーニング基準としては歯面の汚れのみを使用しているのが現状である. 齲蝕有病状況についてみると, 昭和56年頃より低年齢児の齲蝕が減少し始め, 現在それが定着しつつある. しかし, 3歳以降の乳歯齲蝕に関しては軽症化がみられるものの, 有病者数にはそれほど大きな変化は認められていない. 乳幼児歯科健診において, それぞれの個人の生活習慣や育児方法に対応した保健指導の重要性および必要性は疑いのない事実であるが, その要諦が確立されていない現状では, 主体が齲蝕の検出のみに偏ってしまい, 本来意図した効果が得られない状況にある.
Practice : 歯科学
Keywords : 乳幼児歯科健診, 口腔内状況の推移, 齲蝕のスクリーニング

English

Title : Studies on Dental Health Examination in Infancy and Early Childhood Part 2. The Results of Dental Survey and Screening of Dental Caries
Subtitle : Original article
Authors : Noriko NAGATANI, Morio Higaki
Authors(kana) :
Organization : Department of Pedodontics Kanagawa Dental College
Journal : Kanagawa Shigaku
Volume : 23
Number : 4
Page : 537-555
Year/Month : 1989 / 3
Article : Original article
Publisher : Kanagawa Odontological Society
Abstract : Abstract : The purpose of this study was to analyze the relationship between the caries incidence, oral environment at the age of 1.5 years and the prevalence of the caries at the age of 3.5 years in order to establish the methods of dental health surveys on infants and to prevent dental caries. Oral health examination and caries activity (Cariostat) test were performed on 436 children successively undergoing dental health examinations of 1.5-year-old and 3-yea-old children, and the following results were obtained : 1. Concerning the condition of dental caries prevalence, percentages of children with dental caries, mean deft and mean defs were 10.6%, 0.36 and 0.68 at the age of 1.5 years and 67.2% 4.43 and 8.41 at the age of 3.5 years, respectively. 2. According to dental surfaces, the mesial proximal surface and lingual surface of primary central incisor in the upper jaw showed a high defs rate of 4.6% at the age of 1.5 years. At the age of 3.5 years, the occlusal surface of primary second molar in the lower jaw, the mesial proximal surface of primary central incisor in the upper jaw and the occlusal surface of primary second molar in the upper jaw had defs rates as high as over 35%. 3. Concerning the condition of occlusion, normal occlusions and deep overbites appeared at almost the same frequencies occupying about 70% of overall occlusions. 4. A risk of dental caries became higher when the body weight at birth was higher, eruption occurred earlier, a fissure in the enamel of primary was deeper, Cariostat pH was lower, and / or no interdental spaces between primary incisors in the upper jaw ; therefore the auther recognized the necessity of individual health guidance and aftercare.
Practice : Dentistry
Keywords :