口衛三劉俐君研究成果投稿被美國口腔健康研討會(National Oral Health Conference)接受，預計四月18號前往美國分享研究成果
劉俐君分析台北市衛生局34,941筆3-5歲學齡前孩童的齲齒及口腔衛生行為資料結果顯示，孩童含糖食物攝取頻率(每周七次以上)、含糖飲料攝取(一周七次以上)、定期塗氟及父母協助孩童潔牙等因素與孩童早發性嚴重齲齒(Severe Early Childhhod Caries) 有顯著相關，其中塗氟與家長協助潔牙兩者具有保護效應。建議學幼童父母或主要照護者應協助幼童於睡前潔牙，減少含糖食物與飲料攝取頻率、並能定期帶孩童要牙醫診所塗氟以減少齲齒發生。
Factors Associated with Severe Early Childhood Caries in Preschool Children in Taiwan
LC, Liu(劉俐君); YC, Lin(林宜靜); HL, Huang(黃曉靈)
Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University
Objectives. In Taiwan, the Severe Early Childhood Caries (SECC) prevalence in preschool children aged 3 was 42.16%, aged 4 was 54.82%, aged 5 was 53.73%. We therefore analyzed the associated factors of SECC in preschool children.
Methods.A large-scale survey of children aged 3-5 was conducted from April to December 2014 in Taipei City, Taiwan. A total of 34,941 children finished oral examination by dentists, and their caregivers completed the oral health behavioral questionnaire. SECC was defined by dmft≥4 (age 3), ≥5 (age 4), or ≥6 (age 5). Logistic regression was used to analyze the association between children’s SECC, oral hygiene behaviors and diet habits.
Results. Children’s SECC was significantly associated with children’s tooth-brushing practice reminded uselessly by their caregivers [Adjusted Odds Ratio (aOR)=1.81, 95%CI=1.34-2.43] as well as consuming sweets snack (aOR=2.36, 95%CI=2.04-2.73) and salty snack (aOR=1.93, 95%CI=1.52-2.47) frequency above 7 times a week. A child consumed sparkling drink (aOR=2.78, 95%CI=1.68-4.60) or sugary drink (aOR=1.89, 95%CI=1.20-2.98) more than 7 times a weekwas more likely to have SECC, whereas, a child had fluoride varnish application regularly (aOR=0.93, 95%CI=0.88-0.99), or parents assisted in their children brushing teeth before sleeping everyday (aOR=0.84, 95%CI=0.79-0.89) was less likely to have SECC.
Conclusions. The results suggest that parents and caregivers play an important role for early childhood caries prevention by – assisting in their child’s brushing before sleeping, taking children for fluoride varnish regularly, and managing children’s snacks and sugary consumption.