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Prevalence and prevention of early childhood dental caries in Pudong New District of Shanghai from 2016 to 2018
Received:November 28, 2019  Revised:January 23, 2020  Click here to download the full text
Citation of this paper:CHEN Jie-ru,TANG Wei-zhong,CAI Feng,WEN Zi-you,ZHU Xi-qian,YANG Xin,LU Rui-wen,WANG Yan.Prevalence and prevention of early childhood dental caries in Pudong New District of Shanghai from 2016 to 2018[J].Chinese Journal of Clinical Medicine,2020,27(2):235-239
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Author NameAffiliationE-mail
CHEN Jie-ru Naval Medical University, Shanghai 200433, China
Shanggang Community Health Service Center, Shanghai Pudong New District, Shanghai 200126, China 
 
TANG Wei-zhong Naval Medical University, Shanghai 200433, China 13122331118@163.com 
CAI Feng Shanggang Community Health Service Center, Shanghai Pudong New District, Shanghai 200126, China  
WEN Zi-you Shanggang Community Health Service Center, Shanghai Pudong New District, Shanghai 200126, China  
ZHU Xi-qian Lujiazui Community Health Service Center, Shanghai Pudong New District, Shanghai 200122, China  
YANG Xin Sanling Community Health Service Center, Shanghai Pudong New District, Shanghai 200124, China  
LU Rui-wen Caolu Community Health Service Center, Shanghai Pudong New District, Shanghai 201209, China  
WANG Yan Shanggang Community Health Service Center, Shanghai Pudong New District, Shanghai 200126, China  
Abstract:Objective: To investigate the prevalence and trend of childhood dental caries, review implementation of dental caries prevention policies and to identify the demographic characteristics and influencing factors of children with dental cavities from 2016 to 2018 in Pudong New District of Shanghai. Methods: In June 2019, medical history data of 25 458 children who had oval examinations in child care division of four Community Health Service Centers during 2016 to 2018 in Pudong New District of Shanghai was collected, including demographic information, oral exam results, and dental caries prevention measures. Results: The prevalence of dental caries was 60.7%, 54.66%, and 48.95% in 2016, 2017, and 2018, respectively. The number of dental caries in primary molar teeth was higher than in permanent teeth. The dental caries rates in children were significantly different among four communities (P<0.05), and the dental caries rate was significantly higher in primary school children than in kindergarten children (P<0.05). The dental caries rate differed significantly by age (P<0.05) which initially increased but then decreased by age, with children aged 7-9 years having the highest rate for dental caries. From 2016 to 2018, the fluoride application in children surveyed was 100%, and the use of pit and fissure sealant was 9.06%, 8.54%, and 7.02% in 2016, 2017, and 2018, respectively. The age and number of pit and fissure sealant were the influencing factors of caries in children (P<0.05). Conclusions: Since 2015, Pudong New District of Shanghai has implemented preventative-fluoride-application program. The program has achieved desired results. The dental caries rate has been decreasing each year. Next step, the focus of caries prevention should be at the early stage of children teeth eruption. Through strengthening oral health publicity of parents, the acceptability and development rate of effective measures for prevention and treatment of dental caries should be further improved, so as to prevent dental caries in the future.
keywords:Pudong New District  children  dental caries  illness  prevention  retrospective study
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