Abstract:

Objective To explore the effect of a community family doctor model on caries management for children aged 1 to 3 years in Wuhan, and to provide basis for community prevention and control of children’s caries. Methods Using stratified randomization and paired sampling, 1 000 children aged 1 to 3 years were selected from the core community of the Wuhan Donghu High-tech Zone. The trial group was followed up 4 times a year at home or in the clinic, and the control group was followed up only at the baseline and the endpoint (2 years later). Caries and caries status were examined at baseline and 2 years later, and brushing behavior was investigated by questionnaire. Results The prevalence/dmft in the test group and control group after two years were 15.8%/1.41 and 46.6%/3.25, respectively, and the difference was statistically significant. The frequency with which parents helped their children to brush in the test group improved significantly compared to that of the control group. Conclusion For children aged 1 to 3 years, the dental family doctor model of caries prevention is economical and effective, and its application and promotion are recommended.

Key words: children, deciduous teeth, caries, prevalence of caries, mean dmft, community family physician, tooth brushing, oral health behavior

摘要：

目的 探讨武汉市1~3岁儿童采用社区家庭医生模式龋病管理的效果,为儿童龋病群体社区防控提供参考。方法 按照分层随机,配对抽样原则,在武汉市东湖高新区核心社区中抽取1 000名1~3岁儿童,试验组定期“随访-家访”,对照组“开始-终末”随访,2年后临床检查其龋病和患龋状况,问卷调查刷牙行为。结果 2年后,试验组和对照组的患龋率/龋均分别是15.8%/1.41和46.6%/3.25,差异具有统计学意义（P小鱼0.05）。试验组家长帮助儿童口腔刷牙习惯明显优于对照组。结论 对于1~3岁儿童,口腔社区家庭医生防龋模式经济有效,建议推广。

关键词: 儿童, 乳牙, 龋病, 患龋率, 龋均, 社区家庭医生, 刷牙, 口腔健康行为