Journal of Prevention and Treatment for Stomatological Diseases ›› 2017, Vol. 25 ›› Issue (4): 254-257.doi: 10.12016/j.issn.2096-1456.2017.04.011

• Prevention and Treatment Practice • Previous Articles     Next Articles

Effect analysis of topical fluoride varnish on caries prevention of first permanent molars in school-age children

Bei-si CHEN1(), Qiu-lin LIU1, Bo-lin CHEN1, Wei WU2, Xue-ling MA1, Xiao-juan ZENG1()   

  1. 1. Public Health Department, the Affiliated Stomatology Hospital of Guangxi Medical University, Nanning 530021, China
    2. Guangdong Provincial Traditional Chinese Medical Hospital, Guangzhou 510600, China
  • Received:2016-09-16 Revised:2016-10-07 Online:2017-04-20 Published:2018-09-03

RichHTML

4

PDF (PC)

207

Abstract:

Objective To investigate the effectiveness of fluoride varnish in preventing first permanent molars caries inschool-age children and provide necessary information for oral health instruction. Methods 378 children aged 6-7 years old in the first grade of primary school in dahua country, hechi city, Guangxi province (1 053 first permanent molars) were randomly recruited into 2 groups. The test group (542 first permanent molars in 191 children) was treated with fluoride varnish one time in a half year and given oral hygiene instruction 3 times; The control group (511 first permanent molars in 187 children) was only given oral hygiene instruction 3 times. All first permanent molars were checked after 18 months later for caries. Results After intervention, the caries prevalence rate in the test group raised from 21.99% to 27.75% compared with the control group from 24.60% to 37.43%. The caries incidence rate in test and control group was 5.76% and 12.83% respectively. There was a significant difference between 2 groups regardless of caries prevalence, caries incidence, the DMFT reduction, the DMFs reduction, the occlusal caries prevalence, the pit and fissure caries prevalence, the proximal caries prevalence. Conclusion Semi-annual application of fluoride varnish is effective in the prevention of dental caries in first permanent molars , which was worth of being popularized in clinic.

Key words: Duraphat, First permanent molars, Dental caries, School-age children, Oral health

CLC Number: 

  • R788

Table 1

The first peramemt molar caries before and after the intervention in two groups of chidren"

组别 受检人数 患龋人数 患龋率（%） χ2值 P值 龋均 t1值 P1值 龋面均 t2值 P2值
干预前 试验组 191 42 21.99 0.360 0.548 0.43 ± 0.92 0.692 0.490 0.57 ± 1.33 0.806 0.421
对照组 187 46 24.60 0.50 ± 0.99 0.68 ± 1.54
干预后 试验组 191 53 27.75 4.037 0.045 0.58 ± 1.03 1.768 0.078 0.75 ± 1.44 1.667 0.096
对照组 187 70 37.43 0.78 ± 1.16 1.06 ± 1.94

Table 2

The new first peramemt molar caries after the intervention in two groups of chidren"

组别 受检
人数		 发生新龋
例数		 发病率
（%）		 χ2值 P值 新增龋均
（x?±s）		 t1值 P1值 新增龋面均
（x?±s）		 t2值 P2值
试验组 191 11 5.76 5.629 0.018 0.15 ± 0.47 2.260 0.024 0.20 ± 0.61 2.199 0.029
对照组 187 24 12.83 0.28 ± 0.65 0.37 ± 0.91

Table 3

The tooth surface caries before and after the intervention in two groups of chidren n（%）"

龋分类 牙面 试验组 对照组 χ12值 P1值 χ22值 P2值
受检牙数 干预前 干预后 受检牙数 干预前 干预后
窝沟龋 牙合面 542 81（14.94） 105（19.37） 511 88（17.22） 138（27.01） 1.012 0.315 8.633 0.003
颊面 542 17（3.14） 26（4.80） 511 20（3.91） 27（5.28） 0.469 0.494 0.13 0.718
腭面 542 8（1.48） 10（1.85） 511 13（2.54） 19（3.72） 1.535 0.215 3.446 0.063
小计 542 106（19.56） 141（26.01） 511 121（23.68） 184（36.01） 2.643 0.104 12.309 <0.001
邻面龋 近中面 542 0（0.00） 2（0.37） 511 3（0.59） 8（1.57） 1.459 0.227 2.832 0.092
远中面 542 2（0.37） 3（0.55） 511 4（0.78） 7（1.37） 0.232 0.630 1.097 0.295
小计 542 2（0.37） 5（0.92） 511 7（1.37） 15（2.94） 2.040 0.153 5.72 0.017

Table 4

The new first peramemt molar caries after the intervention in two groups of chidren"

组别 受检牙数 发生新龋牙数 新增患龋牙面数 发病率1）（%） χ2值 P值
试验组 542 28 38 5.12 9.404 0.002
对照组 511 52 71 10.18
[1] 黄少宏. 群体氟防龋指导策略[J]. 中国实用口腔科杂志, 2014, 7(7): 389-394.
[2] World Health Organization.Oral health surveys: basic methods[M]. 5th Ed. Geneva: WHO, 2013: 42-47.
[3] 付莹莹, 仇亚非, 胡德渝. 含氟涂料防龋效果的系统评价[J]. 国际口腔医学杂志, 2008, 35(6): 684-686.
[4] Helfenstein U, Steiner M.A note concerning the caries preventive effect of Durapht[J]. Community Dent OralEpidemiol, 1994, 22(1): 6-7.
[5] Bravo M, Baca P, Llodra JC, et al.A 24-month study comparing sealant and fluoride varnish in caries reduction on different permanent first molar surfaces[J].J Public Health Dent, 1997, 57(3): 184-186.
[6] 吴玮, 邱荣敏, 曾晓娟. 南宁市3~5岁儿童乳牙局部用氟防龋效果分析[J]. 口腔疾病防治, 2016, 24(5): 310-313.
[7] 袁雪青, 罗伟, 陈晓英. 氟化物涂膜预防农村地区儿童未建第一恒磨牙龋[J]. 中华口腔医学研究杂志(电子版), 2015, 9(4): 46-49.
[8] 于雪, 王琳, 李洁, 等. 唐山市7~9岁儿童第一恒磨牙患龋状况及相关性研究[J]. 华西口腔医学杂志, 2015, 33(1): 54-57.
[9] Greig V, Conway DI.Fluoridevarnish was effective at reducing carieson high caries risk school children in rural Brazil[J]. Evid Based Dent, 2012, 13(3): 78-79.
[10] Liu BY, Lo EC, Chu CH, et al.Randomized trial on fluorides andsealants for fissure caries prevention[J]. J Dent Res, 2012, 91(8): 753-758.
[11] 唐莉红, 施乐, 袁爽, 等. 3种不同方法预防儿童恒牙龋的临床效果评价[J]. 上海口腔医学, 2014, 23(6): 736-739.
[12] 辛蔚妮, 许青峰. 氟保护漆Duraphat治疗前牙初期龋损的临床效果[J]. 中华口腔医学研究杂志(电子版), 2014, 8(1): 33-36.
[1] LI Jiatong,ZHOU Xuedong,XU Xin,WANG Yan. Research progress of probiotics in the prevention and treatment of oral infectious diseases [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(9): 598-601.
[2] FU Zhuohui,DENG Jiaxin,CHEN Yuan,WANG Yan. Research progress into probiotics for the prevention of dental caries [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(9): 603-608.
[3] Peng ZHOU,Jianping TAN,Dan WANG,Ming TANG. The oral health status of senile dementia patients: a systematic review [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(7): 457-463.
[4] Yushu REN,Xiaoping LIN. Advances in epigenetic changes induced by pathogenic factors of oral diseases [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(6): 400-403.
[5] YANG Ting,ZHANG Wanting,LI Beibei,DONG Ying,CAO Hongfei,ZHAO Jin. Distribution of oral Streptococcus mutans and its correlation with dental caries in children of Bortala Mongolian Autonomous Prefecture [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(4): 219-225.
[6] GUO Xiao,DU Xinmei,CHENG Lei,ZHOU Xuedong,LI Mingyun. Research progress on the function and metabolism of d-alanine in bacteria [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(4): 264-267.
[7] ZHANG Fan,REN Weiwei,GUAN Qin,ZHAO Hui,LI Shouhong. The management of dental fear symptoms in children in a coparticipation model [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(2): 104-106.
[8] Xuan HAN, Yuanyuan HUO, Qiong ZHANG, Yuqing LI, Jing ZOU. Research progress of microbial biomarkers of early childhood caries [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(6): 391-395.
[9] Jianming ZHANG, Jianbo LI, Weihua FAN, Shaohong HUANG. Dental fluorosis of permanent teeth among 12-year-old people of Guangdong Province: a sample investigation (2015—2016) [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(4): 218-221.
[10] Huang SHU, Feng YANG, Ji WANG, Yuhan XIAO, Guicong DING. Study of event-related potentials in school-age children with cleft palate [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(4): 236-239.
[11] Weihua FAN, Jianbo LI, Wanghong ZHAO, Ziqiang LIU, Shaohong HUANG. A sampling survey of gingival bleeding and dental calculus in Guangdong Province (2015-2016) [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(3): 151-157.
[12] Yuanyuan HUO, Xuan HAN, Yuqing LI, Jing ZOU. A multiomics approach to study the associations between microbial communities and functions and dental caries [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(3): 195-199.
[13] Weiping WANG, Jianming ZHANG, Jianbo LI, Weihua FAN, Ziqiang LIU, Shaohong HUANG. A sampling survey of remaining teeth and edentulous jaw arch in people aged 35-74 in Guangdong Province (2015-2016) [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(2): 90-94.
[14] LI Jiankai,LI Jianbo,LI Jingyi,HUANG Shaohong. Survey report on oral health knowledge among 35-44-year-old individuals in Guangdong Province (2015-2016) [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(12): 791-794.
[15] Lu LI,Guoying QUE,Tingting LIU. The effects of different Er: YAG laser parameters combined with dole fluorine on dentinal tubules [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(10): 634-638.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!

Copyright © Editorial Board of Journal of Prevention and Treatment for Stomatological Diseases

This work is licensed under a Creative Commons Attribution 3.0 License.

Address:Guangzhou City Jiangnan Road South 366, Editorial office ofJournal of Prevention and Treatment for Stomatological Diseases, zip code: 510280　Fax:020-34304115　E-mail：kqjbfz@vip.126.com

Supported by:Beijing Magtech

This work is licensed under a Creative Commons Attribution 3.0 License.