Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2013, vol. 50, nr 2, April-June, p. 160–166

Publication type: original article

Language: English

Evaluation of the Status of Primary Dentition in 6–7-Year-Old Children from Bialystok District Using the Mean dmf and the Index of Clinical Consequences of Untreated Caries (pufa)

Ocena stanu uzębienia mlecznego dzieci 6–7-letnich z powiatu białostockiego za pomocą liczby puw i wskaźnika następstw nieleczonej próchnicy zębów (pufa)

Joanna Bagińska1,A-F

1 Department of Restorative Dentistry, Medical University of Bialystok, Poland

Abstract

Background. An epidemiological evaluation of caries requires the use of various indices. In populations with a high prevalence of caries it is advisable to determine the level of progression of the process, including the presence of clinical consequences of caries, which is possible by using the PUFA/pufa index.
Objectives. The paper presents the results of an evaluation of the status of primary dentition in children aged between 6 and 7 years from Bialystok and the surrounding area by means of the dmf and pufa indices.
Material and Methods. The survey included 332 children aged between 6 and 7 years living in the Bialystok District. The presence of decayed, missing and filled (dmf) teeth was evaluated by means of a dental examination. The pufa index was used to evaluate the pulp involvement and the presence of inflammations caused by untreated dental caries.
Results. Dental caries was found in 86.1% of the sample population, and caries with clinical consequences in 41.3%. The mean dmf was slightly higher in the group of 7-year olds whereas a higher pufa index was found in 6-year-old children. A statistically significant correlation between the number of teeth with active caries and the pufa index in the sample population was proven. The presence of filled teeth was a factor reducing the risk of occurrence of clinical consequences of caries.
Conclusion. The pufa index is a useful tool in epidemiological studies. It allows evaluating the incidence and prevalence of clinical consequences of untreated dental caries. The children living in the Bialystok District are characterised by a high prevalence of dental caries in primary dentition expressed in high values of the dmf and pufa indices.

Streszczenie

Wprowadzenie. Ocena epidemiologiczna próchnicy zębów wymaga zastosowania różnorodnych wskaźników. W populacjach o dużym nasileniu choroby próchnicowej jest celowe określenie stopnia zaawansowania procesu, w tym obecności powikłań próchnicy zębów, co umożliwia zastosowanie wskaźnika PUFA/pufa.
Cel pracy. W pracy przedstawiono wyniki oceny stanu uzębienia mlecznego dzieci w wieku 6–7 lat z terenu Białegostoku i okolic wskaźnikami dmft i pufa.
Materiał i metody. Badaniem objęto 332 dzieci w wieku 6–7 lat mieszkających na terenie powiatu białostockiego. Badaniem stomatologicznym oceniono obecność zębów z próchnicą, usuniętych i wypełnionych (puw). Wskaźnikiem pufa oceniano zajęcie procesem chorobowym miazgi i obecność zębopochodnych stanów zapalnych.
Wyniki. Próchnicę zębów stwierdzono u 86,1% badanych, a powikłaną próchnicę u 41,3% osób. Średnia liczba puw była nieco większa w grupie 7-latków, a wyższy wskaźnik pufa stwierdzono u dzieci 6-letnich. Wykazano istotną statystycznie korelację pomiędzy liczbą zębów z próchnicą czynną a wskaźnikiem pufa w badanej populacji. Obecność w jamie ustnej zębów wypełnionych była czynnikiem zmniejszającym ryzyko wystąpienia powikłań próchnicy.
Wnioski. Wskaźnik pufa jest przydatnym narzędziem do badań epidemiologicznych. Umożliwia oszacowanie częstości i nasilenia klinicznych konsekwencji nieleczonej próchnicy zębów. Dzieci mieszkające na terenie województwa podlaskiego cechuje duże nasilenie choroby próchnicowej w mlecznym uzębieniu wyrażone dużymi wartościami wskaźników puw i pufa.

Key words

dental caries, dmf, pufa

Słowa kluczowe

próchnica zębów, puw, pufa

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