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[目的]了解厦门市青少年正畸患者口腔健康状况及保健行为现状。[方法]采用组间配比的方法,将厦门市口腔医院正畸科就诊12～20岁正畸患者分为二组,(≤14岁正畸患者为少年组;≥15岁正畸患者为青年组),另一组是在校中学生作为对照组。共3组。根据第三次全国口腔健康流行病学调查方案,自行设计调查表,进行口腔健康状况调查及现场口腔卫生保健一对一问卷调查,共644例。其中对318名正畸患者正畸前、后进行口腔保健行为问卷对比调查。采用SPSS11.5统计软件分析。[结果]≤14岁少年正畸患者与中学生在充填率、牙龈炎比较有明显差异(P﹤0.05),≥15岁青年正畸患者与中学生在龋均、牙龈炎患病率比较无明显差异。正畸患者少年组及青年组与中学生在刷牙次数≥3次、刷牙时间≥3min的口腔保健行为比较有明显差异(P﹤0.05);正畸组与中学生组的口腔卫生保健知识知晓率比较差异有统计学意义(P﹤0.001)。[结论]厦门市正畸患者在正畸治疗过程,养成了良好的口腔卫生习惯,与在校中学生相比较自我口腔保健水平得到显著提高。而少年正畸患者的患龋率明显高于青年正畸患者,牙龈炎患病率明显高于中学生组。因此,正畸医务人员对14岁及以下年龄的正畸患者口腔健康状况需加强严密监控,提供有针对性的防护措施很有必要。
[Objective] To understand the status of oral health and health care behaviors of adolescent orthodontic patients in Xiamen. [Methods] The orthodontic patients in orthodontics department of Xiamen Stomatological Hospital were divided into two groups according to the ratio between groups (orthodontic patients ≤14 years old as adolescent group; orthodontic patients ≥15 years old as Youth group), while the other group is middle school students as control group. A total of 3 groups. According to the third national oral health epidemiological survey program, self-designed questionnaire, oral health survey and on-site oral health one-on-one questionnaire survey, a total of 644 cases. 318 orthodontic patients were investigated before and after orthodontic questionnaire. Using SPSS11.5 statistical software analysis. [Results] There was a significant difference in filling rate and gingivitis among children younger than 14 years old (P <0.05). There was no significant difference in caries prevalence and gingivitis among children aged> 15 years old with orthodontics and secondary school students . There were significant differences in oral health behaviors between orthodontic adolescent group, young group and middle school students in brushing times ≥3 times and brushing time ≥3 minutes (P0.05). There was significant difference in oral hygiene awareness among orthodontic group and middle school students There was statistical significance (P <0.001). [Conclusion] Orthodontic patients in Xiamen have developed good oral health habits during orthodontic treatment, and have significantly improved their oral health care compared with those of middle school students. The juvenile orthodontic patients with caries was significantly higher than young people with orthodontic patients, the prevalence of gingivitis was significantly higher than the high school students. As a result, orthodontic medical staff need to closely monitor the oral health of orthodontic patients 14 years of age and under, and it is necessary to provide targeted safeguards.