School of Dental Medicine, University of Zagreb, Croatian Dental Society - Croatian Medical Association
Abstract
Svrha je rada predstaviti prevalenciju zubnog karijesa, parodontnih stanja i razvojnih defekata u caklini te HKS kod djece iz Bosne i Hercegovine u dobi od 12 godina. Materijal i metode: U osam kantona Federacije Bosne i Hercegovine (FBH) te u Republici Srpskoj (RS) tijekom godine 2008. bila je provedena anketa. Konačan je uzorak sadržavao 560 dvanaestogodišnjaka. Parametri korišteni kako bi se izmjerio status oralnog zdravlja bili su indeksi: DMFT i SiC, te onaj razvojnih defekata u caklini (RDC). Procjenjene su također potrebe liječenja te zatečena hipomineralizacija kutnjaka i sjekutića (HKS). Jedna stomatološka ekipa klinički je obradila sve ispitanike u skladu s metologijom i kriterijima SZO-a, što znači običnim stomatološkim zrcalom i standardnom parodontnom sondom CPITN pod prirodnim svjetlom. Rezultati: prosječna vrijednost indeksa DMFT kod dvanaestogodišnjaka iznosila je 4,16 ± 2,92. U prosjeku je 91 posto ispitane djece u dobi od 12 godina imalo karijes. Indeks SiC iznosio je 7,41 ± 3,31. Među ispitanom djecom barem je 5,7 posto imalo najmanje jedan zub s fi surnim pečatnim ispunom. Zdravi je parodont imalo 43 posto dvanaestogodišnje djece. Prevalencija razvojnih defekata u caklini među dvanaestogodišnjom djecom iz Bosne i Hercegovine iznosila je 32,80 posto, a HKS-a 12,3 posto. Prosječan broj zuba zahvaćenih HKS-om bio je 5,59. Zaključak: ne zadovoljava status oralnoga zdravlja u Bosni i Hercegovini, nakon analize vrijednosti indeksa DMFT te stanje parodonta kod djece u dobi od 12 godina. Potrebna je prevencija na razini javnog zdravstva, a i promicanje oralnoga zdravlja.Objectives: To present the prevalence of dental caries, periodontal conditions, developmental defects of enamel and MIH in 12-year-olds in Bosnia and Herzegovina (BH). Methods: A survey was carried out in 8 cantons of the Federation of BH (FBH) and in Republic Srpska (RS) in 2004. The fi nal sample included 560 twelve yearolds. The parameters used to measure oral health status were: DMFT index, SiC index, presence of sealants, community periodontal index and developmental defects of enamel index (DDE). Treatment needs were assessed as well as molar incisor hypomineralizations (MIH). One dental team clinically examined all subjects in line with WHO methodology and criteria, using plane dental mirror, standard CPITN periodontal probe under natural light. Results: The average DMFT of 12-year-olds was 4.16 ± 2.92. On the average, 91% of the 12-year-olds was affected with dental caries. The SiC Index was 7.41 ± 3.31. Among examined children, 5.7% had at least one tooth with a fi ssure sealant. 43% of 12-year-olds had healthy periodontium. The prevalence of developmental defects of enamel among BH twelve-yearoldswas 32.80%. The MIH prevalence was 12.3%. The average number of affected teeth with MIH was 5.59. Conclusions: Oral health status in BH observed through DMTF index values and condition of periodontium of 12-year-olds is unsatisfactory. Community-based prevention and oral health promotion are necessary
