| Objective By understanding the Cariostat activity test and caries status distribution of3-5 years old children and their mothers in Shihezi city,we analyzed the related factors affecting caries activity and evaluated the effect of family oral health education,so as to provide some reference for oral doctors to prevent caries in children.Methods A total of 300 children aged 3-5 years and their mothers were selected as the study subjects.Cariostat caries activity and oral examination were performed to analyze the correlation between caries activity(CAT)and mean caries(DMFT/DMFT)between mother and child.Through questionnaire survey,the correlative factors affecting caries activity and caries degree of children were analyzed.Family oral health education was conducted for parents and children.After 6 months,278 children were rechecked again to detect the change of Cariostat caries activity.Children’s oral health behaviors,parents’ oral health knowledge and attitude changes were analyzed before and after intervention.Results1.The caries of 3-5 years old children in this area were(3.52±3.64).There was no significant difference in mean caries and caries activity among different genders(P<0.05),but there was significant difference in mean caries and caries activity among different ages(P<0.05).2.The results of correlation analysis showed that there was a positive correlation between children’s DMFT value and children’s CAT value(P<0.05),children’s DMFT and their mother’s DMFT(P<0.05),and mother and child’s CAT value(P<0.05)respectively.3.Univariate analysis showed that the frequency of eating sweets or drinking sweet drinks before bedtime,frequency of eating sweets or drinks,daily brushing times of children,frequency of parents helping children brush their teeth,mother’s highest educational background and family monthly income were the influencing factors of caries activity(P<0.05).The results of multivariate analysis showed that the frequency of eating sweets or drinks was the main influencing factor of caries activity in 3-5 year old children in Shihezi.4.After health education,the caries activity of children decreased by 47.1%.5.After health education,children’s health care behavior was improved,and parents’ oral health knowledge and attitude were improved.Conclusions1.Children in Shihezi suffer from serious caries,so oral disease prevention and treatment should be carried out.2.The Cariostat test can reflect the status of caries and the severity of caries in children,and can be used in the prevention and treatment of children caries.The prevalence of caries in children can be predicted at a certain level by the prevalence of caries in mothers.3.Children’s caries activity can be reduced by controlling the frequency of eating sugary foods,eating sweets or drinks before bedtime,supervising children’s daily brushing,and parents helping their children brush their teeth.4.Effective oral health education of "knowing and acting" can delay the progression of children caries,reduce the incidence of dental caries and contribute to the early prevention of children caries.5.Family based oral health education is helpful to the improvement of children’s quality of life. |