儿童龋病的预防管理研究进展
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摘要
儿童早期龋病(ECC)严重威胁着儿童的口腔健康,是造成乳牙龋坏和早失的主要原因,是全球范围内儿童中最常见的慢性疾病。儿童龋病的病因包括生物学和社会经济因素之间复杂的相互作用,被广泛认为是一种复杂的、多因素引起的疾病,可通过干预措施来预防和控制。单独外科治疗并不能解决根本问题,需要对儿童及家长的行为干预和疾病预防来控制继发龋和新的龋病。因此,本文针对儿童龋病的预防和管理进行综述。
The disease of early childhood caries(ECC), a serious threat to children's oral health, is the main cause of deciduous teeth caries and premature loss, which also is the most common chronic disease in children worldwide. Childhood caries is caused by the complex interaction between biological and socio-economic factors, which is widely considered as a complex, multi-factor disease, and can be prevented and controlled by intervention. Surgical treatment alone does not solve the fundamental problem. It needs behavioral intervention and disease prevention for children and parents to control secondary caries and new caries. Therefore, this paper reviews the prevention and management of dental caries in children.
The disease of early childhood caries(ECC), a serious threat to children's oral health, is the main cause of deciduous teeth caries and premature loss, which also is the most common chronic disease in children worldwide. Childhood caries is caused by the complex interaction between biological and socio-economic factors, which is widely considered as a complex, multi-factor disease, and can be prevented and controlled by intervention. Surgical treatment alone does not solve the fundamental problem. It needs behavioral intervention and disease prevention for children and parents to control secondary caries and new caries. Therefore, this paper reviews the prevention and management of dental caries in children.
引文
[1] DOUGLASS JM, DOUGLASS AB, SILK HJ. A practical guide to infant oral health[J]. Am Fam Physician, 2004, 70(11):2113-2120.
[2] American Academy on Pediatric Dentistry Council on Clinical Affairs. Policy on early childhood caries(ECC):unique challenges and treatment option[J]. Pediatr Dent, 2007, 30(7 Suppl):44-46.
[3]第三次全国口腔健康流调技术指导组.第三次全国口腔健康流行病学抽样调查方案[M].北京:人民医生出版社, 2005:11-48.
[4] ANIL S, ANAND PS. Early childhood caries:prevalence, risk factors, and prevention[J]. Front Pediatr, 2017, 5:157.
[5]闫玉美.学龄前儿童龋齿的护理干预[J].当代医学, 2011, 17(2):115-116.
[6] RAMOS-GOMEZ FJ, CRALL J, GANSKY SA, et al. Caries risk assessment appropriate for the age 1 visit(infants and toddlers)[J]. J Calif Dent Assoc, 2007, 35(10):687-702.
[7]蔡晶.探究儿童龋齿的发病原因与防治策略[J].世界最新医学信息文摘, 2018, 18(87):76-78.
[8] PETERSEN PE, PHANTUMVANIT P. Toward effective use of fluoride in Asia[J]. Adv Dent Res, 2012, 24(1):2-4.
[9]黄璟,陈智,郭毅.局部用氟预防儿童龋齿的系统评价[J].中国循证杂志, 2012, 12(7):848-854.
[10] HELFENSTEIN U, STEINER M. Fluoride varnishes(Duraphat):A meta-analysis[J]. Community Dent Oral Epidemiol, 1994, 22(1):1-5.
[11]宋珏,曹新明,吴振刚.氟化钠护齿剂在预防上海市学龄前儿童龋齿中的效果评价[J].口腔医学, 2017, 37(10):925-928.
[12] MARINHO VC, HIGGINS JP, SHEIHAM A, et al. Fluoride varnishes for preventing dental caries in children and adolescents[J]. Cochrane Database Syst Rev, 2013, 3(1):CD002780.
[13]初晓.窝沟封闭防龋研究进展[J].全科口腔医学电子杂志, 2016, 3(7):8-9.
[14]李彩,郝玉庆,周学东.我国窝沟封闭防龋效果的循征医学分析[J].口腔医学研究, 2007, 23(5):575-577.
[15]丁斌.窝沟封闭术联合氟保护漆预防儿童龋齿效果评价[J].江苏预防医学, 2018, 29(1):92-93.
[16] DABIRI D, FONTANA M, KAPILA Y, et al. Community-based assessment and intervention for early childhood caries in rural El Salvador[J]. Int Dent J, 2016, 66(4):221-228.
[17] HALONEN H, PESONEN P, SEPPA L, et al. Outcome of a community-based oral health promotion project on primary schoolchildren's oral hygiene habits[J]. Int J Dent, 2013, 2013:485741.
[18] American Academy on Pediatric Dentistry Council on Clinical Affairs. Policy on early childhood caries(ECC):unique challenges and treatment option[J]. Pediatr Dent, 2007, 30(7 Suppl):44-46.
[19] GAUBA K, GOYAL A, MITTAL N. A CAMBRA model For high caries risk indian children:a pragmatic comprehensive tailored intervention[J]. J Clin Pediatr Dent, 2016, 40(1):36-43.
[20] FEATHERSTONE JD. The caries balance:contributing factors and early detection[J]. J Calif Dent Assoc, 2003, 31(2):129-133.
[21] YOUNG DA, LYON L, AZEVEDO S. The role of dental hygiene in caries management:a new paradigm[J]. J Dent Hyg, 2010, 84(3):121-129.
[22] NG MW, TORRESYAP G, WHITE A, et al. Disease management of early childhood caries:results of a pilot quality improvement project[J]. J Health Care Poor Underserved, 2012, 23(3 Suppl):193-209.
[23] SUDHIR KM, KANUPURU KK, FAREED N, et al. CAMBRA as a tool for caries risk prediction among 12 to 13 year-old institutionalised children-a longitudinal follow-up study[J]. Oral Health Prev Dent, 2016, 14(4):355-362.
[24]王辉,胡德渝.儿童龋病预防进展[J].现代预防医学, 2008, 35(1):10-12.
[25]夏红玲,洪银慧,孙会,等.儿童龋齿的病因和预防[J].中国校医,2011, 25(8):627-629.
[26]郑小雅,刘同欣,王方正,等.微信公众平台对鼻咽癌放疗患者治疗及护理依从性的影响[J].中国现代医生, 2017, 55(2):156-160.
[27]李杨凤,罗萍,程龙,等.我国移动医疗及相关APP使用的现状研究[J].现代医院管理, 2016, 14(2):65-68.
[28]潘晓,黄惠桥.移动医疗在慢性病管理中应用的研究进展[J].海南医学, 2018, 29(13):1874-1876.
[29]宗文红,陈晓萍.国外移动医疗监管对我国的启示[J].中国卫生信息管理杂志, 2015, 12(4):340-345.
[30] LEE GH, MCGRATH C, YIU CK. Evaluating the impact of caries prevention and management by caries risk assessment guidelines on clinical practice in a dental teaching hospital[J]. BMC Oral Health,2016, 16(1):58.
[31]赵丰,许春慧,方秋蓓,等.小学生口腔保健知识与卫生习惯与龋齿发生的关系[J].上海医药, 2013, 34(20):38-40.
[32] BASIR L, RASTEH B, MONTAZERI A, et al. Four-level evaluation of health promotion intervention for preventing early childhood caries:a randomized controlled trial[J]. BMC Public Health, 2017, 17(1):767.
[33]韦雪,郭宇莎,李虹,等.南宁市幼儿母亲对儿童口腔健康行为干预的影响因素分析[J].中国儿童保健杂志, 2016, 24(9):987-989.
[34] KASSEBAUM NJ, AGC S, BERNABE E, et al. Global, regional,and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015:a systematic analysis for the global burden of diseases, injuries, and risk factors[J]. J Dent Res, 2017, 96(4):380-387.
[36] DUANGTHIP D, CHEN KJ, GAO SS, et al. Managing early childhood caries with atraumatic restorative treatment and topical silver and fluoride agents[J]. Int J Environ Res Public Health, 2017, 14(10):E1204.
[37] RAY M, ASGEIR B, KIJAKAZI M, et al. Prevalence and socio-behavioral influence of early childhood caries, ECC, and feeding habits among 6-36 months old children in Uganda and Tanzania[J].BMC Oral Health, 2012, 12(1):24.
[38] NG MW, CHASE I. Early childhood caries:risk-based disease prevention and management[J]. Dent Clin North Am, 2013, 57(1):1-16.
[39] BAGGIO S, ABARCA M, BODENMANN P, et al. Early childhood caries in Switzerland:a marker of social inequalities[J]. BMC Oral Health, 2015, 15:82.
[40] NOWAK AJ, CASAMASSIMO PS, SCOTT J, et al. Do early dental visits reduce treatment and treatment costs for children?[J]. Pediatr Dent, 2014, 36(7):489-493.
[41] FONTANA M, SANTIAGO E, ECKERT GJ, et al. Risk factors of caries progression in a hispanic school-aged population[J]. J Dent Res, 2011, 90(10):1189-1196.
[2] American Academy on Pediatric Dentistry Council on Clinical Affairs. Policy on early childhood caries(ECC):unique challenges and treatment option[J]. Pediatr Dent, 2007, 30(7 Suppl):44-46.
[3]第三次全国口腔健康流调技术指导组.第三次全国口腔健康流行病学抽样调查方案[M].北京:人民医生出版社, 2005:11-48.
[4] ANIL S, ANAND PS. Early childhood caries:prevalence, risk factors, and prevention[J]. Front Pediatr, 2017, 5:157.
[5]闫玉美.学龄前儿童龋齿的护理干预[J].当代医学, 2011, 17(2):115-116.
[6] RAMOS-GOMEZ FJ, CRALL J, GANSKY SA, et al. Caries risk assessment appropriate for the age 1 visit(infants and toddlers)[J]. J Calif Dent Assoc, 2007, 35(10):687-702.
[7]蔡晶.探究儿童龋齿的发病原因与防治策略[J].世界最新医学信息文摘, 2018, 18(87):76-78.
[8] PETERSEN PE, PHANTUMVANIT P. Toward effective use of fluoride in Asia[J]. Adv Dent Res, 2012, 24(1):2-4.
[9]黄璟,陈智,郭毅.局部用氟预防儿童龋齿的系统评价[J].中国循证杂志, 2012, 12(7):848-854.
[10] HELFENSTEIN U, STEINER M. Fluoride varnishes(Duraphat):A meta-analysis[J]. Community Dent Oral Epidemiol, 1994, 22(1):1-5.
[11]宋珏,曹新明,吴振刚.氟化钠护齿剂在预防上海市学龄前儿童龋齿中的效果评价[J].口腔医学, 2017, 37(10):925-928.
[12] MARINHO VC, HIGGINS JP, SHEIHAM A, et al. Fluoride varnishes for preventing dental caries in children and adolescents[J]. Cochrane Database Syst Rev, 2013, 3(1):CD002780.
[13]初晓.窝沟封闭防龋研究进展[J].全科口腔医学电子杂志, 2016, 3(7):8-9.
[14]李彩,郝玉庆,周学东.我国窝沟封闭防龋效果的循征医学分析[J].口腔医学研究, 2007, 23(5):575-577.
[15]丁斌.窝沟封闭术联合氟保护漆预防儿童龋齿效果评价[J].江苏预防医学, 2018, 29(1):92-93.
[16] DABIRI D, FONTANA M, KAPILA Y, et al. Community-based assessment and intervention for early childhood caries in rural El Salvador[J]. Int Dent J, 2016, 66(4):221-228.
[17] HALONEN H, PESONEN P, SEPPA L, et al. Outcome of a community-based oral health promotion project on primary schoolchildren's oral hygiene habits[J]. Int J Dent, 2013, 2013:485741.
[18] American Academy on Pediatric Dentistry Council on Clinical Affairs. Policy on early childhood caries(ECC):unique challenges and treatment option[J]. Pediatr Dent, 2007, 30(7 Suppl):44-46.
[19] GAUBA K, GOYAL A, MITTAL N. A CAMBRA model For high caries risk indian children:a pragmatic comprehensive tailored intervention[J]. J Clin Pediatr Dent, 2016, 40(1):36-43.
[20] FEATHERSTONE JD. The caries balance:contributing factors and early detection[J]. J Calif Dent Assoc, 2003, 31(2):129-133.
[21] YOUNG DA, LYON L, AZEVEDO S. The role of dental hygiene in caries management:a new paradigm[J]. J Dent Hyg, 2010, 84(3):121-129.
[22] NG MW, TORRESYAP G, WHITE A, et al. Disease management of early childhood caries:results of a pilot quality improvement project[J]. J Health Care Poor Underserved, 2012, 23(3 Suppl):193-209.
[23] SUDHIR KM, KANUPURU KK, FAREED N, et al. CAMBRA as a tool for caries risk prediction among 12 to 13 year-old institutionalised children-a longitudinal follow-up study[J]. Oral Health Prev Dent, 2016, 14(4):355-362.
[24]王辉,胡德渝.儿童龋病预防进展[J].现代预防医学, 2008, 35(1):10-12.
[25]夏红玲,洪银慧,孙会,等.儿童龋齿的病因和预防[J].中国校医,2011, 25(8):627-629.
[26]郑小雅,刘同欣,王方正,等.微信公众平台对鼻咽癌放疗患者治疗及护理依从性的影响[J].中国现代医生, 2017, 55(2):156-160.
[27]李杨凤,罗萍,程龙,等.我国移动医疗及相关APP使用的现状研究[J].现代医院管理, 2016, 14(2):65-68.
[28]潘晓,黄惠桥.移动医疗在慢性病管理中应用的研究进展[J].海南医学, 2018, 29(13):1874-1876.
[29]宗文红,陈晓萍.国外移动医疗监管对我国的启示[J].中国卫生信息管理杂志, 2015, 12(4):340-345.
[30] LEE GH, MCGRATH C, YIU CK. Evaluating the impact of caries prevention and management by caries risk assessment guidelines on clinical practice in a dental teaching hospital[J]. BMC Oral Health,2016, 16(1):58.
[31]赵丰,许春慧,方秋蓓,等.小学生口腔保健知识与卫生习惯与龋齿发生的关系[J].上海医药, 2013, 34(20):38-40.
[32] BASIR L, RASTEH B, MONTAZERI A, et al. Four-level evaluation of health promotion intervention for preventing early childhood caries:a randomized controlled trial[J]. BMC Public Health, 2017, 17(1):767.
[33]韦雪,郭宇莎,李虹,等.南宁市幼儿母亲对儿童口腔健康行为干预的影响因素分析[J].中国儿童保健杂志, 2016, 24(9):987-989.
[34] KASSEBAUM NJ, AGC S, BERNABE E, et al. Global, regional,and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015:a systematic analysis for the global burden of diseases, injuries, and risk factors[J]. J Dent Res, 2017, 96(4):380-387.
[36] DUANGTHIP D, CHEN KJ, GAO SS, et al. Managing early childhood caries with atraumatic restorative treatment and topical silver and fluoride agents[J]. Int J Environ Res Public Health, 2017, 14(10):E1204.
[37] RAY M, ASGEIR B, KIJAKAZI M, et al. Prevalence and socio-behavioral influence of early childhood caries, ECC, and feeding habits among 6-36 months old children in Uganda and Tanzania[J].BMC Oral Health, 2012, 12(1):24.
[38] NG MW, CHASE I. Early childhood caries:risk-based disease prevention and management[J]. Dent Clin North Am, 2013, 57(1):1-16.
[39] BAGGIO S, ABARCA M, BODENMANN P, et al. Early childhood caries in Switzerland:a marker of social inequalities[J]. BMC Oral Health, 2015, 15:82.
[40] NOWAK AJ, CASAMASSIMO PS, SCOTT J, et al. Do early dental visits reduce treatment and treatment costs for children?[J]. Pediatr Dent, 2014, 36(7):489-493.
[41] FONTANA M, SANTIAGO E, ECKERT GJ, et al. Risk factors of caries progression in a hispanic school-aged population[J]. J Dent Res, 2011, 90(10):1189-1196.