Indications for sealant use in a community-based preventive dentistry program.
Indications for sealant use in a community-based preventive dentistry program.
复制标题
基于社区的预防性牙科计划中密封剂使用的指征。
DOI：
10.1002/j.0022-0337.1984.48.2.tb01754.x
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发表时间：
1984
影响因子：
2.3
通讯作者：
R. Bell
中科院分区：
文献类型：
--
作者：
H. M. Bohannan;J. Disney;R. Graves;J. Bader;S. Klein;R. Bell
龋齿是一种最近发生并且可能仍在发生发病率和患病率分布发生巨大变化的疾病。本文回顾了最新的流行病学数据，以说明龋齿正在成为一种主要发生在窝沟和裂隙中的疾病，氟化地区和缺氟地区之间的区别比以前所认识的要少。目前的龋齿分布表明，通过有针对性的封闭剂计划可能比目前流行的大规模预防计划更有效地实现预防。现有信息可用于识别密封剂计划的逻辑目标群体，并且特定年龄的牙齿萌出和龋齿发作信息可用于设计输送方法。尽管采用有针对性的封闭剂计划代表了牙科计划中传统的大规模预防方法的背离，但当今的龋齿分布要求认真考虑启动此类计划。至少鼓励项目管理员调用规划-实施-评估流程。应根据当今的疾病模式和所取得结果的临床意义仔细评估当前的计划。未来基于社区的计划的内容、设计和时间安排应反映个体化的社区诊断和新的流行病学数据的应用，以及对当前预防程序所取得的结果的仔细评估。
Dental caries is a disease that recently has undergone, and may still be undergoing, dramatic changes in distribution of incidence and prevalence. The most recent epidemiologic data available have been reviewed in this paper to illustrate that caries is becoming a disease primarily of pits and fissures, with less differentiation than previously acknowledged between fluoridated and fluoride-deficient areas. The present distribution of caries suggests that prevention may be accomplished more effectively through targeted sealant programs than through currently popular mass preventive programs. Existing information can be used to identify logical target groups for sealant programs, and age specific tooth eruption and caries attack information can be used to design delivery methods. Although the adoption of targeted sealant programs represents a departure from the traditional mass approach to prevention in dental programs, the present-day caries distribution requires that the initiation of such programs be given serious consideration. At the very least program administrators are encouraged to invoke the planning-implementation-evaluation process. Current programs should be evaluated carefully in view of today's disease patterns and the clinical significance of the results achieved. The content, design, and timing of future community-based programs should reflect individualized community diagnosis and the application of new epidemiologic data as well as a careful evaluation of the results achieved by current preventive procedures.