Time of development of occlusal and proximal lesions: implications for fissure sealants.
Time of development of occlusal and proximal lesions: implications for fissure sealants.
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咬合和近端病变的发展时间：对窝沟封闭剂的影响。
DOI：
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发表时间：
1986
影响因子：
2.3
通讯作者：
Amid I. Ismail
中科院分区：
文献类型：
--
作者：
Stephen A. Eklund;Amid I. Ismail
对NHANES I和HHANES的表面和牙齿特异性数据的分析表明，龋齿的模式在牙齿与牙齿之间以及表面与表面之间存在很大差异。咬合面龋先于所有其他类型，并且在磨牙中增长最快并达到最高水平。牙齿近端表面的龋齿出现较晚。要使密封剂具有价值，它们必须减少对密封剂的需求。因此，封闭剂的价值将由咬合面上足够高水平的潜在龋齿以给予它们一些东西来预防与低水平或足够延迟的近端损伤以防止否则保存的咬合面的损失之间的平衡来确定。所提供的数据表明，截至NHANES I的时间，至少在若干年内，可以从修复中保存表面的恒磨牙的数量似乎足以保证在这些牙齿上广泛使用密封剂。最近的数据（HHANES）表明，目前龋齿患病率的下降可能会在短期内降低封闭剂的价值，因为幼儿的咬合损伤较少，但从长远来看可能会增加封闭剂的价值，因为年龄较大的儿童和成人的近端龋齿也在下降。
Analysis of surface and tooth-specific data from NHANES I and HHANES shows that the pattern of dental caries differs greatly from tooth to tooth and surface to surface. Occlusal caries precedes all other types, and increases most rapidly and to the highest levels in the molars. Caries on the proximal surfaces comes later. For sealants to be of value, they must reduce the need for restorations. Therefore, the value of sealants will be determined by the balance between high enough levels of potential caries on occlusal surfaces to give them something to prevent, and low levels of, or sufficiently delayed, proximal lesions to prevent the loss of the otherwise saved occlusal surface. The data presented demonstrate that as of the time of NHANES I, the number of permanent molars that could have had surfaces saved from restoration, at least for a number of years, appears to be sufficient to warrant widespread use of sealants on those teeth. More recent data (HHANES) suggest that the current decline in caries prevalence is likely to reduce the value of sealants in the short run because there are fewer occlusal lesions in young children, but may increase the value of sealants in the long run because proximal caries in older children and adults is also declining.
学校氟化物漱口项目参与者的表面特定龋齿模式对密封剂的使用有影响。
影响因子：
2.3
作者：
Ripa,LW;Leske,GS;Sposato,A
通讯作者：
Sposato,A