Disparities in early childhood caries.
Disparities in early childhood caries.
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DOI：
10.1186/1472-6831-6-s1-s3
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发表时间：
2006-06-15
期刊：
影响因子：
2.9
通讯作者：
Ronzio CR
中科院分区：
文献类型：
--
作者：
Vargas CM;Ronzio CR
尽管美国的龋齿发病率显著降低，但龋齿在社会弱势群体（少数民族、穷人、农村、移民）中仍然是一种非常普遍的疾病。因此，龋齿的后遗症，如牙痛、全麻下牙科治疗的需要以及未来的正畸治疗，也集中在社会最弱势的儿童中。更可怕的是，那些最需要治疗的孩子是最不可能去看牙医的。低收入家庭的孩子不太可能去看牙医，部分原因是家庭对有限资源的竞争需求，儿科牙医的短缺，以及牙医不接受没有保险或公共保险的病人。同样，如果这些儿童无法获得牙科护理，他们就无法获得有效的龋齿预防措施，这些措施需要牙医提供，如密封剂和专业使用的氟化物。牙科在制定龋齿预防和治疗策略方面做得很好；但这些策略忽略了社会最需要的部分：弱势儿童。现在的挑战是制定创新战略来接触这些儿童。
Despite remarkable reduction in the prevalence of dental caries in the United States, dental caries is still a highly prevalent disease among children who are socially disadvantaged (racial/ethnic minority, poor, rural, immigrants). Consequently, caries sequelae such as dental pain, need for dental treatment under general anesthesia, and future orthodontic treatment, are also concentrated among the most socially disadvantaged children. To make the situation more appalling, those children who need treatment the most are the ones least likely to visit the dentist. Low income children are less likely to visit the dentist in part because of family's competing needs for limited resources, shortage of pediatric dentists, and dentists not taking uninsured or publicly insured patients. In the same vein, if these children do not have access to dental care, they are deprived from effective caries preventive measures that are dentist-dependent such as sealants and professionally applied fluoride. Dentistry has done well at devising caries preventive and treatment strategies; but these strategies have missed the most needed segment of society: disadvantaged children. The challenge now is to develop innovative strategies to reach these children.