ON THE PREVENTION OF CARIES AND PERIODONTAL-DISEASE - RESULTS OF A 15-YEAR LONGITUDINAL-STUDY IN ADULTS
ON THE PREVENTION OF CARIES AND PERIODONTAL-DISEASE - RESULTS OF A 15-YEAR LONGITUDINAL-STUDY IN ADULTS
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DOI：
10.1111/j.1600-051x.1991.tb01131.x
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发表时间：
1991-03-01
影响因子：
6.7
通讯作者：
NYSTROM, B
中科院分区：
文献类型：
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作者：
AXELSSON, P;LINDHE, J;NYSTROM, B
1971-72 年，总共招募了 375 名成年受试者进行临床试验，旨在评估基于牙菌斑控制和局部应用氟化物的预防计划对龋齿和牙周病发生率的影响。 基线检查后，志愿者接受洗牙、根面平整和常规龋齿治疗。 在接下来的6年里，他们每2-3个月就被召回一次以采取预防措施。 然而，经过六年的跟踪检查后，决定延长预防疗程的间隔时间。 因此，在接下来的9年期间，约95%的参与者每年仅返回1至2次采取预防措施。 大约 15 名受试者组成的小亚组在最初 6 年内出现了新的龋齿病变或表现出额外的牙周附着丧失，但在接下来的 9 年内每年也被召回 3-6 次以进行口腔卫生控制和预防性治疗。 1987年进行的复查显示，在整个15年期间参与的317名受试者的龋齿发生率较低，并且牙周组织支持几乎没有进一步丧失。 研究表明，改善自我口腔卫生、每天使用含氟牙膏和定期重复专业牙齿清洁可有效预防牙齿疾病的复发。
In 1971-72, a total of 375 adult subjects were recruited for a clinical trial aimed at assessing the effect of a preventive program, based on plaque control and topical application of fluoride, on the incidence of caries and periodontal disease. After a baseline examination, the volunteers were subjected to scaling, root planing and conventional caries therapy. During the course of the subsequent 6 years, they were recalled for preventive measures once every 2-3 months. After the 6-year follow-up examination, however, it was decided to extend the interval between the preventive sessions. Thus, during the next 9-year period, about 95% of the participants returned for preventive measures only 1 to 2 times per year. A small subgroup of about 15 subjects, who, during the initial 6 years had developed new caries lesions or had exhibited additional periodontal attachment loss, however, were also during the following 9 years recalled 3-6 times per year for oral hygiene control and preventive therapy. The re-examination performed in 1987 disclosed that the 317 subjects, who participated during the entire 15-year period, had a low incidence of caries and almost no further loss of periodontal tissue support. It was suggested that improved self performed oral hygiene, daily use of fluoridated dentifrice and regularly repeated professional tooth cleaning effectively prevented recurrence of dental disease.