Beyond the dmft The human and economic cost of early childhood caries
Beyond the dmft The human and economic cost of early childhood caries
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DOI：
10.14219/jada.archive.2009.0250
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发表时间：
2009-06-01
影响因子：
3.9
通讯作者：
Maiorini, Elyse
中科院分区：
文献类型：
--
作者：
Casamassimo, Paul S.;Thikkurissy, Sarat;Maiorini, Elyse
背景幼儿龋齿（ECC）是儿童期最常见的疾病，通常伴有严重的合并症，影响儿童，他们的家庭，社区和卫生保健系统。本报告描述了发病率和死亡率与ECC及其治疗。作者回顾了有关ECC相关发病率的描述和量化的文献，并将广泛的研究组织成一个可视化模型-发病率和死亡率的预测-开始传达ECC渗透的广度和深度。幼儿保育会对儿童造成伤害，影响他们的发展、学校表现和行为，也影响家庭和社会。在极端情况下，ECC及其治疗可能导致严重残疾甚至死亡。在寻求护理和管理慢性疼痛及其后果时，家庭会经历压力，从而降低生活质量。社区投入资源用于预防和管理这种疾病。卫生保健系统面临着管理ECC在医院急诊室和手术室的极端后果。传统的流行病学措施，如龋失补牙（dmft）指数不能充分描绘ECC对儿童，家庭，社会和医疗保健系统的影响。临床意义。ECC的预防和管理的影响需要卫生保健专业人员和决策者的关注，并远远超出牙科诊所的监管和儿童倡导机构以及公共卫生官员和立法者。
Background. Early childhood caries (ECC) is the most common disease of childhood and often is accompanied by serious comorbidities affecting children, their families, the community and the health care system. This report describes morbidity and mortality associated with ECC and its treatment.Methods. The authors reviewed the literature for descriptions and quantification of morbidity associated with ECC and organized a wide range of studies into a visual model-the morbidity and mortality pyramid-that begins to convey the breadth and depth of ECC's penetration.Results. ECC exacts a toll on children, affecting their development, school performance and behavior, and on families and society as well. In extreme cases, ECC and its treatment can lead to serious disability and even death. In finding access to care and managing chronic pain and its consequences, families experience stress and, thus, a diminished quality of life. Communities devote resources to prevention and management of the condition. The health care system is confronted with management of the extreme consequences of ECC in hospital emergency departments and operating rooms.Conclusions. Traditional epidemiologic measures such as the decayed-missing-filled teeth (dmft) index do not adequately portray the effects of ECC on children, families, society and the health care system.Clinical Implications. The impact of prevention and management of ECC requires the attention of health care professionals and decision makers and extends well beyond the dental office to regulatory and child advocacy agencies as well as public health officials and legislators.