Dental Caries: Prospects for Prevention
Dental Caries: Prospects for Prevention
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龋齿：预防前景
DOI：
10.1126/science.173.4003.1199
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发表时间：
1971
期刊：
影响因子：
56.9
通讯作者：
H. Scherp
中科院分区：
文献类型：
--
作者：
H. Scherp
如果公众的愿望足够大，足以促使我们改变一些习惯，那么结合利用现有或即将采取的措施，可以将牙冠龋齿减少到可以忽略不计的公共卫生问题（64）。普遍最佳应用氟化物和用淀粉类食物代替含糖食物（甚至只是明智地食用糖）将单独完成大部分工作。用粘合剂聚合物密封敏感的咬合区域，有望保护氟化物显然不能最大限度发挥作用的部位。似乎不太可能找到任何单一措施足以控制这种多因素疾病。因此，我们必须继续寻找新的方法来增加牙齿的防龋性，减少食物的致龋性，并检查致龋细菌的有害活动。口腔用防龋食品添加剂和抗菌剂已接近实用化。过去的表现值得期待，正在进行的基本调查将为未来的发展和应用提供线索。
Combined utilization of measures now available or imminent could reduce caries of the crowns of the teeth to the point of negligibility as a public health problem, if public desire were great enough to motivate changes in some of our habits (64). Universal optimum application of fluoride and substitution of starchy foods for sugary ones (or even simply judicious consumption of sugar) would alone do most of the job. Sealing of susceptible occlusal areas with adhesive polymers promises to protect the sites where fluoride evidently cannot be maximally effective. It seems unlikely that any single measure will be found sufficient to control this multifactorial disease. Consequently, we must continue the search for new means to increase the caries resistance of teeth, to reduce the cariogenicity of foodstuffs, and to check the deleterious activities of cariogenic bacteria. Anticaries food additives and antibacterial agents for intraoral use seem to be approaching practicability. Past performance warrants expectation that ongoing fundamental investigations will produce leads for future development and application.