Influence of oral hygiene on early enamel caries.
Influence of oral hygiene on early enamel caries.
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口腔卫生对早期牙釉质龋齿的影响。
DOI：
10.1159/000261634
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发表时间：
1994
期刊：
影响因子：
4.2
通讯作者：
J. Wöltgens
中科院分区：
文献类型：
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作者：
E. Etty;M. Henneberke;R. Gruythuysen;J. Wöltgens
对于548名4-16岁，平均(+/-SD)年龄10.3+/-2.7岁的儿童，在连续4次6个月的访问中记录其牙齿状况。同时，在使用释放液后和口腔检查前，根据改良的患者卫生绩效(PHP)指数对口腔卫生进行评分。可观察到以下致龋性变化：起始(白斑形成)、进展(空化)、稳定和消退(白斑消失)。根据光滑表面和裂隙中的这些变化，检查了PHP评分。当口腔卫生恶化时，对于裂隙，白斑的稳定度显著增加。此外，随着口腔卫生状况的恶化，白斑退化为完好牙釉质的情况也会增加，但意义不大。然而，白斑变成龋齿并不会随着口腔卫生的不良而改变。据推测，在低口腔卫生条件下，接受强化氟化物治疗的儿童剩余的菌斑可以将氟化物结合到牙缝表面，从而促进牙釉质成熟，同时伴随着白斑的稳定和消退，在早期的研究中，这也被发现依赖于后代的年龄。
For 548 children aged 4-16 years, mean (+/- SD) age 10.3 +/- 2.7 at visit 1, the dental status was recorded at four consecutive 6-monthly visits. Simultaneously oral hygiene was scored according to a modified patient hygiene performance (PHP) index after application of disclosing solution and before the dental examination. The following cariogenic changes could be observed: initiation (white spot formation), progression (cavitation), stabilisation and regression (disappearance of a white spot). The PHP score was examined in relation to these changes in smooth surfaces, as well as in fissures. For fissures when oral hygiene worsened, stabilisation of a white spot increased significantly. Also, regression of a white spot into sound enamel increased with poor oral hygiene, but the significance was only marginal. White spots turning into cavities, however, did not change with poor oral hygiene. It was speculated that under low oral hygiene conditions the remaining plaque of children receiving intensive fluoride treatment can bind fluoride to the fissure surfaces, thereby promoting enamel maturation concomitant with stabilisation and regression of white spots, which in an earlier study were also found to be dependent on posteruptive age.