Early Childhood Caries in Indigenous Communities.
Early Childhood Caries in Indigenous Communities.
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土著社区的幼儿龋齿。
DOI：
10.1542/peds.2021-051481
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发表时间：
2021-06
期刊：
影响因子：
8
通讯作者：
AMERICAN ACADEMY OF PEDIATRICS COMMITTEE ON NATIVE AMERICAN CHILD HEALTH AND SECTION ON ORAL HEALTH, CANADIAN PAEDIATRIC SOCIETY FIRST NATIONS, INUIT, AND MÉTIS HEALTH COMMITTEE
中科院分区：
文献类型：
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作者：
Holve S;Braun P;Irvine JD;Nadeau K;Schroth RJ;AMERICAN ACADEMY OF PEDIATRICS COMMITTEE ON NATIVE AMERICAN CHILD HEALTH AND SECTION ON ORAL HEALTH, CANADIAN PAEDIATRIC SOCIETY FIRST NATIONS, INUIT, AND MÉTIS HEALTH COMMITTEE
与两国总人口相比，加拿大（原住民、因纽特人和梅蒂斯人）和美国（美洲印第安人和阿拉斯加原住民）原住民儿童的口腔健康状况存在重大差异。儿童早期龋齿 (ECC) 发生在土著儿童中的年龄较早，患病率较高，而且严重程度比一般人群要严重得多。 ECC 会导致口腔健康不良，影响儿童健康和福祉，并可能导致全身麻醉下昂贵的手术治疗率很高。 ECC是一种受多种因素影响的传染病，但健康的社会决定因素尤为重要。本政策声明包括初级卫生保健提供者对婴儿、幼儿、学龄前儿童和孕妇的预防性和临床口腔保健的建议。它还涉及基于社区的健康促进举措以及土著儿童获得牙科护理的机会。该政策声明鼓励原住民儿童在幼年时进行口腔健康干预，包括转诊至牙科护理机构使用密封剂、临时治疗性修复和氟化二胺银。还需要对原住民社区 ECC 的微生物学、流行病学、预防和管理进行进一步的社区研究，以降低该人群中令人沮丧的高龋齿率。
The oral health of Indigenous children of Canada (First Nations, Inuit, and Métis) and the United States (American Indian and Alaska native) is a major child health disparity when compared with the general population of both countries. Early childhood caries (ECC) occurs in Indigenous children at an earlier age, with a higher prevalence, and at much greater severity than in the general population. ECC results in adverse oral health, affecting childhood health and well-being, and may result in high rates of costly surgical treatment under general anesthesia. ECC is an infectious disease that is influenced by multiple factors, but the social determinants of health are particularly important. This policy statement includes recommendations for preventive and clinical oral health care for infants, toddlers, preschool-aged children, and pregnant women by primary health care providers. It also addresses community-based health-promotion initiatives and access to dental care for Indigenous children. This policy statement encourages oral health interventions at early ages in Indigenous children, including referral to dental care for the use of sealants, interim therapeutic restorations, and silver diamine fluoride. Further community-based research on the microbiology, epidemiology, prevention, and management of ECC in Indigenous communities is also needed to reduce the dismally high rate of caries in this population.