Dental caries
Dental caries
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DOI：
10.1038/nrdp.2017.30
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发表时间：
2017-05-25
影响因子：
81.5
通讯作者：
Ismail, Amid
中科院分区：
文献类型：
--
作者：
Pitts, Nigel B.;Zero, Domenick T.;Ismail, Amid
龋齿是一种生物膜介导的、糖驱动的、多因素的、动态的疾病，导致牙硬组织的阶段性脱矿和再矿化。蛀牙可以在一生中发生，无论是在初级牙列还是恒牙列，而且会损害牙冠，在以后的生活中，还会暴露牙根表面。病理性因素和保护性因素之间的平衡影响着龋病的发生和发展。这些因素之间的相互作用是将个人和群体划分为龋齿风险类别的基础，从而使护理方法越来越有针对性。龋齿是一种分布不均匀、可预防的疾病，对经济和生活质量造成相当大的负担。每天使用含氟牙膏被认为是近几十年来全球龋齿总体下降的主要原因。本读本旨在提供龋齿的全球概述，承认以外科手段修复蛀牙为主的历史时代，但侧重于当前，渐进和更全面的长期，以患者为中心，保护牙齿的预防保健。
Dental caries is a biofilm-mediated, sugar-driven, multifactorial, dynamic disease that results in the phasic demineralization and remineralization of dental hard tissues. Caries can occur throughout life, both in primary and permanent dentitions, and can damage the tooth crown and, in later life, exposed root surfaces. The balance between pathological and protective factors influences the initiation and progression of caries. This interplay between factors underpins the classification of individuals and groups into caries risk categories, allowing an increasingly tailored approach to care. Dental caries is an unevenly distributed, preventable disease with considerable economic and quality-of-life burdens. The daily use of fluoride toothpaste is seen as the main reason for the overall decline of caries worldwide over recent decades. This Primer aims to provide a global overview of caries, acknowledging the historical era dominated by restoration of tooth decay by surgical means, but focuses on current, progressive and more holistic long-term, patient-centred, tooth-preserving preventive care.