Caries prevention programs for groups: out of fashion or up to date?
Caries prevention programs for groups: out of fashion or up to date?
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DOI：
10.1007/s00784-003-0250-3
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发表时间：
2004-03-01
影响因子：
3.4
通讯作者：
Konig, K G
中科院分区：
文献类型：
--
作者：
Splieth, C H;Nourallah, A W;Konig, K G
在西欧和其他工业化国家的儿童龋齿减少了约80%之后，应该对未来预防龋齿的最佳方法进行批判性辩论。多种氟化物的使用在20世纪80年代和90年代实现的龋齿减少中发挥了重要作用，但它也导致了年轻人中病变分布的两极分化：大多数由低龋齿甚至无病变的个体组成，而少数人是所谓的高龋齿风险群体，这似乎对预防计划不开放。最近的研究表明，频繁的氟化物应用（>6次/年）结合有效的牙菌斑去除可以是一个成功的方法，有效的未来龋齿预防高龋齿风险群体。仅仅是教育性的，不提供氟化物的健康促进计划似乎并不有效。或者，预防措施可以在家里或私人诊所进行，但与外展小组方案相比，高危群体的依从性很低。因此，小组计划有助于为儿童提供有效和高效的龋齿预防措施。牙科实践团队的更昂贵的时间应限于需要昂贵设备的程序（专业牙齿清洁，密封剂等）。为了有效地预防龋齿，以前专门针对人群，群体或个人的措施应该进行改造，并旨在相互作用，以便以合理的成本实现儿童的最佳口腔健康。
After a caries decline of about 80% in children in Western Europe and other industrialized countries, there should be critical debate about the best way for future caries prevention. Multiple fluoride use played an important role in caries reductions achieved in the 1980s and 1990s, but it also resulted in a polarization of lesion distribution in young people: the majority consists of low-caries or even lesion-free individuals, while a minority is a so-called high caries risk group which seems not to be open to preventive programs. Recent studies indicate that frequent fluoride applications (>6 times/year) in conjunction with effective plaque removal can be a successful approach for effective future caries prevention in high caries risk groups. Health promotion programs that are merely educational and do not provide fluoride do not seem to be effective. Alternatively, preventive measures could be performed at home or in a private practice, but only minimal compliance is reached in high risk groups compared with out-reaching group programs. Thus, group programs are instrumental in providing effective and efficient caries-preventive measures in children. The more expensive time of a dental practice team should be limited to procedures where costly equipment is needed (professional tooth cleaning, sealants, etc.). For efficient caries prevention, measures formerly targeted specifically at either populations, groups, or individuals should be remodeled and aimed to interact in order to achieve optimal oral health in children at a reasonable cost.