预防幼儿龋齿的产前和产后方法

O. Godovanets, D. Romanuyk, L. Hrynkevych, O. Khomyshyn
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引用次数: 0

摘要

总体而言,全世界都承认缺乏预防儿童龋齿的措施,儿童龋齿的发病率和严重程度以及明显的波动范围都证明了这一点。在分析国内外文献的基础上,介绍预防儿童早期龋齿的现代方法。研究采用了书目语义法和结构与逻辑分析法。以 "儿童早期龋齿"、"宏量和微量元素"、"益生菌"、"产前预防"、"产后预防"、"口腔微生物 "为关键词,在 PubMed、MEDLINE、Scopus、Web of Science 和 EMBASE 等电子数据库中检索现代科学文献。在龋病发展的现阶段,最有效的预防方案是在尽量减少龋病发展风险因素(如微生物菌斑、牙组织抗脱矿物质能力低、经常食用碳水化合物)影响的基础上制定的。综合预防计划的实际实施非常困难,因为它应该在孩子出生前就开始实施,并持续一生。通常情况下,牙医的职责是组织和监督计划的实施,而具体的预防措施可以也应该由卫生和教育部门、医务人员、家长和教育工作者来实施。通过各医疗和非医疗领域专家之间的合作,将产生最大的影响。根据对文献的分析,世界顶尖科学家对预防儿童早期龋齿有着浓厚的兴趣。然而,在考虑病因因素的基础上制定合适的预防措施的问题依然存在。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PRE- AND POST-NATAL METHODS FOR PREVENTING EARLY CHILDHOOD CARIES
In general, the world recognizes the lack of preventive measures against dental caries in children, as evidenced by itsprevalence and intensity with a signifi cant range of fl uctuations.The aim of the study. To describe modern approaches to the prevention of early childhood dental caries in children basedon the analysis of foreign and domestic literature.Materials and methods. The study used the bibliosemantic method and structural and logical analysis. The electronicdatabases PubMed, MEDLINE, Scopus, Web of Science and EMBASE were used to search modern scientifi c literature using the key words «early childhood caries», «macro and trace elements», «probiotics», «prenatal prevention», «postnatal prevention», «oral cavity microfl ora».Results and discussion. At this stage of caries development, the most eff ective prevention programs are those developedon the basis of methods to minimize the impact of risk factors for the development of the disease, such as microbial plaque,low resistance of dental tissues to demineralization, frequent consumption of carbohydrates. The practical implementation of comprehensive prevention programs is very diffi cult, as it should be carried out before the birth of a child and continue throughout life. Often the role of the dentist is to organize and monitor the program, while specifi c preventive measures can and should be implemented by health and education authorities, medical personnel, parents and educators. The greatest impact will be achieved through collaboration among specialists in various medical and non-medical fi elds.Conclusions. Based on the analysis of the literature, there is a great interest of the world’s leading scientists in the prevention of early childhood caries. However, the problems of developing adapted preventive measures taking into account etiologic factors remain relevant.
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