全生命周期的龋病管理  

Strategies of caries management in whole life cycle

作　　者：周学东[1] 程磊[1] 郑黎薇[2] Zhou Xuedong;Cheng Lei;Zheng Liwei(Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University ＆ State Key Laboratory of Oral Diseases ＆ National Clinical Research Center for Oral Diseases, Chengdu 610041, China;Department of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University ＆ State Key Laboratory of Oral Diseases ＆ National Clinical Research Center for Oral Diseases, Chengdu 610041, China)

机构地区：[1]四川大学华西口腔医院牙体牙髓病科口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心,成都610041 [2]四川大学华西口腔医院儿童口腔科,成都610041

出　　处：《中华口腔医学杂志》2018年第6期367-373,共7页Chinese Journal of Stomatology

摘　　要：龋病是需要重点防治的严重危害人类健康的口腔慢性病之一，具有患病率高、治疗率低和再治疗率高等特点，传统的防治策略无法有效控制龋病的发生。本文提出一种全生命周期龋病管理的理念，针对不同年龄阶段患者的生理特点，进行龋病的群体管理；针对不同风险因素和风险程度，进行龋病的个性化管理。以实现调控影响龋病发生发展的多种因素，恢复口腔微生态平衡，进而控制龋病进展并重建牙齿结构与功能的目标。Dental caries is one of the most important chronic oral diseases that seriously threaten human health. Because of the characteristics of high incidence, low rate of treatment and high rate of retreatment, conventional prevention and treatment strategies cannot effectively control the occurrence of caries. This article proposes the concept of whole life cycle management of dental caries, focusing on group management of dental caries according to different ages and physiological characteristics on one hand, and personal management of dental caries according to various risk factors and risk levels of individual patient on the other hand, to achieve the goals of controlling the multiple factors that affect the development of dental caries, restoring the oral microecological balance, and further controlling the progress of caries and reconstructing the structure and function of carious teeth.

关 键 词：龋齿 龋病易感性 全生命周期 龋病管理 

分 类 号：R781.1[医药卫生—口腔医学]