5歳未満の子供における歯磨き防止のためのスクリーニングと介入:米国予防サービスタスクフォースの勧告声明
, Karina W Davidson1, Michael J Barry2
1Feinstein Institutes for Medical Research at Northwell Health, Manhasset, New York.
JAMA
|December 7, 2021
まとめ
幼少期の虫歯を予防することは極めて重要です. 米国予防サービスタスクフォースは,低フッ素水と5歳未満のすべての子供に対するフッ素塗料の補給を推奨しています.
科学分野:
- 小児歯科
- 予防医療
- 公衆衛生
背景:
- 虫歯は米国における最も一般的な慢性疾患です.
- メキシコ系アメリカ人と非ヒスパニック系黒人の子供では不均衡に高い.
- 幼少期の虫歯は 健康,発達,学業に悪影響を及ぼします
研究 の 目的:
- 5歳未満の子供の虫歯予防に関する勧告を更新する.
- 米国予防サービスタスクフォース (USPSTF) が委託した体系的なレビュー.
主な方法:
- 虫歯予防のためのスクリーニングと介入の体系的なレビュー
- 5歳未満の無症状児に焦点を当てた
主要な成果:
- 低フッ素地域における6ヶ月以上の子供に対する口服フッ素補給の適度な純利益
- 5歳未満の子供にはフルオライドバニックの 適度な純利益
- 医療従事者の日常的な口腔スクリーニングに関する証拠は不十分である.
結論:
- 適格な子供には6ヶ月から経口フッ素補給を推奨する.
- すべての乳児と小児には,初歯の噴出時にフッ化剤の塗装を勧めます.
- 医療従事者の日常的な口腔スクリーニングを推奨する証拠は不十分です.
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