预防5岁以下儿童牙的查和干预措施:美国预防服务工作组建议声明
, Karina W Davidson1, Michael J Barry2
1Feinstein Institutes for Medical Research at Northwell Health, Manhasset, New York.
JAMA
|December 7, 2021
概括
预防幼儿牙是非常重要的. 美国预防服务特别工作组建议所有五岁以下的儿童补充含水和漆.
科学领域:
- 儿童牙科
- 预防性医疗保健
- 公共卫生
背景情况:
- 牙损伤是美国儿童最常见的慢性疾病.
- 在墨西哥裔美国人和非西班牙裔黑人儿童中,患病率不成比例.
- 儿童早期与不良健康,发育和学术结果有关.
研究的目的:
- 更新关于预防五岁以下儿童牙的建议.
- 美国预防服务工作组 (USPSTF) 委托进行系统审查.
主要方法:
- 对预防牙的查和干预措施进行系统审查.
- 专注于5岁以下无症状儿童.
主要成果:
- 在低地区,口服补充剂对6个月以上儿童的净益处中等.
- 对于所有五岁以下的儿童而言,
- 没有足够的证据证明初级保健医生对口腔进行常规查.
结论:
- 建议从6个月开始对符合条件的儿童服用口服化物补充剂.
- 建议所有婴儿和儿童在牙喷发时涂上化漆.
- 没有足够的证据来建议初级保健医生进行例行口腔查.
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