这不仅仅是清洁牙! 确定导致幼儿脏病发展的因素
1DCT2, Restorative Department, Glasgow Dental Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK. amy.carroll2@ggc.scot.nhs.uk.
Evidence-based dentistry
|May 13, 2024
概括
本系统性审查确定了幼儿牙 (ECC) 的关键因素,包括口腔卫生,饮食和社会经济地位. 这些发现可以为开发牙风险评估 (CRA) 工具提供信息,以制定更好的预防策略.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 幼儿 (ECC) 是影响幼儿的重大公共卫生问题.
- 之前的一次系统审查 (1997-2017年) 确定了导致ECC的因素.
- 需要进行更新的审查,以纳入最近的证据,并完善对ECC风险因素的理解.
研究的目的:
- 确定已确立和更新的基于证据的因素,有助于早期儿童 (ECC) 的发展.
- 为开发一个全面的损风险评估 (CRA) 工具提供数据.
- 综合最近关于ECC病因学的研究,用于临床和公共卫生应用.
主要方法:
- 2017年至2021年间发表的随机对照试验和队列研究的系统综述.
- 搜索了四个数据库 (科克兰图书馆,EMBASE,MEDLINE,Scopus) 使用术语:牙损,儿童,风险评估.
- 提取了关于儿童人口统计,风险预测因素,结果和证据质量的数据 (GRADE系统);包括22项新研究.
主要成果:
- 确定的主要风险因素包括牙刷质量 (家长监督,频率,化物),斑块存在,零食频率和母乳养模式.
- 社会经济因素 (家庭收入,父母教育) 被强调为重要的贡献者.
- 有较少证据的因素包括孩子的性别,种族和父母吸烟状况.
结论:
- 对于ECC发育的相关因素包括年龄,口腔卫生做法,父母参与,化物暴露,牙医出诊,饮食,细菌组成 (Streptococcus mutans) 和社会经济地位.
- 这些发现支持牙科和非牙科专业人员识别病风险因素.
- 建议采用整体护理方法,将这些因素整合起来,用于ECC的管理和预防.
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