水的化用于预防牙腐烂
Zipporah Iheozor-Ejiofor1, Tanya Walsh2, Sharon R Lewis2
1School of Medicine, University of Central Lancashire, Preston, UK.
The Cochrane database of systematic reviews
|October 3, 2024
概括
社区水化 (CWF) 可能会略微减少牙 (dmft) 和增加没有牙的儿童,但证据有限. 停止效应和社会经济差异仍然不清楚,需要仔细考虑CWF的实施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 牙科研究 牙科研究
背景情况:
- 牙损是全球重要的公共卫生问题,特别影响到学龄儿童.
- 社区水化 (CWF) 是一种广泛采用的牙损伤预防策略.
- 本综述更新了关于CWF对牙损伤的当代影响的现有证据.
研究的目的:
- 评估启动或停止CWF计划对牙损伤预防的影响.
- 评估水化与牙化病的流行之间的关联.
主要方法:
- 在多个数据库 (CENTRAL,MEDLINE,Embase) 进行了全面的搜索,直到2023年8月.
- 包括的研究比较了有化水和没有化水的人群,分析了虫和化症的结果.
- 包括非随机研究设计,证据确定性因潜在偏差而下调.
主要成果:
- 当代证据 (1975年以后) 表明,CWF启动可能会略微增加腐烂,缺失或填充牙 (dmft) 的变化以及无牙儿童的比例,效果大小小小.
- 关于CWF在脏病的停止和与社会经济差异的关联的证据是不够的.
- 在0.7ppm的化水与大约12% (审美问题) 到40% (任何水平) 的参与者中与牙含有关.
结论:
- 开始CWF可能会在减少牙方面带来轻微的好处,但效果比较旧的研究中观察到的要小.
- 需要更多的研究来了解CWF停止的影响及其对社会经济差异的影响.
- 实施CWF需要仔细考虑各种口腔健康因素,可行性和成本效益.
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