全球水化和牙破预防:系统性审查和元分析
C F D Nascimento1, L A D S Gindri1, M N de Oliveira2
1Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
JDR clinical and translational research
|June 27, 2025
概括
社区水的化有助于显著减少儿童和成人牙损伤. 这种公共卫生干预措施在预防牙方面仍然有效,支持其在口腔卫生政策中继续使用.
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:
- 社区水化 (CWF) 是一种被广泛认可的公共卫生措施,用于预防牙损伤.
- 最近的讨论质疑了CWF的有效性和安全性.
研究的目的:
- 系统地审查和综合现有证据,关于CWF和永久牙和落叶牙的牙损伤之间的关系.
- 评估CWF作为预防空的公共卫生干预措施的有效性.
主要方法:
- 通过对五个数据库和三个灰色文献来源的搜索确定了研究的系统审查和元分析.
- 数据提取和质量评估由配对审查者进行.
- 分析计算了病经验 (DMFT/dmf) 的标准平均差异 (SMD) 和病流行率的几率比率 (OR).
主要成果:
- 包括74项研究;32项提供了用于元分析的数据.
- 暴露于CWF与明显较低的皮相关 (DMFT的SMD为-0.32,dmf为-0.30).
- 暴露于CWF显著降低了永久性 (或0.52) 和落叶性 (或0.60) 牙的病发病率.
结论:
- 社区水的化是一种有效的公共卫生干预措施,用于减少儿童和成人牙损伤.
- 在减少脏病的观察到的好处是相当大的,支持将CWF纳入公共口腔健康战略.
- 尽管有其他化物产品可供使用,但CWF仍然是预防空的基石.
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