Majewski R F
University of Michigan School of Dentistry, Department of Orthodontics and Pediatric Dentistry, USA.
J Mich Dent Assoc. 2001 Feb;83(2):32-4.
It can be summarized that adolescents have unique needs and concerns in regards to dental care. Among these concerns is the adolescent diet, which often contains high amounts of high-carbohydrate snack foods. Popular among these foods are carbonated beverages, usually containing significant amounts of sugar and caffeine. Sugar is a concern, as increased consumption of sugars has been identified as a potential factor in an increase in caries activity. Caffeine is a factor, as regular ingestion of caffeine has been shown to potentially lead to a physical desire to habitually ingest caffeine. Thus, there are increases in both the amount of sugars, as well as the amount of time that these sugars are present in the oral environment. Perhaps more significantly, the presence of caffeine in soft drinks makes it less likely that preventive counseling with an adolescent, related to the importance of a decrease in consumption, will be successful. In essence, teenagers like to drink "pop," and they don't want to stop. Furthermore, because caffeine consumption is considered socially acceptable and is ingrained into daily habits, parents are likely to be regular consumers of coffee, carbonated beverages, or other caffeine-containing products. This makes preventive counseling on these matters more challenging. Dentists, dental hygienists, and related health professionals should be aware of the unique aspects of treating adolescents, and be willing and able to spend time on prevention and diet counseling. Preventive measures such as prescription-strength fluoride gels for home use, fluoride varnishes, and others may need additional emphasis on individuals exhibiting increased caries susceptibility.
可以总结出，青少年在牙齿护理方面有独特的需求和关注点。这些关注点之一是青少年的饮食，其通常包含大量高碳水化合物的零食。这些食物中受欢迎的是碳酸饮料，通常含有大量的糖和咖啡因。糖是一个问题，因为糖摄入量的增加已被确定为龋齿活动增加的一个潜在因素。咖啡因也是一个因素，因为经常摄入咖啡因已被证明可能导致习惯性摄入咖啡因的身体欲望。因此，糖的摄入量以及这些糖在口腔环境中存在的时间都增加了。也许更重要的是，软饮料中咖啡因的存在使得与青少年就减少摄入量的重要性进行预防性咨询不太可能成功。本质上，青少年喜欢喝“汽水”，而且他们不想停止。此外，由于咖啡因的摄入被认为在社会上是可以接受的并且已融入日常习惯，父母很可能是咖啡、碳酸饮料或其他含咖啡因产品的经常消费者。这使得在这些问题上进行预防性咨询更具挑战性。牙医、口腔保健员和相关健康专业人员应该意识到治疗青少年的独特方面，并愿意且能够花时间进行预防和饮食咨询。对于表现出龋齿易感性增加的个体，可能需要额外强调诸如家用处方强度氟化物凝胶、氟化物涂漆等预防措施。
