Bagramian Robert A, Garcia-Godoy Franklin, Volpe Anthony R
School of Dentistry, University of Michigan, Ann Arbor, MI 48109-1078, USA.
Am J Dent. 2009 Feb;22(1):3-8.
A current review of the available epidemiological data from many countries clearly indicates that there is a marked increase in the prevalence of dental caries. This global increase in dental caries prevalence affects children as well as adults, primary as well as permanent teeth, and coronal as well as root surfaces. This increase in dental caries signals a pending public health crisis. Although there are differences of opinion regarding the cause of this global dental caries increase, the remedy is well known: a return to the public health strategies that were so successful in the past, a renewed campaign for water fluoridation, topical fluoride application, the use of fluoride rinses, a return to school oral health educational programs, an emphasis on proper tooth brushing with a fluoride dentifrice, as well as flossing, a proper diet and regular dental office visits. If these remedies are not initiated, there could be a serious negative impact upon the future oral health (and systemic health) of the global community, as well as a strain on the dental profession along with a major increase in the cost of dental services.
当前对许多国家现有流行病学数据的综述清楚地表明，龋齿患病率显著上升。全球龋齿患病率的这种上升影响儿童和成人，乳牙和恒牙，牙冠和牙根表面。龋齿的这种增加预示着即将到来的公共卫生危机。尽管对于全球龋齿增加的原因存在不同意见，但补救措施众所周知：回归过去非常成功的公共卫生策略，重新开展饮水氟化、局部应用氟化物、使用含氟漱口水的运动，回归学校口腔健康教育项目，强调使用含氟牙膏正确刷牙以及使用牙线，合理饮食和定期看牙医。如果不采取这些补救措施，可能会对全球社区未来的口腔健康（以及全身健康）产生严重负面影响，同时给牙科行业带来压力，并大幅增加牙科服务成本。
