Shivakumar K M, Vidya S K, Chandu G N
Department of Preventive and Community Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences, Deemed University, Sawangi, Wardha Maharashtra, 442 004, India.
Indian J Dent Res. 2009 Jan-Mar;20(1):99-106. doi: 10.4103/0970-9290.49066.
Dental caries is one of the most common diseases in humans. In modern times, it has reached epidemic proportions. Dental caries is an infectious microbiologic disease of the teeth that results in localized dissolution and destruction of the calcified tissue. Dental caries is a mulitifactorial disease, which is caused by host, agent, and environmental factors. The time factor is important for the development and progression of dental caries. A wide group of microorganisms are identified from carious lesions of which S. mutans , Lactobacillus acidophilus , and Actinomyces viscosus are the main pathogenic species involved in the initiation and development of dental caries. In India, surveys done on school children showed caries prevalence of approximately 58%. Surveys among the U.S. population showed an incidence of 45.3% in children and 93.8% in adults with either past or present coronal caries. Huge amounts of money and time are spent in treating dental caries. Hence, the prevention and control of dental caries is the main aim of public health, eventually the ultimate objective of public health is the elimination of the disease itself. Recently, dental caries vaccines have been developed for the prevention of dental caries. These dental caries vaccines are still in the early stages.
龋齿是人类最常见的疾病之一。在现代,它已达到流行程度。龋齿是一种牙齿的感染性微生物疾病,会导致钙化组织的局部溶解和破坏。龋齿是一种多因素疾病,由宿主、病原体和环境因素引起。时间因素对龋齿的发生和发展很重要。从龋损中鉴定出了一大类微生物,其中变形链球菌、嗜酸乳杆菌和黏性放线菌是参与龋齿发生和发展的主要致病菌种。在印度,对学童进行的调查显示龋齿患病率约为58%。在美国人群中进行的调查显示,有既往或当前冠部龋齿的儿童发病率为45.3%,成人发病率为93.8%。治疗龋齿花费了大量的金钱和时间。因此,预防和控制龋齿是公共卫生的主要目标,最终公共卫生的最终目标是消除这种疾病本身。最近,已经开发出了用于预防龋齿的疫苗。这些龋齿疫苗仍处于早期阶段。