Petersen P E, Baez R J, Lennon M A
World Health Organization, Global Oral Health Programme, Chronic Disease Prevention and Health Promotion, Geneva, Switzerland.
Adv Dent Res. 2012 Feb;24(1):5-10. doi: 10.1177/0022034511429349.
Dental caries is the most prevalent chronic disease affecting human populations around the world. It is recognized that fluoride plays a significant role in dental caries reduction. Meanwhile, several low- and middle-income countries of Asia have not yet implemented systematic fluoride programs; contributing factors relate to misconceptions about the mechanisms of fluoride, low priority given to oral health in national health policy and strategic plans, and lack of interest among public health administrators. A workshop on the effective use of fluoride in Asia took place in Phang-Nga, Thailand, in 2011. A series of country presentations addressed some of the topics mentioned above; in addition, speakers from countries of the region provided examples of successful fluoride interventions and discussed program limitations, barriers encountered, and solutions, as well as possibilities for expanding coverage. Participants acknowledged that automatic fluoridation through water, salt, and milk is the most effective and equitable strategy for the prevention of dental caries. Concerns were expressed that government-subsidized community fluoride prevention programs may face privatization. In addition, the use of affordable fluoride-containing toothpastes should be encouraged. The workshop identified: strengths and weaknesses of ongoing community-based fluoride programs, as well as the interest of countries in a particular method; the requirement for World Health Organization (WHO) technical assistance on various aspects, including fluoridation process, feasibility studies, and implementation of effective epidemiological surveillance of the program; exchange of information; and the need for inter-country collaboration. It was acknowledged that program process and evaluation at the local and country levels need further dissemination. The meeting was co-sponsored by the World Health Organization, the International Association for Dental Research, and the World Dental Federation.
龋齿是影响全球人口的最普遍的慢性疾病。人们认识到氟化物在减少龋齿方面发挥着重要作用。与此同时，亚洲的几个低收入和中等收入国家尚未实施系统性的氟化物项目；促成因素包括对氟化物作用机制的误解、国家卫生政策和战略计划中对口腔健康的低重视程度，以及公共卫生管理人员缺乏兴趣。2011年，一场关于在亚洲有效使用氟化物的研讨会在泰国攀牙府举行。一系列国家报告探讨了上述一些主题；此外，该地区各国的发言者提供了成功的氟化物干预实例，并讨论了项目的局限性、遇到的障碍和解决方案，以及扩大覆盖范围的可能性。与会者承认，通过水、盐和牛奶进行自动氟化是预防龋齿最有效和公平的策略。有人担心政府补贴的社区氟化物预防项目可能会面临私有化。此外，应鼓励使用价格实惠的含氟牙膏。该研讨会明确了：正在进行的基于社区的氟化物项目的优势和劣势，以及各国对特定方法的兴趣；在各个方面需要世界卫生组织（WHO）的技术援助，包括氟化过程、可行性研究以及对该项目实施有效的流行病学监测；信息交流；以及国家间合作的必要性。人们认识到地方和国家层面的项目流程和评估需要进一步传播。该会议由世界卫生组织、国际牙科研究协会和世界牙科联盟共同主办。
