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糖及代糖在龋齿中的作用:综述

Role of sugar and sugar substitutes in dental caries: a review.

作者信息

Gupta Prahlad, Gupta Nidhi, Pawar Atish Prakash, Birajdar Smita Shrishail, Natt Amanpreet Singh, Singh Harkanwal Preet

机构信息

Department of Public Health Dentistry, Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab, India.

Department of Prosthodontics, Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab 151203, India.

出版信息

ISRN Dent. 2013 Dec 29;2013:519421. doi: 10.1155/2013/519421. eCollection 2013.

Abstract

Dental caries is a chronic disease which can affect us at any age. The term "caries" denotes both the disease process and its consequences, that is, the damage caused by the disease process. Dental caries has a multifactorial aetiology in which there is interplay of three principal factors: the host (saliva and teeth), the microflora (plaque), and the substrate (diet), and a fourth factor: time. The role of sugar (and other fermentable carbohydrates such as highly refined flour) as a risk factor in the initiation and progression of dental caries is overwhelming. Whether this initial demineralization proceeds to clinically detectable caries or whether the lesion is remineralized by plaque minerals depends on a number of factors, of which the amount and frequency of further sugars consumption are of utmost importance. This paper reviews the role of sugar and sugar substitutes in dental caries.

摘要

龋齿是一种可在任何年龄影响我们的慢性疾病。“龋病”一词既指疾病过程及其后果,即该疾病过程所造成的损害。龋齿具有多因素病因,其中三个主要因素相互作用:宿主(唾液和牙齿)、微生物群落(牙菌斑)和底物(饮食),以及第四个因素:时间。糖(以及其他可发酵碳水化合物,如高度精制面粉)作为龋齿发生和发展的危险因素,其作用是压倒性的。这种最初的脱矿是否发展为临床可检测到的龋齿,或者病变是否被牙菌斑矿物质再矿化,取决于许多因素,其中进一步摄入糖的量和频率最为重要。本文综述了糖和糖替代品在龋齿中的作用。

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