Pediatrics. 2014 Jun;133(6):1102-11. doi: 10.1542/peds.2014-0483. Epub 2014 May 5.
Update of the 2004 US Preventive Services Task Force (USPSTF) recommendation on prevention of dental caries in preschool-aged children.
The USPSTF reviewed the evidence on prevention of dental caries by primary care clinicians in children 5 years and younger, focusing on screening for caries, assessment of risk for future caries, and the effectiveness of various interventions that have possible benefits in preventing caries.
This recommendation applies to children age 5 years and younger.
The USPSTF recommends that primary care clinicians prescribe oral fluoride supplementation starting at age 6 months for children whose water supply is deficient in fluoride. (B recommendation) The USPSTF recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption. (B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of routine screening examinations for dental caries performed by primary care clinicians in children from birth to age 5 years. (I Statement).
对 2004 年美国预防服务工作组（USPSTF）关于预防学龄前儿童龋齿建议的更新。
USPSTF 回顾了初级保健临床医生在 5 岁及以下儿童中预防龋齿的证据，重点关注龋齿筛查、未来龋齿风险评估以及各种可能预防龋齿的干预措施的有效性。
本建议适用于 5 岁及以下儿童。
USPSTF 建议，对于饮用水中氟含量不足的儿童，从 6 个月大开始，由初级保健临床医生开具口腔氟化物补充剂。（B 级推荐）USPSTF 建议初级保健临床医生在婴儿和儿童的第一颗乳牙萌出时开始，为所有婴儿和儿童涂抹氟化物漆。（B 级推荐）USPSTF 得出结论，目前的证据不足以评估初级保健临床医生对出生至 5 岁儿童进行常规龋齿筛查的利弊平衡。（I 声明）。
