Slayton Rebecca L
Department of Pediatric Dentistry, University of Washington School of Dentistry, Seattle, Wash., USA.
Pediatr Dent. 2015 Mar-Apr;37(2):106-10.
Dental caries continues to be one of the most common chronic diseases of childhood. Medical management of this disease has the potential to decrease the burden of disease in the most vulnerable children and delay the need for surgical intervention. Effective medical management requires early and effective risk assessment to identify individuals at risk prior to disease occurrence. The purpose of this review of clinical decision-making for caries management in children was to translate current knowledge of cariology into clinically relevant concepts and procedures. Patient-specific approaches, such as individual risk assessment, active surveillance, and preventive therapies-supplemented, when necessary, by restorative care-should be emphasized. Clinical findings should inform the type and frequency of therapy recommended on an individual basis. As more is learned about this common complex disorder, it is anticipated that educational strategies for students, practitioners, and families will change to reflect new evidence and risk-based care.
龋齿仍然是儿童最常见的慢性疾病之一。对这种疾病的医学管理有可能减轻最脆弱儿童的疾病负担，并推迟手术干预的需求。有效的医学管理需要早期且有效的风险评估，以便在疾病发生前识别出有风险的个体。这篇关于儿童龋齿管理临床决策的综述的目的，是将当前龋病学知识转化为临床相关的概念和程序。应强调针对患者的方法，如个体风险评估、主动监测以及必要时辅以修复治疗的预防性治疗。临床检查结果应作为个体推荐治疗类型和频率的依据。随着对这种常见复杂疾病了解的增加，预计针对学生、从业者和家庭的教育策略将会改变，以反映新的证据和基于风险的护理。
