Lagerweij M D, van Loveren C
Department of Cariology Endodontology Pedodontology, ACTA, Amsterdam, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, The Netherlands.
Curr Oral Health Rep. 2015;2(4):212-217. doi: 10.1007/s40496-015-0064-9. Epub 2015 Sep 23.
WHO data suggest that all over the world the prevalence of caries has declined at the end of the previous and in the first decade of the present century. This decline started wherever the use of effective fluoride toothpaste became commonplace. Even though the decline is considerable with a 90 % reduction in DMFT for 12-year-olds in Western Europe and the USA, caries still affects 60-90 % of the children throughout the world. In the high- and middle-income countries, the nature of caries has changed from a rapid progressing disease of childhood to a slowly progressing disease throughout adulthood and even old age. However, throughout the world, the circumstances for caries differ, e.g., low-income countries experience more caries with higher sugar consumption, while between high-income countries this correlation is reversed. In high-income countries, fluoride is widely used and preventive programs in dental offices are in place. These programs, if effective, may not be a realistic option in low-income countries. In order to reduce caries in the world even further, the use of effective and affordable fluoride toothpaste should be encouraged and enabled.
世界卫生组织的数据表明，在本世纪上一个十年末及本世纪的第一个十年里，全球龋齿患病率有所下降。这种下降始于有效含氟牙膏的使用变得普遍之处。尽管降幅相当大，西欧和美国12岁儿童的恒牙龋失补牙面数（DMFT）减少了90%，但龋齿仍影响着全球60%至90%的儿童。在高收入和中等收入国家，龋齿的性质已从一种儿童期快速发展的疾病转变为一种贯穿成年期甚至老年期的缓慢发展的疾病。然而，在全球范围内，龋齿的情况各不相同，例如，低收入国家因糖消费量较高而龋齿更多，而在高收入国家之间，这种相关性则相反。在高收入国家，氟被广泛使用，牙科诊所也有预防项目。这些项目即使有效，在低收入国家也可能不是一个现实的选择。为了进一步减少全球的龋齿，应鼓励并推动使用有效且价格合理的含氟牙膏。
