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[预防牙科 10. 牙侵蚀磨损]

[Preventive dentistry 10. Erosive tooth wear].

作者信息

Huysmans M C D N J M

出版信息

Ned Tijdschr Tandheelkd. 2018 Apr;125(4):217-222. doi: 10.5177/ntvt.2018.04.17205.

DOI:10.5177/ntvt.2018.04.17205
PMID:29659639
Abstract

Erosive tooth wear has recently been at the centre of attention and its prevalence of erosive tooth wear among adolescents in the Netherlands appears to be rising. The multifactorial nature of the aetiology of the condition makes it difficult to identify the relevant causal factors, both in individual cases and within the general population. Preventive intervention is indicated in those cases where (active) erosive tooth wear is diagnosed. Early diagnosis is important, especially in younger patients. Preventive measures, such as dietary advice and the use of fluoride, are recommended but the scientific evidence for their effectiveness is still limited. In cases where acid reflux disease is the cause, treatment with medicines can have the effect of reducing the progression of tooth wear. Recognising a non-active condition, for example after successful preventive treatment, is difficult, but will be supported with digital methods in the near future.

摘要

侵蚀性牙齿磨损最近成为关注焦点,在荷兰青少年中侵蚀性牙齿磨损的患病率似乎正在上升。该病症病因的多因素性质使得在个别病例和普通人群中都难以确定相关的因果因素。在诊断出(活动性)侵蚀性牙齿磨损的病例中需要进行预防性干预。早期诊断很重要,尤其是对于年轻患者。建议采取预防措施,如饮食建议和使用氟化物,但其有效性的科学证据仍然有限。在酸反流疾病是病因的情况下,药物治疗可以起到减少牙齿磨损进展的作用。识别非活动性病症,例如在成功的预防性治疗之后,很困难,但在不久的将来将得到数字方法的支持。

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