Canares Glenn, Hsu Kuei Ling, Dhar Vineet, Katechia Bina
Gen Dent. 2018 Nov-Dec;66(6):24-28.
The purpose of this article is to provide general dentists with simple care pathways for evidence-based early childhood caries chronic disease management (ECC-CDM). Early childhood caries, defined as the presence of dental caries in children younger than 6 years old, is a chronic disease that has been traditionally managed with conventional restorative care. There are limits to the long-term success of restorative care alone, and the care pathways in the ECC-CDM model include additional treatment modalities such as fluoride varnish, silver diamine fluoride, interim therapeutic restorations, and sealants. The ECC-CDM model also pairs customized, patient-specific strategies to these treatment options. These strategies include the use of active surveillance, counseling on prevention, recall strategies to prevent disease relapse, and the option to defer restorative care. General dentists can use the care pathways in the ECC-CDM model to manage caries progression in a way that best addresses the individual needs of children.
本文旨在为普通牙医提供基于证据的幼儿龋病慢性病管理（ECC-CDM）的简单护理路径。幼儿龋病定义为6岁以下儿童出现龋齿，是一种传统上通过常规修复治疗来管理的慢性病。仅靠修复治疗取得长期成功存在局限性，ECC-CDM模型中的护理路径包括额外的治疗方式，如氟化物 varnish、氟化银氨、临时治疗性修复体和窝沟封闭剂。ECC-CDM模型还将定制的、针对患者的策略与这些治疗选择相结合。这些策略包括使用主动监测、预防咨询、预防疾病复发的召回策略以及推迟修复治疗的选择。普通牙医可以使用ECC-CDM模型中的护理路径，以最能满足儿童个体需求的方式管理龋齿进展。
