Cummins Diane, Marsh Philip D
Oral Health Scientific and Business Consultant, Jupiter, FL, USA.
Department of Oral Biology, School of Dentistry, University of Leeds, UK.
J Clin Dent. 2018 Sep;29(Spec No A):A1-9.
A comprehensive mechanical plaque control program - designed, monitored, and reinforced by dental professionals - can help patients achieve excellent oral hygiene and oral health. However, this approach to prevention is impractical for many individuals, so dental caries and periodontal disease are highly prevalent globally. Experts recently agreed that a toothpaste with fluoride and a plaque control agent can augment mechanical procedures to simultaneously prevent caries and periodontal disease. Notwithstanding this, it is timely to rethink prevention and oral health promotion. A new definition of oral health raises awareness of its different dimensions and empowers dentistry to move from treating disease to supporting prevention. In addition, a deeper understanding of the relationship between oral biofilms and the host facilitates new opportunities for disease prevention. The knowledge that health-associated biofilms help prevent establishment of pathogenic species, regulate the potentially damaging host response, and provide essential benefits to health and well-being is paramount to changing the paradigm of prevention of dental disease. Ecological approaches to biofilm control can reduce plaque sufficiently to reduce disease risk, while creating and supporting the beneficial functions of biofilms consistent with health. The knowledge that the oral soft tissues are the primary reservoir of bacteria for tooth recolonization and that reducing bacteria on soft tissues results in improved plaque control and consequently better oral health is also salient. Indeed, a toothpaste that delivers 12-hour protection to the hard and soft tissues (whole mouth protection) and multiple oral health benefits (whole mouth health) could become the future cornerstone of prevention. An innovative fluoride toothpaste with a Dual Zinc plus Arginine multi-functional therapeutic agent offers whole mouth protection against daily oral challenges and whole mouth health for the patient. Within a patient-centered preventive program, next to messaging that motivates towards improved self-care, this toothpaste empowers patients to achieve effective prevention of common oral diseases and better oral health compared to just brushing with an ordinary toothpaste.
一个由牙科专业人员设计、监测和强化的全面机械性牙菌斑控制方案，可帮助患者实现出色的口腔卫生和口腔健康。然而，这种预防方法对许多人来说并不实用，因此龋齿和牙周疾病在全球范围内高度流行。专家们最近一致认为，含有氟化物和牙菌斑控制剂的牙膏可以增强机械性清洁程序，同时预防龋齿和牙周疾病。尽管如此，现在是时候重新思考预防和口腔健康促进了。口腔健康的新定义提高了人们对其不同维度的认识，并使牙科能够从治疗疾病转向支持预防。此外，对口腔生物膜与宿主之间关系的更深入理解为疾病预防带来了新机遇。认识到与健康相关的生物膜有助于防止致病物种的定植、调节潜在的有害宿主反应，并为健康和幸福提供重要益处，对于改变牙科疾病预防模式至关重要。生物膜控制的生态学方法可以充分减少牙菌斑，从而降低疾病风险，同时创造并支持与健康相符的生物膜有益功能。认识到口腔软组织是牙齿重新定植细菌的主要储存库，并且减少软组织上的细菌会改善牙菌斑控制，进而带来更好的口腔健康，这一点也很重要。事实上，一种能为硬组织和软组织提供12小时保护（全口保护）并带来多种口腔健康益处（全口健康）的牙膏可能会成为未来预防的基石。一种含有双锌加精氨酸多功能治疗剂的创新型含氟牙膏可为患者提供全口保护，抵御日常口腔问题，并带来全口健康。在以患者为中心的预防方案中，除了激励改善自我护理的信息外, 与仅使用普通牙膏刷牙相比，这种牙膏能使患者有效预防常见口腔疾病并获得更好的口腔健康。
