Division of General Pediatrics, Department of Pediatrics, University of Washington School of Medicine
Seattle Children’s Hospital, Seattle, WA, USA
Curr Pediatr Rev. 2020;16(3):215-231. doi: 10.2174/1573396316666200228093248.
Healthy teeth allow us to eat and stay well-nourished. Although primary care clinicians receive limited training about teeth, given the common nature of dental problems, it is important that they understand and recognize normal and abnormal dental conditions and can implement primary and secondary prevention of dental conditions in their practice. PubMed has been used to search the scientific literature for evidence on the following topics: normal dental development, dental abnormalities, malocclusion, teething, dental caries and related epidemiology and prevention, fluoride, dental injury and its management and prevention; and identification, prevention and treatment of gingivitis and periodontal disease. Literature review relied on randomized controlled trials, meta-analyses, systematic reviews, and Cochrane reviews when relevant and available. Other sources of evidence included cohort and case-control studies. Consensus statements and expert opinion were used when there was a paucity of high-quality research studies. The literature has been synthesized on these topics to make them relevant to pediatric primary care clinicians, and as available, the strength of evidence has been characterized when making clinical recommendations.
健康的牙齿使我们能够进食并保持营养充足。尽管初级保健临床医生接受的牙齿相关培训有限，但鉴于牙齿问题的普遍性，了解和识别正常和异常的牙齿状况，并能够在实践中实施牙齿状况的初级和二级预防，这一点非常重要。我们已经在 PubMed 上搜索了有关以下主题的科学文献：正常的牙齿发育、牙齿异常、错颌畸形、出牙、龋齿及相关流行病学和预防、氟化物、牙齿损伤及其管理和预防；以及牙龈炎和牙周病的识别、预防和治疗。文献综述依赖于随机对照试验、荟萃分析、系统评价和 Cochrane 综述，如果相关且可用，则采用其他证据来源包括队列研究和病例对照研究。当高质量研究较少时，使用共识声明和专家意见。已经对这些主题进行了综合分析，使其与儿科初级保健临床医生相关，并且在提出临床建议时，尽可能对证据的强度进行了描述。
