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牛奶及乳制品对儿童和青少年口腔健康的非致龋作用:一项范围综述

Non-Cariogenic Effect of Milk and Dairy Products on Oral Health in Children and Adolescents: A Scoping Review.

作者信息

Vitiello Flavia, Bourgeois Denis, Orilisi Giulia, Orsini Giovanna, Carrouel Florence

机构信息

Laboratory "Health, Systemic, Process" (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, 69008 Lyon, France.

Department of Clinical Sciences and Stomatology (DISCO), Università Politecnica delle Marche, 60126 Ancona, Italy.

出版信息

Children (Basel). 2024 Jan 24;11(2):149. doi: 10.3390/children11020149.

Abstract

Diet plays an important role in the etiopathology of dental caries. Milk and dairy products (DPs), especially in children and adolescents, are important sources of protein, calcium and phosphorus and could have an effect on dental and oral health. The aim of this scoping review was to analyze the scientific literature on the non-cariogenic effect of milk and DPs, with a focus on their potential to prevent dental caries in children and adolescents. PubMed, EMBASE, and Web of Science were searched for publications relevant to our topic from January 2013 to 30 September 2023. Thirty-eight studies were included in the qualitative analysis. The included studies highlight the properties of milk and DPs that contribute to enamel remineralization, exhibit antibacterial action, inhibit the growth of cariogenic bacteria, and promote a balanced oral microbiome. With regard to the addition of probiotics (PBs) and fluoride (F) to DPs, the mixed results of the studies analyzed did not allow a clear statement to be made about their non-cariogenic effects. However, several studies show that the addition of PBs can reduce cariogenic bacteria, create a protective barrier against pathogens and support the host's natural defense mechanisms. Further long-term and high-quality studies are needed to understand the impact of milk and its constituents on oral health in order to promote effective caries prevention strategies in children and adolescents.

摘要

饮食在龋齿的病因病理中起着重要作用。牛奶和乳制品,尤其是在儿童和青少年中,是蛋白质、钙和磷的重要来源,可能会对牙齿和口腔健康产生影响。本范围综述的目的是分析关于牛奶和乳制品非致龋作用的科学文献,重点关注它们预防儿童和青少年龋齿的潜力。在PubMed、EMBASE和科学网中检索了2013年1月至2023年9月30日与我们主题相关的出版物。38项研究纳入了定性分析。纳入的研究强调了牛奶和乳制品有助于牙釉质再矿化、具有抗菌作用、抑制致龋菌生长以及促进口腔微生物群平衡的特性。关于在乳制品中添加益生菌和氟化物,所分析研究的混合结果无法就其非致龋作用做出明确说明。然而,一些研究表明,添加益生菌可以减少致龋菌、形成针对病原体的保护屏障并支持宿主的天然防御机制。需要进一步开展长期和高质量的研究,以了解牛奶及其成分对口腔健康的影响,从而促进针对儿童和青少年的有效防龋策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e86/10887650/05ec6e87ce73/children-11-00149-g001.jpg

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