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管理幼儿龋齿:预防和修复方法的比较综述。

Managing Early Childhood Caries: A Comparative Review of Preventive and Restorative Approaches.

作者信息

Aljohani Afnan A, Alarifi Ahmad I, Almoain Mubarak F, Alrhaimi Faisal F, Alhejji Mashael T, Gazzaz Nada W, Ali Lulah S, Alammari Hassan D, Alwattban Rawan R, Alharbi Hanan M, Barnawi Bandar M

机构信息

General Dentistry, Shaqra General Hospital, Riyadh, SAU.

General Dentistry, King Saud University, Riyadh, SAU.

出版信息

Cureus. 2024 Nov 28;16(11):e74704. doi: 10.7759/cureus.74704. eCollection 2024 Nov.

Abstract

Early childhood caries (ECC), one of the most common health problems among children aged six years and below, is considered present when one or more surfaces of a tooth are decayed, missing, or filled. Not only does ECC cause pain for a long time, but it also has short- and long-term health consequences in children. In order to treat ECC, holistic management that includes preventive, restorative, and prosthetic intervention is necessary. This review, a key aspect of which is preventive strategy, stresses the need to lessen the rate of incidence of such conditions as ECC. In case preventive measures do not work, restorative care is considered. The paper discusses all of the available restoration options for paediatric patients. Furthermore, this review includes a detailed analysis of the different types of crowns used in the treatment of ECC, such as stainless-steel crowns (SSCs), resin-composite crowns, and zirconia crowns, and considers their advantages and disadvantages relevant to clinical practice. Overall, this article calls for a well-rounded approach to treating the child's dental cavity as an emerging progression of ECC. Through this interdisciplinary approach, dentists can significantly enhance oral health among children and help prevent the negative impact of caries on their quality of life.

摘要

幼儿龋齿(ECC)是6岁及以下儿童最常见的健康问题之一,当牙齿的一个或多个表面出现龋坏、缺失或充填时,即被认为患有ECC。ECC不仅会长期引起疼痛,还会对儿童产生短期和长期的健康影响。为了治疗ECC,需要包括预防、修复和修复体干预在内的整体管理。本综述的一个关键方面是预防策略,强调需要降低ECC等疾病的发病率。如果预防措施无效,则考虑进行修复治疗。本文讨论了儿科患者所有可用的修复选择。此外,本综述还详细分析了用于治疗ECC的不同类型的牙冠,如不锈钢牙冠(SSC)、树脂复合牙冠和氧化锆牙冠,并考虑了它们在临床实践中的优缺点。总体而言,本文呼吁采用全面的方法来治疗儿童龋齿这一ECC的新进展。通过这种跨学科方法,牙医可以显著改善儿童的口腔健康,并有助于预防龋齿对他们生活质量的负面影响。

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