Johnsen D C
Dent Clin North Am. 1984 Jan;28(1):3-20.
Management of dental caries as a disease requires the same level of skill and broad perspective as managing many other diseases. Dental caries has several variations, four of which were presented here. Long-term outlook for children with two of the caries patterns (those secondary to fissure defects or hypoplastic defects) is good if the teeth are restored. Management of children with nursing caries often involves dealing with well-intentioned but overindulgent parents. Prevention of nursing caries goes beyond simply informing the parents of potential dangers from excessive feeding with the bottle. Hypoplastic defects can resemble nursing caries; the differentiation is important in treating the child. The child with extensive proximal molar lesions may be the most difficult to manage on a long-term basis. A successful prevention program will mean a change in life style for the parent and child. The child with a cleft lip and/or palate has the disadvantages of enamel defects and a significant medical condition inviting overindulgence.
将龋齿作为一种疾病来管理，需要与管理许多其他疾病相同水平的技能和广阔视野。龋齿有多种变体，这里介绍了其中四种。如果牙齿得到修复，患有两种龋齿模式（继发于窝沟缺陷或发育不全缺陷的龋齿）的儿童的长期前景良好。护理性龋齿儿童的管理通常涉及应对善意但过度溺爱孩子的父母。预防护理性龋齿不仅仅是简单地告知父母过度用奶瓶喂养的潜在危险。发育不全缺陷可能类似于护理性龋齿；在治疗儿童时，区分两者很重要。患有广泛性近端磨牙病变的儿童可能是最难进行长期管理的。一个成功的预防计划意味着父母和孩子生活方式的改变。患有唇裂和/或腭裂的儿童有牙釉质缺陷的不利因素，以及一种容易导致过度溺爱的重大健康状况。
