每六个月进行一次牙科检查有科学依据吗？

Is there a scientific basis for six-monthly dental examinations?

作者信息

Sheiham A

出版信息

Lancet. 1977 Aug 27;2(8035):442-4. doi: 10.1016/s0140-6736(77)90620-1.

Abstract

This review of the need for 6-monthly dental checks was limited to persons aged 12 years and more, because there are no data on the rates of progression of diseases of the primary dentition. Dental caries in the permanent teeth is a very slow disease, and takes about 2 years to progress through the enamel. Persons having dental examinations at intervals longer than 6 months were not at a disadvantage. They did not have more severe dental caries or periodontal disease than those attending at intervals of 6 months. Neither was there any evidence that an interval of more than 6 months would affect the prognosis for orthodontic treatment. Oral malignancies are rare in British populations, and routine 6-monthly screening to detect oral malignancies is unreasonable.

摘要

本次对每6个月进行一次牙齿检查必要性的综述仅限于12岁及以上人群，因为没有关于乳牙列疾病进展率的数据。恒牙龋齿是一种进展非常缓慢的疾病，大约需要2年时间才能穿透牙釉质。接受牙齿检查间隔时间超过6个月的人并无劣势。他们患龋齿或牙周病的严重程度并不比每6个月检查一次的人更高。也没有任何证据表明间隔超过6个月会影响正畸治疗的预后。口腔恶性肿瘤在英国人群中很少见，因此每6个月进行一次常规筛查以检测口腔恶性肿瘤是不合理的。