Varsio S, Vehkalahti M
Department of Cariology, University of Helsinki, Finland.
Community Dent Oral Epidemiol. 1996 Aug;24(4):277-81. doi: 10.1111/j.1600-0528.1996.tb00859.x.
Implementation of caries preventive treatment in relation to the risk of caries was studied among 13-year-olds (n = 132) in two groups treated in the same public dental clinics in Helsinki: caries patients (n = 100) had the greatest numbers of decayed teeth (DT+dt), 5.5 on average, whereas cavity-free patients (n = 32) had intact teeth. Data taken from patients' personal oral health records served for evaluation of individual need for caries prevention, risk of caries, and preventive treatment given to each patient. Patients with any caries lesions or erupting teeth or poor oral hygiene were considered to be at risk of caries and in need of preventive treatment. The more caries lesions a patient had, the more prevention was expected to have been given. Preventive treatment of caries was weakly or only moderately in accordance with patients' individual needs and risk of developing caries, although patients with more caries lesions tended to have been given more preventive treatment than did those with none or only a few lesions. The majority of preventive measures given were applications of fluoride varnish, whereas motivation of and instruction in oral health care habits remained weak. However, patients whom their dentists had judged to be at high risk of caries received more intensified preventive treatment than did other caries patients. As a conclusion, intensification of caries prevention among high-risk patients is still needed. Dentists should always consider each patient's risk of developing caries to improve quality of preventive treatment.
在赫尔辛基的同一公共牙科诊所接受治疗的两组13岁儿童（n = 132）中，研究了与龋齿风险相关的龋齿预防治疗的实施情况：龋齿患者（n = 100）的龋齿数量（DT+dt）最多，平均为5.5颗，而无龋患者（n = 32）的牙齿完好无损。从患者个人口腔健康记录中获取的数据用于评估个体的龋齿预防需求、龋齿风险以及给予每位患者的预防治疗。有任何龋齿病变、正在萌出的牙齿或口腔卫生差的患者被认为有龋齿风险且需要预防治疗。患者的龋齿病变越多，预期给予的预防措施就越多。龋齿预防治疗与患者的个体需求和患龋风险的符合程度较弱或仅为中等，尽管龋齿病变较多的患者比无病变或仅有少数病变的患者接受的预防治疗更多。所采取的预防措施主要是涂氟漆，而口腔保健习惯的激励和指导仍然薄弱。然而，被牙医判定为龋齿高风险的患者比其他龋齿患者接受了更强化的预防治疗。总之，高危患者仍需要加强龋齿预防。牙医应始终考虑每位患者的患龋风险，以提高预防治疗的质量。
