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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Assessment, management, and prevention of early childhood caries.
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Assessment, management, and prevention of early childhood caries.

机译：评估，管理和预防早期童年龋齿。

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PURPOSE: To discuss the role of primary care health providers in identifying infants and young children at risk for dental caries during well-child visits, in providing anticipatory guidance to parents and primary care givers of at-risk children, and in providing appropriate referrals for the timely establishment of a dental home. DATA SOURCES: The search included the following: Ovid MEDLINE, PubMed, American Academy of Pediatrics Web site, American Academy of Pediatric Dentistry Web site, and the American Dental Association Web site. The following search terms were used: dental caries prevention, caries process, caries balance, dental home, early childhood caries, oral health disparities, dental caries risk assessment, fluoride varnish, oral health anticipatory guidance. Search was limited to English language sources from 1990 through 2007. CONCLUSIONS: Dental caries is a preventable and reversible infectious disease process, yet it continues to be the single most common chronic disease of childhood. Despite a decrease in caries prevalence and a decrease in untreated tooth decay in 6-19-year-olds in the United States, a 15.2% increase in disease was noted among the nation's youngest children aged 2-5 years. Primary care health providers are uniquely positioned to play a significant role in the prevention of dental caries and are encouraged to complete certification courses in caries risk assessment, intervention, education, and referral. IMPLICATIONS FOR PRACTICE: Clinicians need to understand the dental caries process, including the process of enamel demineralization and remineralization, and the factors contributing to caries balance. The importance of early identification and intervention for infants and toddlers at high risk for dental caries and primary care health provider-delivered anticipatory guidance during well-child care visits cannot be overestimated.
机译：目的：讨论初级护理卫生供应商在培养牙科龋齿风险识别婴幼儿和幼儿的作用，为患有风险儿童的父母和初级保健推荐提供预期的指导，并为其提供适当的推荐及时建立牙科家。数据来源：搜索包括：Ovid Medline，PubMed，美国儿科学院网站，美国儿科牙科网站和美国牙科协会网站。使用以下搜索条文：龋齿预防，龋齿流程，龋病平衡，牙科家庭，幼儿龋，口腔健康差异，龋齿风险评估，氟化清漆，口腔健康预期指导。搜索仅限于1990年至2007年的英语来源。结论：龋齿是可预防和可逆的传染病过程，但它仍然是童年最常见的慢性疾病。尽管在美国6-19岁的牙齿衰减减少龋齿和减少的牙齿衰减，但在2-5岁的最年轻的儿童中，疾病中患有15.2％的疾病增加。初级护理健康提供者独特地定位在预防龋齿方面发挥重要作用，并鼓励龋齿风险评估，干预，教育和转诊的认证课程。对实践的影响：临床医生需要了解龋齿过程，包括搪瓷脱矿质化和再矿化的过程，以及龋齿平衡的因素。早期识别和干预婴儿和幼儿在营养龋和初级保健保健提供者提供的预期指导下的高度重大估计的重要性。

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