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关于推进儿童口腔健康的叙述性综述:儿童牙齿问题预防与管理的综合策略

A Narrative Review on Advancing Pediatric Oral Health: Comprehensive Strategies for the Prevention and Management of Dental Challenges in Children.

作者信息

Han Sung-Ying, Chang Chia-Lin, Wang Yung-Li, Wang Ching-Shuen, Lee Wei-Ju, Vo Thi Thuy Tien, Chen Yuh-Lien, Cheng Chueh-Yi, Lee I-Ta

机构信息

Dental Department, Shuang-Ho Hospital, Taipei Medical University, New Taipei 23561, Taiwan.

Division of Pediatric Surgery, Department of Surgery, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan 33004, Taiwan.

出版信息

Children (Basel). 2025 Feb 26;12(3):286. doi: 10.3390/children12030286.

Abstract

Oral health is fundamental to overall well-being, especially in childhood, when dental structures and lifelong habits are established. This review provides a comprehensive analysis of children's dental development, common oral health challenges, and evidence-based preventive strategies. Key topics include the mechanisms of tooth development, the eruption processes of primary and permanent dentition, and the management of developmental abnormalities. The prevalence, risk factors, and health impacts of dental caries in children are examined, underscoring the need for early intervention and targeted prevention. This review evaluates the effectiveness of preventive measures such as dental sealants, fluoride varnishes, and fluoride mouth rinses while highlighting the influence of dietary habits, toothbrush selection, and parental involvement on oral health outcomes. Additionally, it explores the synergistic benefits of combining preventive approaches, such as the concurrent use of dental sealants and fluoride applications, which have demonstrated superior caries prevention compared to either method alone. The effectiveness of these strategies is analyzed across different age groups, from early childhood to adolescence, with tailored recommendations for each developmental stage. Furthermore, the role of education, policy interventions, and community-based programs in addressing oral health disparities is discussed. By integrating developmental insights with epidemiological data and clinical evidence, this review provides a comprehensive framework for advancing pediatric dentistry, informing best practices, and enhancing preventive strategies to reduce the burden of oral diseases in diverse pediatric populations.

摘要

口腔健康是整体健康的基础,在儿童时期尤为重要,因为此时牙齿结构和终身习惯正在形成。本综述对儿童牙齿发育、常见口腔健康挑战以及循证预防策略进行了全面分析。关键主题包括牙齿发育机制、乳牙和恒牙的萌出过程以及发育异常的管理。研究了儿童龋齿的患病率、风险因素和对健康的影响,强调了早期干预和针对性预防的必要性。本综述评估了诸如窝沟封闭剂、氟化物 varnishes(此处原文有误,可能是fluoride varnishes,即氟化物涂膜)和含氟漱口水等预防措施的有效性,同时突出了饮食习惯、牙刷选择和家长参与对口腔健康结果的影响。此外,还探讨了联合预防方法的协同效益,例如同时使用窝沟封闭剂和氟化物应用,与单独使用任一方法相比,已证明其在预防龋齿方面具有更优效果。对这些策略在从幼儿期到青春期的不同年龄组中的有效性进行了分析,并针对每个发育阶段给出了量身定制的建议。此外,还讨论了教育、政策干预和社区项目在解决口腔健康差距方面的作用。通过将发育见解与流行病学数据和临床证据相结合,本综述为推进儿童牙科、提供最佳实践信息以及加强预防策略以减轻不同儿童群体的口腔疾病负担提供了一个全面的框架。

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