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Dental interventions to prevent caries in children

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发表于 2018-3-8 10:08:36 | 只看该作者 |只看大图 回帖奖励 |倒序浏览 |阅读模式

儿童口腔龋病预防手册。该手册为国家级临床指导手册,我们希望借此手册制定一套体符合我们国情所需的龋预防体系,特放在此,以便抛砖引玉。
文章全英文,欢迎大家跟贴留言。以下为内容提要的原文地址。
Contents
1  Introduction  ......................................................................................................................................................................1
1.1  The need for a guideline ...................................................................................................................................................................... 1
1.2  Remit of the guideline .......................................................................................................................................................................... 1
1.3   Definitions  ................................................................................................................................................................................................. 2
1.4  Statement of intent  ................................................................................................................................................................................ 3
2  Key recommendations  ....................................................................................................................................................5
2.1  Delivery of dental brief interventions in the practice setting  ................................................................................................. 5
2.2  Toothbrushing with fluoride toothpaste ....................................................................................................................................... 5
2.3  Topical anticaries interventions  ......................................................................................................................................................... 5
2.4  Sealants ...................................................................................................................................................................................................... 5
3  Predicting caries risk  .......................................................................................................................................................6
3.1  Introduction  .............................................................................................................................................................................................. 6
3.2  Caries risk indicators  .............................................................................................................................................................................. 6
3.3  Influence of parental oral health status  .......................................................................................................................................... 7
3.4  Caries risk assessment  ........................................................................................................................................................................... 7
4  Delivery of dental brief interventions in the practice setting  .................................................................................9
4.1  Introduction  .............................................................................................................................................................................................. 9
4.2  Effectiveness of dental brief interventions  .................................................................................................................................... 10
4.3  Format of dental brief interventions  ................................................................................................................................................ 11
4.4  Social determinants of oral health.................................................................................................................................................... 11
5  Toothbrushing with fluoride toothpaste ....................................................................................................................13
5.1  Introduction  .............................................................................................................................................................................................. 13
5.2  Use of fluoride toothpaste  ................................................................................................................................................................... 13
5.3  Concentration of fluoride toothpaste  ............................................................................................................................................. 16
5.4  Composition of fluoride toothpaste  ................................................................................................................................................ 18
5.5  Frequency and duration of brushing  ............................................................................................................................................... 18
5.6  Age at commencement of brushing  ................................................................................................................................................ 19
5.7  Toothbrushing practice  ........................................................................................................................................................................ 20
6  Other tooth cleaning methods .....................................................................................................................................22
6.1  Introduction  .............................................................................................................................................................................................. 22
6.2  Dental floss  ................................................................................................................................................................................................ 22
6.3  Interdental brushes and miswaks  ..................................................................................................................................................... 23
7  Topical anticaries interventions  ....................................................................................................................................24
7.1  Introduction  .............................................................................................................................................................................................. 24
7.2  Topical chlorhexidine varnish  ............................................................................................................................................................. 24
7.3  Topical fluoride varnish ........................................................................................................................................................................ 24
7.4  Slow-release fluoride beads  ................................................................................................................................................................ 25
7.5  Fluoride gels ............................................................................................................................................................................................. 25
7.6  Fluoride drops or tablets  ...................................................................................................................................................................... 26
7.7  Fluoride mouthwash ............................................................................................................................................................................. 26
7.8  Combined topical interventions ....................................................................................................................................................... 27
8  Sealants .............................................................................................................................................................................28
8.1  Introduction  .............................................................................................................................................................................................. 28
8.2  Use of sealants  ......................................................................................................................................................................................... 28
9  Provision of information.................................................................................................................................................30
9.1  Sources of further information .......................................................................................................................................................... 30
9.2  Checklist  for provision of information   ........................................................................................................................................... 31
10  Implementing the guideline  ..........................................................................................................................................32
10.1  Implementation strategy  ..................................................................................................................................................................... 32
10.2  Resource implications of key recommendations  ........................................................................................................................ 32
10.3  Auditing current practice  ..................................................................................................................................................................... 33
11  The evidence base ...........................................................................................................................................................34
11.1  Systematic literature review  ................................................................................................................................................................ 34
11.2  Recommendations for research......................................................................................................................................................... 34
12  Development of the guideline  ......................................................................................................................................35
12.1  Introduction  .............................................................................................................................................................................................. 35
12.2  The guideline development group  .................................................................................................................................................. 35
12.3  Acknowledgements  ............................................................................................................................................................................... 36
12.4  Consultation and peer review  ............................................................................................................................................................ 36
Abbreviations  ................................................................................................................................................................................38
Annexes  ..........................................................................................................................................................................................39
References......................................................................................................................................................................................41

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