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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
完整Guideline 地址
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