国际口腔医学杂志

国际口腔医学杂志 ›› 2025, Vol. 52 ›› Issue (2): 141-147.doi: 10.7518/gjkq.2025032

• 专家笔谈 •    下一篇

刷牙方法的选择：基于循证证据的再思考

陈斌(),闫福华()   

  1. 南京大学医学院附属口腔医院 南京市口腔医院牙周病科南京大学口腔医学研究所 南京 210008
  • 收稿日期:2024-10-31 修回日期:2024-11-20 出版日期:2025-03-01 发布日期:2025-03-01
  • 通讯作者: 闫福华
  • 作者简介:陈斌，副教授，博士，Email：361734128@qq.com|陈斌，南京大学医学院附属口腔医院副主任医师、副教授、硕士生导师，中华口腔医学会牙周病学专业委员会委员，江苏省口腔医学会第一届口腔激光专业委员会副主任委员，南京市“十三五”青年卫生人才，《口腔疾病防治》编委。长期从事牙周病的临床和基础研究，擅长重度牙周炎诊疗和牙周再生治疗。主持国家自然科学基金等项目7项。在Int J Oral Sci、J Dent Res、J Clin Periodontol等期刊发表论文50余篇。共同主译专著4部，其中《临床牙周病学和口腔种植学》原著是牙周病学领域最经典的著作之一；参编专著3部，包括第9轮全国高等学校五年制本科口腔医学专业“十四五”规划教材《牙周病学》第6版（编委兼主编助理）和《人民卫生出版社中国医学教育题库住院医师规范化培训题库（口腔内科）》第2版（编者兼秘书）。获江苏省医学新技术引进奖二等奖（第一完成人），教育部科技进步二等奖（参与）。Email：361734128@qq.com|闫福华，南京大学口腔医学研究所所长/附属口腔医院教授、博士生导师。中华口腔医学会第7届牙周病学专业委员会主任委员，中国医师协会口腔医师分会第5届副会长，享受国务院政府特殊津贴专家，江苏省特聘医学专家、江苏省双创计划引进人才。“十三五”规划教材《牙周病学》第5版副主编，“十四五”规划教材《牙周病学》第6版主编。主要研究领域：组织工程与牙周再生治疗、牙周病与系统性疾病的关系、牙周病的种植修复治疗等。主持省部级及以上科研项目20项（其中国家自然科学基金项目9项）。在Chemical Society Reviews、International Journal of Oral Science、Journal of Dental Research、Journal of Clinical Periodontology等刊物发表论文300余篇。主编（审）、主译学术专著29部。带领学科团队获：国家临床重点建设专科、江苏省临床重点专科、江苏省重点学科、江苏省创新团队等荣誉。获教育部科技进步奖二等奖1项，江苏省医学新技术引进一等奖2项，中华口腔医学会科技奖二等奖1项，福建省科学技术进步奖二等奖1项，福建省教学成果奖二等奖1项。Email：yanfh@nju.edu.cn
  • 基金资助:
    南京市卫生科技发展项目(ZKX22054);江苏省医学重点学科/实验室建设单位(JSDW202246)

Revisiting toothbrushing techniques: an evidence-based reflection

Bin Chen(),Fuhua Yan()   

  1. Dept. of Periodontology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing 210008, China
  • Received:2024-10-31 Revised:2024-11-20 Online:2025-03-01 Published:2025-03-01
  • Contact: Fuhua Yan
  • Supported by:
    Nanjing Medical Science and Technology Development Foundation(ZKX22054);Jiangsu Provincial Medical Key Discipline Cultivation Unit(JSDW202246)

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摘要：

刷牙作为日常口腔保健的基本措施，不仅关乎口腔健康，而且与全身健康密切相关。面对众多的刷牙方法，如何选择一种既有效又安全的刷牙方式，已成为公众和口腔医学界共同关注的焦点。当前，Bass法及其改良方法（改良Bass法）在国内被广泛推荐，但深入分析后发现，Bass法亦存在不足。本文将从刷牙的重要性、刷牙方法简介、Bass法的应用必要性及其潜在危害等方面展开讨论，旨在提醒临床应用及科普宣传中应根据患者实际情况推荐合适的刷牙方法。

关键词: 刷牙方法, 牙周病, 龋病, 口腔健康, 刷牙损伤

Abstract:

Brushing, a fundamental practice in daily oral hygiene, is not only pivotal for oral health but also intimately linked to overall systemic health. In the face of a plethora of brushing techniques, selecting an approach that is effective and safe has emerged as a shared concern for the general public and the oral healthcare community. Currently, the Bass method and its modified variant (modified Bass method) are widely recommended in China. However, the Bass method also evidently harbors potential risks. This article delves into the significance of brushing, provides an overview of va-rious brushing techniques, discusses the necessity of adopting the Bass method, and underscores its potential hazards to caution clinical practitioners and popular science advocates to recommend brushing techniques tailored to individual circumstances.

Key words: brushing technique, periodontal disease, dental caries, oral health, brushing-related trauma

中图分类号: 

  • R781.4

图 1

清洁不足A：未清洁到龈缘附近；B：未进行邻面清洁。"

图 2

刷牙损伤A：牙齿损伤；B：牙龈损伤。"

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