Int J Stomatol ›› 2023, Vol. 50 ›› Issue (3): 341-346.doi: 10.7518/gjkq.2023057

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Severe early childhood caries management based on chronic disease management

Gao Ruofan(),Xia Bin.()   

  1. Dept. of Pediatric Dentistry, Peking University Hospital of Stomatology, Beijing 100081, China
  • Received:2022-10-06 Revised:2023-02-12 Online:2023-05-01 Published:2023-05-16
  • Contact: Bin. Xia E-mail:1710303135@pku.edu.cn;summerinbeijing@vip.sina.com

Abstract:

Severe early childhood caries (SECC) is the main disease threatening the oral health of our children. At pre-sent, the main strategy of caries treatment in China is caries removal and restoration. However, for patients with SECC, restoration therapy has limitations such as children difficult cooperating, high recurrence risks, and heavy economic and me-dical burden, etc. With the development of knowledge on the etiology and the disease process of dental caries, the caries management strategies based on the concept of chronic disease management is proposed by the academy to improve the treatment effect of dental caries through managing the caries risk factors and protective factors to improve the oral environment and shifting from removal of caries lesions to the management of the disease process of dental caries. In this paper, we review the concept of chronic disease management of caries and summarize the guidelines issued by foreign professional academic organizations to provide a reference for prevention and treatment of SECC in China.

Key words: severe early childhood caries, chronic disease, caries management

CLC Number: 

  • R 781.1

TrendMD: 
1 American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): consequences and preventive strategies//American Academy of Pedia-tric Dentistry. The reference manual of pediatric den-tistry[M]. Chicago, Ill.: American Academy of Pe-diatric Dentistry, 2021: 81-84.
2 王兴. 第四次全国口腔健康流行病学调查报告[M]. 北京: 人民卫生出版社, 2018: 12-14, 16.
Wang X. The fourth national oral health epidemiological survey report[M]. Beijing: People’s Medical Publishing House, 2018: 12-14, 16.
3 秦满, 夏斌. 儿童口腔医学[M]. 3版. 北京: 北京大学医学出版社, 2020: 100-102, 110-111.
Qin M, Xia B. Pediatric dentistry[M]. 3rd ed. Beijing: Beijing University Medical Press, 2020: 100-102, 110-111.
4 田靖, 马文利, 夏斌, 等. 重度低龄儿童龋全身麻醉下治疗后再次患龋风险的前瞻性研究[J]. 中华口腔医学杂志, 2021, 56(9): 857-865.
Tian J, Ma WL, Xia B, et al. Prospective study of the caries recurrence risks after severe early childhood caries treatments under general anesthesia[J]. Chin J Stomatol, 2021, 56(9): 857-865.
5 Oxilia G, Peresani M, Romandini M, et al. Earliest evidence of dental caries manipulation in the late upper palaeolithic[J]. Sci Rep, 2015, 5: 12150.
6 Bernardini F, Tuniz C, Coppa A, et al. Beeswax as dental filling on a neolithic human tooth[J]. PLoS One, 2012, 7(9): e44904.
7 岳林, 董艳梅. 临床龋病学[M]. 3版. 北京: 北京大学医学出版社, 2021: 56-57.
Yue L, Dong YM. Clinical cariology[M]. 3rd ed. Bei-jing: Beijing University Medical Press, 2021: 56-57.
8 Featherstone JD. The caries balance: the basis for caries management by risk assessment[J]. Oral Heal-th Prev Dent, 2004, 2(): 259-264.
9 Pitts NB, Zero D. White paper on dental caries prevention and management[J]. FDI World Dent Feder, 2016: 8-9.
10 American Academy of Pediatric Dentistry Council on Clinical Affairs. Policy on early childhood caries (ECC): unique challenges and treatment options[J]. Pediatr Dent, 2005, 27(7 ): 34-35.
11 Ramos-Gomez FJ, Crall J, Gansky SA, et al. Caries risk assessment appropriate for the age 1 visit (infants and toddlers)[J]. J Calif Dent Assoc, 2007, 35(10): 687-702.
12 Edelstein BL, Ng MW. Chronic disease management strategies of early childhood caries: support from the medical and dental literature[J]. Pediatr Dent, 2015, 37(3): 281-287.
13 Centers for disease control and prevention about chronic disease[EB/OL]. (2021-04-28)[2022-04-01]. .
14 Australian Institute of Health and Welfare. Chronic diseases[EB/OL]. (2021-10-21)[2022-04-01]. .
15 Schrijvers G. Disease management: a proposal for a new definition[J]. Int J Integr Care, 2009, 9: e06.
16 Rechmann P, Chaffee BW, Rechmann BMT, et al. Caries management by risk assessment: results from a practice-based research network study[J]. J Calif Dent Assoc, 2019, 47(1): 15-24.
17 American Academy of Pediatric Dentistry. Caries-risk assessment and management for infants, children, and adolescents[M]//American Academy of Pe-diatric Dentistry. The reference manual of pediatric dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry, 2021: 252-257.
18 Richards D. Best clinical practice guidance for ma-nagement of early caries lesions in children and young adults: an EAPD policy document[J]. Evid Based Dent, 2016, 17(2): 35-37.
19 Featherstone JDB, Crystal YO, Alston P, et al. Evidence-based caries management for all ages-practical guidelines[J]. Front Oral Health, 2021, 2: 657518.
20 foundation ICDAS. ICCMSTM guide for practitioners and educators[Z/OL]. [2022-04-14]. .
21 Scottish Dental Clinical Effectiveness Programme. Prevention and management of dental caries in children[Z/OL]. 2nd. [2022-04-01]. .
22 Ng MW, Fida Z. Dental hygienist-led chronic di-sease management system to control early childhood caries[J]. J Evid Based Dent Pract, 2016, 16(): 20-33.
23 中华口腔医学会儿童口腔医学专业委员会, 中华口腔医学会口腔预防医学专业委员会. 婴幼儿龋防治指南[J].中华口腔医学杂志, 2021, 56(9): 849-856.
Society of Pediatric Dentistry, Chinese Stomatological Association, Society of Preventive Dentistry, Chinese Stomatological Association. Guideline on caries prevention and clinical practice for children under three years of age[J]. Chin J Stomatol, 2021, 56(9): 849-856.
24 Arifa MK, Ephraim R, Rajamani T. Recent advan-ces in dental hard tissue remineralization: a review of literature[J]. Int J Clin Pediatr Dent, 2019, 12(2): 139-144.
25 U.S. Department of Health and Human Services Federal Panel on Community Water Fluoridation. U.S. public health service recommendation for fluoride concentration in drinking water for the prevention of dental caries[J]. Public Health Rep, 2015, 130(4): 318-331.
26 Tinanoff N, Baez RJ, Guillory CD, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: global perspective[J]. Int J Paediatr Dent, 2019, 29(3): 238-248.
27 Sanders TA. Diet and general health: dietary counselling[J]. Caries Res, 2004, 38(): 3-8.
28 Schiffner U. Trends in caries epidemiology in children[M]//Pit and fissure sealants. Cham: Springer International Publishing, 2018: 1-10.
29 国家统计局. 2021年居民收入和消费支出情况[EB/OL]. (2022-01-17)[2022-04-01]. .
National Bureau of Statistics. Household income and consumption expenditure in 2021[EB/OL]. (2022-01-17)[2022-04-01]. .
30 国家卫生健康委员会. 中国卫生健康统计年鉴(2020)[M]. 北京: 中国协和医科大学出版社, 2020.
National Health Commission. China health statistics yearbook (2020)[M]. Beijing: China Union Medical University Press, 2020.
31 American Dental Association. Supply of dentists in the U.S.: 2001-2021[EB/OL]. (2022-01)[2022-04-01]. .
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[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 458 -460 .
[8] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 452 -454 .
[9] . [J]. Inter J Stomatol, 2008, 35(S1): .
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