老年人根面龋的预防

doi:10.13701/j.cnki.kqyxyj.2019.03.010

摘要/Abstract

摘要： 世界人口老龄化加剧,随着经济的发展和医疗水平的进步,老年人保留了越来越多的天然牙齿。但这些牙齿常因牙周疾病、机械损伤、手术治疗或这些因素的综合作用,导致牙龈退缩、牙根暴露,再加上老年人自身的特点,唾液量减少、慢性疾病以及无法保持较好的口腔卫生等原因,在与口腔直接接触的牙根面上极易形成菌斑生物膜,继而进展为根面龋病。根面龋现在已成为危害老年人口腔健康的常见病及多发病,对老年人的身体和心理健康都造成较大影响,同时也是导致老年人天然牙齿脱落或拔除的最为常见的原因之一。如何进行根面龋的防治已经成为老年口腔疾病防治的重中之重,国内外的很多学者对此进行了多方面的研究报道。但是鉴于根面龋常发生在牙龈边缘,视野受限,隔湿困难,靠近牙髓,以及牙本质的有机物含量高粘结不牢等原因,根面龋的治疗是一项临床难题。因此,对于老年人根面龋应以预防为主,本文就老年人根面龋的预防方法做一综述。

关键词: 老年人, 根面龋, 病因, 预防

Abstract: The population of the world is aging. With the development of the economy and the continuous improvement of medical standards, a greater proportion of older people are retaining increasing numbers of natural teeth. This dental longevity is accompanied by an increased frequency of exposed root surfaces as a result of periodontal diseases, mechanical injury, surgical treatment, or a combination of these factors, which, combined with some situations common to ageing, such as reduced salivary flow due to diseases or drugs and the inability to perform adequate oral hygiene, leading to biofilm accumulation on tooth surfaces, enhance the risk of root caries occurrence .Root Caries is a common and frequently-occurring disease in the elderly. The occurrence of root caries has an obvious impact on the elderly health and is one of the most reasons of tooth loss in the elderly. The prevention and treatment to root caries is an important part of the oral heal care in the elderly, and substantial research related to it has been conducted. But restorative management of root caries is a challenge in view of the proximity to the gingival margin, difficulties of visibility, moisture control, proximity of the pulp, and the high organic content of the dentine. So, for the root caries in the elderly, the most important thing is prevention. This study aims to provide a review on the prevention of root caries in the elderly.

Key words: Elderly, Root caries, EtiologyvPrevention

王新, 杜毅. 老年人根面龋的预防[J]. 口腔医学研究, 2019, 35(3): 234-237.

WANG Xin, DU Yi. A Review on Research of Caries Prevention in the Elderly[J]. Journal of Oral Science Research, 2019, 35(3): 234-237.

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