《Clinical Oral Investigations》杂志刊登“社区水氟化与龋齿预防：一篇评论综述”

作  者：Giuseppe Pizzo, Maria R. Piscopo, Ignazio Pizzo, Giovanna Giuliana

刊  物：《Clinical Oral Investigations》，2007年，11卷第3期，189-193页

关键词：水氟化；全身用氟；龋齿预防；氟中毒；局部用氟；口腔健康

摘  要：本文目的是评论综述目前社区水氟化在预防龋齿上的作用。通过医学文献检索数据库收集从2001年1月到2006年6月发表的英文原始文献和综述。文中其他文献取自检索到文献所引用的参考文献。在过去的50年里，社区饮用水氟化已经被认为是预防；的里程碑，并且还作为20世纪一个主要的公共卫生措施。然而，现在我们认为氟化物基本防龋作用发生在牙齿萌出以后。更重要的是在过去几十年里随着局部用氟的普遍采用，饮用水氟化防龋的作用已明显降低，而在含氟地区氟斑牙被报道为一个新兴的问题。多项在含氟区域和非含氟区域的研究表明，通过这种方式来运输氟预防龋齿是不必要的。特别是在工业化的国家，龋齿水平已经很低。尽管对贫困和弱势群体来说，饮用水氟化仍然是一项公共卫生措施，但是应对发达和发展中国家的人群提供一个适宜机会采用局部用氟防龋。

Community water fluoridation and caries prevention: a critical review

Authors: Giuseppe Pizzo, Maria R. Piscopo, Ignazio Pizzo, Giovanna Giuliana

Journal: Clinical Oral Investigations, Volume 11, Number 3 (2007), 189-193

Key words: Water fluoridation; Systemic fluoride; Caries prevention; Fluorosis; Topical fluoride; Oral health

Abstract: The aim of this paper was to critically review the current role of community water fluoridation in preventing dental caries. Original articles and reviews published in English language from January 2001 to June 2006 were selected through MEDLINE database. Other sources were taken from the references of the selected papers. For the past 50 years community water fluoridation has been considered the milestone of caries prevention and as one of the major public health measures of the 20th century. However, it is now accepted that the primary cariostatic action of fluoride occurs after tooth eruption. Moreover, the caries reduction directly attributable to water fluoridation have declined in the last decades as the use of topical fluoride had become more widespread, whereas enamel fluorosis has been reported as an emerging problem in fluoridated areas. Several studies conducted in fluoridated and nonfluoridated communities suggested that this method of delivering fluoride may be unnecessary for caries prevention, particularly in the industrialized countries where the caries level has become low. Although water fluoridation may still be a relevant public health measure in poor and disadvantaged populations, the use of topical fluoride offers an optimal opportunity to prevent caries among people living in both industrialized and developing countries.

原文链接：http://link.springer.com/article/10.1007/s00784-007-0111-6