学龄前儿童全口龋齿手术治疗.docVIP

学龄前儿童全口龋齿手术治疗 美国——在西雅图儿童医院儿童牙科中心的外科侧楼里，两岁半的Devon Koester上个月在他母亲的怀中静止不动，麻醉师用泡泡糖香味的面罩遮住他的面部，将其麻醉。医生随后拍摄X-线片，显示20颗乳牙中有11颗已经龋坏。然后，他的儿童牙医拔出两颗切牙，在1颗磨牙上进行根管治疗，其他牙齿进行充填治疗和冠修复。 在5年前的一项研究中，疾病控制和预防中心注意到患有龋齿的学龄前儿童增长数字在40年里列于首位。但是美国牙医表示他们看到各个收入水平的学龄前儿童患有6-10颗或更多龋齿的数量都有所增加。他们还表示，龋坏水平十分严重，以至于他们经常会建议使用全身麻醉，因为儿童不可能在清醒时坐下来接受如此大范围的治疗。 Preschoolers in Surgery for a Mouthful of Cavities SEATTLE — In the surgical wing of the Center for Pediatric Dentistry at Seattle Children’s Hospital, Devon Koester, 2 ? years old, was resting last month in his mother’s arms as an anesthesiologist held a bubble-gum-scented mask over his face to put him under. The doctors then took X-rays, which showed that 11 of his 20 baby teeth had cavities. Then his pediatric dentist extracted two incisors, performed a root canal on a molar, and gave the rest fillings and crowns. Devon’s mother, Melody Koester, a homemaker from Stanwood, Wash., and her husband, Matthew, an information technology manager, said they began worrying about brushing Devon’s teeth only after Mrs. Koester noticed they were discolored when he was 18 months old. “I had a lot on my mind, and brushing his teeth was an extra thing I didn’t think about at night,” she said. The number of preschoolers requiring extensive dental work suggests that many other parents make the same mistake. The Centers for Disease Control and Prevention noted an increase, the first in 40 years, in the number of preschoolers with cavities in a study five years ago. But dentists nationwide say they are seeing more preschoolers at all income levels with 6 to 10 cavities or more. The level of decay, they added, is so severe that they often recommend using general anesthesia because young children are unlikely to sit through such extensive procedures while they are awake. There is no central clearinghouse for data on the number of young children undergoing general anesthesia to treat multiple cavities, but interviews with 20 dentists and others in the field of dental surger