儿童牙医经典教学：林家成：儿童龋病170316英文简版.pptxVIP

Dental Caries Lin jiacheng Pediatric Dentistry of Guanghua School of Stomatology 2017.3.16 Do dental caries in the child need to be treated? Dentist: Yes No Parents: Yes No Epidemiology and mechanismsThe prevalence of caries is 66% with Mean dmft 3.5 in 5 years old children in 2005Begin from 1 years old ,reach the peak at 7~8 years oldData regarding the prevalence of caries in the primary dentition have not been systematically collected on populationsMore recent surveys, A trend toward caries reduction：different incidence in city and countrysideA higher prevalence in economically disadvantaged groupsThe pattern of distribution for caries formation in primary teeth varies greatly according to the patients’ age, the surface anatomy of the tooth and dental arch morphology.In primary dentitionIn the primary dentition, the occlusal surface is the most susceptible to carious attack at age 3~4With the eruption of the permanent first molars at age 6, the incidence of proximal caries greatly increasesThe order of susceptibility of the primary teeth to carious attack is as followsMaxillary primary incisor Mandibular primary molar Maxillary primary molar、 Maxillary primary canine Mandibular primary anterior teethThe distribution of carious sites in young permanent teeth is affected by the same conditions that affect the primary teethThe order of susceptibility of young permanent teeth to carious attack is as followsFirst molarSecond molar PremolarsMaxillary anterior teethCanines and mandibular incisorsThe characteristics of the dental caries in the primary teethThe prevalence of caries in children is high and the early age of onset just only 6 months oldMultiple teeth and different areas often be involved Rapid progress and often induce pulpitis and periapical periodontitis in short timeThe subjective symptom of the children is not so obviouslyReparative dentin often be seenThe susceptible factors of the dental caries in the primary teethThe anatomical charact