基于慢性疾病管理理念的重度低龄儿童龋管理方法

重度低龄儿童龋是威胁中国儿童口腔健康的主要疾病。目前中国龋病治疗的主要手段是充填修复，对重度低龄儿童龋患者，充填修复具有患儿难配合、新发龋多、经济及医疗负担重等局限之处。随着对龋病病因学和疾病过程的深入理解，学界提出了基于慢性疾病管理思路的龋病管理模式，通过对致龋因子和保护因子的干预来改善口腔环境，由单纯的去除龋坏组织转向控制龋病的疾病进程，由此来改善龋病的治疗效果。本文以龋病的慢性疾病管理方法及国外本专业学术组织发布的指南进行回顾综述，为中国重度低龄儿童龋防治提供参考。

Severe early childhood caries management based on chronic disease management

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.