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: white">2017年9月20日是第二十九个“全国爱牙日”,主题是:口腔健康,全身健康。口腔健康是全身健康的重要组成部分,世界卫生组织将口腔健康列为人体健康的十大标准之一。口腔健康的标准是“牙齿清洁、无龋洞、无疼痛感、牙龈颜色正常、无出血现象”。

    口腔健康与全身健康密切相关。口腔中的感染和炎症因子可导致或加剧心脑血管病、糖尿病等慢性病,危害全身健康,影响生命质量。龋病和牙周病会破坏牙齿硬组织和牙齿周围支持组织,不仅影响咀嚼、言语、美观等功能外,还会造成社会交往困难和心理障碍。孕妇的口腔感染是早产和婴儿低出生体重的危险因素。

    一些全身疾病可能在口腔出现相应的表征。例如糖尿病患者的抗感染能力下降,常伴发牙周炎、拔牙伤口难以愈合,艾滋病患者早期会出现口腔病损,发生口腔念珠菌病等疾病。维护口腔健康是防控全身性疾病的重要手段,防治全身性疾病有利于促进口腔健康。口腔疾病与糖尿病、心脑血管疾病等慢性病存在着共同的危险因素,如吸烟、酗酒、不合理膳食、精神压力等。

口腔疾病可防可控可治。龋病和牙周病是细菌感染性疾病,牙菌斑的细菌及其产物是引发龋病和牙周病的始动因子,没有菌斑微生物就不会发生龋病和牙周病。防控口腔疾病需要个人口腔维护和专业维护相结合。

个人口腔维护包括有效刷牙、平衡膳食、合理使用氟化物、定期口腔检查等;专业口腔维护包括局部应用氟化物、窝沟封闭以及洁治(洗牙)等。有效刷牙能清除牙菌斑,是最主要的个人口腔维护方法。成人提倡用水平颤动拂刷法,刷牙要面面俱到,重点清除牙龈边缘和牙缝处的菌斑,每次刷牙时间至少2分钟。学龄儿童提倡使用旋转拂刷法,学龄前儿童提倡用圆弧法刷牙,在儿童还不能流利地书写阿拉伯数字(6-7岁)之前,家长可帮助儿童刷牙。龋病和牙周病可防可治,定期检查、及早防治是关键。早期的龋病通过使用氟化物等措施可控制龋病的进展甚至治愈。早期的牙龈炎通过洁治和有效刷牙可治愈。

    建议成年人每半年到一年进行一次口腔检查,儿童每三个月到半年进行一次口腔检查。

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