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Problematik der frühkindlichen Karies

Problematics of early childhood caries

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Zusammenfassung

Inzidenz und Bedeutung

Die frühkindliche Karies nahm in den letzten 30 Jahren weltweit zu. Wegen ihrer großen Verbreitung und ihres raschen Verlaufs, der zur völligen Zerstörung des Milchgebisses führen kann, entwickelte sie sich zu einer Herausforderung für den Zahnarzt und den öffentlichen Gesundheitsdienst. Die Anzahl der Kinder, die in Intubationsnarkose saniert werden müssen, zeigte eine Zunahme, und das Alter der Betroffenen sank deutlich. Obwohl die frühkindliche Karies in allen Sozialschichten vorkommt, sind Kleinkinder, in deren Familien risikoorientierte Verhaltensweisen gelebt werden, besonders gefährdet, zu erkranken.

Ursachen und Früherkennung

Das multifaktorielle Bedingungsgefüge der frühkindlichen Karies wird anhand der Ergebnisse einer 5-Länder-Studie dargestellt. Kinderärzte sind insbesondere bei der Früherkennung des Krankheitsbildes von entscheidender Bedeutung.

Abstract

Incidence and importance

The incidence of early childhood caries has increased worldwide over the past 30 years. Due to the wide range and fast progression, which can lead to complete destruction of the primary dentition it has become a challenge to dentists and public health systems. The number of children who have to be treated under general anesthesia has increased and the age of those affected has decreased. Although early childhood caries is present at all levels of society small children from families who practice risk-oriented habits are especially endangered.

Causes and early detection

The aim of this study was to demonstrate the multifactorial causal relationship of early childhood caries by means of the results of a study from five countries and to alert pediatricians to the early diagnosis of this clinical disorder.

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Authors and Affiliations

  1. Biologisches Forschungslabor, Zentrum für Zahn-, Mund- und Kieferheilkunde, Universitätsklinikum Jena, Bachstraße 18, 07740, Jena, Deutschland

    S. Kneist, M. Wagner & A. Borutta

  2. Poliklinik für Zahnerhaltungskunde, Universitätsmedizin Mainz, Mainz, Deutschland

    A. Callaway

Authors
  1. S. Kneist
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  2. M. Wagner
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  3. A. Callaway
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  4. A. Borutta
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Correspondence to S. Kneist.

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Kneist, S., Wagner, M., Callaway, A. et al. Problematik der frühkindlichen Karies. Monatsschr Kinderheilkd 161, 510–517 (2013). https://doi.org/10.1007/s00112-012-2835-x

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