資源描述：
《學(xué)齡前兒童全口齲齒的手術(shù)治療》由會員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、學(xué)齡前兒童全口齬齒的手術(shù)治療美國——在西雅圖兒童醫(yī)院兒童牙科中心的外科側(cè)樓里，兩歲半的DevonKoester±個(gè)月在他母親的懷中靜止不動(dòng)，麻醉師用泡泡糖香味的面罩遮住他的面部，將其麻醉。醫(yī)生隨后拍攝X-線片，顯示20顆乳牙中有11顆已經(jīng)舗壞。然后，他的兒童牙醫(yī)拔出兩顆切牙，在1顆磨牙上進(jìn)行根管治療，其他牙齒進(jìn)行充填治療和冠修復(fù)。在5年前的一項(xiàng)研究中，疾病控制和預(yù)防屮心注意到患有翻齒的學(xué)齡前兒童增長數(shù)字在40年里列于首位。但是美國牙醫(yī)表示他們看到各個(gè)收入水平的學(xué)齡前兒童患有6-10顆或更多鏑齒的數(shù)量都有所增加。他們還表示，藕壞水平十分嚴(yán)匝，以至于他們經(jīng)常會建議使用全身麻醉，因?yàn)閮和?/p>
2、可能在清醒時(shí)坐下來接受如此人范圍的治療。PreschoolersinSurgeryforaMouthfulofCavitiesSEATTLE一TnthesurgicalwingoftheCenterforPediatricDentistryatSeattleChildren,sHospital,DevonKoester,2?yearsold,wasrestinglastmonthinhismother?sarmsasananesthesiologistheldabubble-gum—seentedmaskoverhisfacetoputhimunder?Thedoctorsthent
3、ookX-rays,whichshowedthat11ofhis20babyteethhadcavities?Thenhispediatricdentistextractedtwoincisors,performedarootcanalonamolar,andgavetherestfillingsandcrowns.Devon'smother,MelodyKoester,ahomemakerfromStanwood,Wash?，andherhusband,Matthew,aninfomiationtechnologymanager,saidtheybeganworryingabout
4、brushingDevon'steethonlyafterMrs?Koesternoticedtheywerediscoloredwhenhewas18monthsold?“Ihadalotonmymind,andbrushinghisteethwasanextrathingIdidn'tthinkaboutatnight,”shesaid.Thenumberofpreschoolersrequiringextensivedentalworksuggeststhatmanyotherparentsmakethesamemistake?TheCentersforDiseaseContr
5、olandPreventionnotedanincrease,thefirstin40years,inthenumberofpreschoolerswithcavitiesinastudyfiveyearsago.Butdentistsnationwidesaytheyareseeingmorepreschoolersatallincomelevelswith6to10cavitiesormore?Thelevelofdecay,theyadded,issoseverethattheyoftenrecommendusinggeneralanesthesiabecauseyoungch
6、ildrenareunlikelytositthroughsuchextensiveprocedureswhiletheyareawake?Thereisnocentralclearinghousefordataonthenumberofyoungchildrenundergoinggeneralanesthesiatotreatmultiplecavities,butinterviewswith20dentistsandothersinthefieldofdentalsurgerysuggestthattheproblemiswidespread."Wehavehadahugein
7、creaseinkidsgoingtotheoperatingroom,”saidDr.JonathanShenkin,apediatricdentistinAugusta,Me.,andaspokesmanfortheAmericanDentalAssociation.“We'retreatingmorekidsmoreaggressivelyearlier?”Butsuchoperationsarelargelypreventable,hesaid.“
