Download PDF
ZWR - Das Deutsche Zahnärzteblatt 2018; 127(03): 98-104
DOI: 10.1055/s-0044-102283
Fortbildung | Prävention
Georg Thieme Verlag KG Stuttgart · New York

Demografische Entwicklung und häusliche Zahnpflege

Frederic Meyer
,
Joachim Enax
Further Information

Publication History

Publication Date:
23 March 2018 (online)

Also available at
    Permissions and Reprints

In Deutschland ist ein genereller Trend in der Verbesserung der Mundgesundheit der Bevölkerung zu beobachten [1]. Dennoch gibt es vor dem Hintergrund einer alternden Gesellschaft neue Herausforderungen für die Zahnmedizin, insbesondere bei Parodontitis und Wurzelkaries. Ein häufig unterschätztes Problem ist Speichelmangel als Ursache für eine Karies [2]. Um dem entgegenzuwirken, sollte eine individuell abgestimmte häusliche Prophylaxe angestrebt werden [3].
 

  • Literatur

  • 1 Jordan AR, Micheelis W. Fünfte Deutsche Mundgesundheitsstudie (DMS V). Köln: Institut der Deutschen Zahnärzte; 2016
    Google Scholar
  • 2 Flink H. Studies on the prevalence of reduced salivary flow rate in relation to general health and dental caries, and effect of iron supplementation. Swed Dent J Suppl 2007; (192) 3-50
    PubMedGoogle Scholar
  • 3 Tachalov VV, Orekhova LY, Kudryavtseva TV. et al. Manifestations of personal characteristics in individual oral care. EPMA J 2016; 7: 8 doi:10.1186/s13167-016-0058-2
    CrossrefPubMedGoogle Scholar
  • 4 Ziller S, Eaton KE, Widstrom E. The healthcare system and the provision of oral healthcare in European Union member states. Part 1: Germany. Br Dent J 2015; 218: 239-244 doi:10.1038/sj.bdj.2015.95
    CrossrefPubMedGoogle Scholar
  • 5 Statistisches Bundesamt. Demografischer Wandel in Deutschland: Heft 1: Bevölkerungs- und Haushaltsentwicklung im Bund und in den Ländern (im Auftrag der Herausgebergemeinschaft). Wiesbaden: Statistisches Bundesamt; 2011
    Google Scholar
  • 6 Pötzsch O, Rößger F. Bevölkerung Deutschlands bis 2060 Ergebnisse der 13. koordinierten Bevölkerungsvorausberechnung. Wiesbaden: Statistisches Bundesamt; 2015
    Google Scholar
  • 7 Bignozzi I, Crea A, Capri D. et al. Root caries: a periodontal perspective. J Periodontal Res 2014; 49: 143-163 doi:10.1111/jre.12094
    CrossrefPubMedGoogle Scholar
  • 8 Gati D, Vieira AR. Elderly at greater risk for root caries: a look at the multifactorial risks with emphasis on genetics susceptibility. Int J Dent 2011; 2011: 6 doi:10.1155/2011/647168
    PubMedGoogle Scholar
  • 9 Epple M, Enax J. Moderne Zahnpflege aus chemischer Sicht. Chem Unserer Zeit 2018; [in press] DOI: 10.1002/ciuz.201800796.
    CrossrefPubMedGoogle Scholar
  • 10 Fejerskov O, Kidd E. Dental Caries: The Disease and its clinical Management. Oxford: Wiley; 2009
    Google Scholar
  • 11 Närhi TO, Meurman JH, Ainamo A. Xerostomia and hyposalivation: causes, consequences and treatment in the elderly. Drugs Aging 1999; 15: 103-116
    CrossrefPubMedGoogle Scholar
  • 12 Chi DL, Berg JH, Kim AS. et al. Correlates of root caries experience in middle-aged and older adults in the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry research network. J Am Dent Assoc 2013; 144: 507-516
    CrossrefPubMedGoogle Scholar
  • 13 Su N, Marek CL, Ching V. et al. Caries prevention for patients with dry mouth. J Can Dent Assoc 2011; 77: b85
    PubMedGoogle Scholar
  • 14 Knopf H, Grams D. [Medication use of adults in Germany: results of the German Health Interview and Examination Survey for Adults (DEGS1)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2013; 56: 868-877 doi:10.1007/s00103-013-1667-8
    CrossrefPubMedGoogle Scholar
  • 15 Sreebny LM, Schwartz SS. A reference guide to drugs and dry mouth – 2nd edition. Gerodontology 1997; 14: 33-47
    CrossrefPubMedGoogle Scholar
  • 16 Villa A, Connell CL, Abati S. Diagnosis and management of xerostomia and hyposalivation. Ther Clin Risk Manag 2015; 11: 45-51
    PubMedGoogle Scholar
  • 17 Nederfors T. Xerostomia and hyposalivation. Adv Dent Res 2000; 14: 48-56 doi:10.1177/08959374000140010701
    CrossrefPubMedGoogle Scholar
  • 18 Mortazavi H, Baharvand M, Movahhedian A. et al. Xerostomia due to systemic disease: a review of 20 conditions and mechanisms. Ann Med Health Sci Res 2014; 4: 503-510 doi:10.4103/2141-9248.139284
    CrossrefPubMedGoogle Scholar
  • 19 Barbe AG, Noack MJ. Medikamentenbedingte Mundtrockenheit bei Morbus Parkinson. Prophylaxe Impuls 2016; 3: 118-123
    PubMedGoogle Scholar
  • 20 Proctor GB, Carpenter GH. Salivary secretion: mechanism and neural regulation. Monogr Oral Sci 2014; 24: 14-29 doi:10.1159/000358781
    PubMedGoogle Scholar
  • 21 Scully C. Drug effects on salivary glands: dry mouth. Oral Dis 2003; 9: 165-176
    CrossrefPubMedGoogle Scholar
  • 22 Narhi TO, Meurman JH, Ainamo A. et al. Association between salivary flow rate and the use of systemic medication among 76-, 81-, and 86-year-old inhabitants in Helsinki, Finland. J Dent Res 1992; 71: 1875-1880 doi:10.1177/00220345920710120401
    CrossrefPubMedGoogle Scholar
  • 23 Papas A, Russell D, Singh M. et al. Caries clinical trial of a remineralising toothpaste in radiation patients. Gerodontology 2008; 25: 76-88
    CrossrefPubMedGoogle Scholar
  • 24 Najibfard K, Ramalingam K, Chedjieu I. et al. Remineralization of early caries by a nano-hydroxyapatite dentifrice. J Clin Dent 2011; 22: 139-143
    PubMedGoogle Scholar
  • 25 Su N, Marek CL, Ching V. et al. Caries prevention for patients with dry mouth. J Can Dent Assoc 2011; 77: b85
    PubMedGoogle Scholar
  • 26 de Almeida PdV, Gregio AM, Machado MA. et al. Saliva composition and functions: a comprehensive review. J Contemp Dent Pract 2008; 9: 72-80
    CrossrefPubMedGoogle Scholar
  • 27 Prasanthi B, Kannan N, Patil R. Effect of diuretics on salivary flow, composition and oral health status: a clinico-biochemical study. Ann Med Health Sci Res 2014; 4: 549-553 doi:10.4103/2141-9248.139311
    CrossrefPubMedGoogle Scholar
  • 28 OECD. Health at a Glance 2015: OECD Indicators. Paris: OECD Publishing; 2015
    Google Scholar
  • 29 Gusmão R, Quintão S, McDaid D. et al. Antidepressant utilization and suicide in Europe: an ecological multi-national study. PLoS One 2013; 8: e66455 doi:10.1371/journal.pone.0066455
    CrossrefPubMedGoogle Scholar
  • 30 Lassen C, Lindenberg N, Enax J. et al. Akzeptanztest eines kosmetischen Mundgels bei Patienten mit Mundtrockenheit. Posterbeitrag im Rahmen des Deutschen Schmerzkongresses 2017, 12.10.2017; Mannheim, Germany.
    PubMedGoogle Scholar
  • 31 Dowd F. Saliva and dental caries. Dent Clin North Am 1999; 43: 579-597
    PubMedGoogle Scholar
  • 32 Hay KD, Thomson WM. A clinical trial of the anticaries efficacy of casein derivatives complexed with calcium phosphate in patients with salivary gland dysfunction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 93: 271-275
    CrossrefPubMedGoogle Scholar
  • 33 Levin E. The beneficial effects of a supersaturated calcium phosphate rinse on the oralcavity in xerostomia patients. 2014 Im Internet: https://www.dentalacademyofce.com/courses/2615%252FPDF%252F1405cei_Levin_web.pdf Stand: 16.02.2018
    PubMedGoogle Scholar
  • 34 Vlacic J, Meyers IA, Walsh LJ. Combined CPP-ACP and photoactivated disinfection (PAD) therapy in arresting root surface caries: a case report. Br Dent J 2007; 203: 457-459 doi:10.1038/bdj.2007.947
    CrossrefPubMedGoogle Scholar
  • 35 Lussi A, Hellwig E, Klimek J. Fluorides – mode of action and recommendations for use. Schweiz Monatsschr Zahnmed 2012; 122: 1030-1042
    PubMedGoogle Scholar
  • 36 Srinivasan M, Schimmel M, Riesen M. et al. High-fluoride toothpaste: a multicenter randomized controlled trial in adults. Community Dent Oral Epidemiol 2014; 42: 333-340 doi:10.1111/cdoe.12090
    CrossrefPubMedGoogle Scholar
  • 37 Verordnung (EG) Nr. 1223/2009 des Europäischen Parlaments und des Rates vom 30. November 2009 über kosmetische Mittel; 2009.
    PubMedGoogle Scholar
  • 38 Marsh PD. Controlling the oral biofilm with antimicrobials. J Dent 2010; 38 (Suppl. 01) S11-S15
    CrossrefPubMedGoogle Scholar
  • 39 Marsh PD. Contemporary perspective on plaque control. Br Dent J 2012; 212: 601-606
    CrossrefPubMedGoogle Scholar
  • 40 Pinna R, Campus G, Cumbo E. et al. Xerostomia induced by radiotherapy: an overview of the physiopathology, clinical evidence, and management of the oral damage. Ther Clin Risk Manag 2015; 11: 171-188 doi:10.2147/TCRM.S70652
    CrossrefPubMedGoogle Scholar
  • 41 Dupuy AK, David MS, Li L. et al. Redefining the human oral mycobiome with improved practices in amplicon-based taxonomy: discovery of Malassezia as a prominent commensal. PLoS One 2014; 9: e90899 doi:10.1371/journal.pone.0090899
    CrossrefPubMedGoogle Scholar
  • 42 Kensche A, Holder C, Basche S. et al. Efficacy of a mouthrinse based on hydroxyapatite to reduce initial bacterial colonisation in situ. Arch Oral Biol 2017; 80: 18-26 doi:10.1016/j.archoralbio.2017.03.013
    CrossrefPubMedGoogle Scholar
  • 43 Harks I, Jockel-Schneider Y, Schlagenhauf U. et al. Impact of the daily use of a microcrystal hydroxyapatite dentifrice on de novo plaque formation and clinical/microbiological parameters of periodontal health. A randomized trial. PLoS One 2016; 11: e0160142
    CrossrefPubMedGoogle Scholar
  • 44 Adams SE, Arnold D, Murphy B. et al. A randomised clinical study to determine the effect of a toothpaste containing enzymes and proteins on plaque oral microbiome ecology. Sci Rep 2017; 7: 43344 doi:10.1038/srep43344
    CrossrefPubMedGoogle Scholar
  • 45 Barbe AG, Schmidt-Park Y, Hamacher S. et al. Efficacy of GUM® Hydral versus Biotène® Oralbalance mouthwashes plus gels on symptoms of medication-induced xerostomia: a randomized, double-blind, crossover study. Clin Oral Investig 2018; 22: 169-180
    CrossrefPubMedGoogle Scholar
  • 46 Rantanen I, Tenovuo J, Pienihakkinen K. et al. Effects of a betaine-containing toothpaste on subjective symptoms of dry mouth: a randomized clinical trial. J Contemp Dent Pract 2003; 4: 11-23
    PubMedGoogle Scholar
  • 47 Meyer-Lueckel H, Schulte-Monting J, Kielbassa AM. The effect of commercially available saliva substitutes on predemineralized bovine dentin in vitro. Oral Dis 2002; 8: 192-198
    CrossrefPubMedGoogle Scholar
  • 48 Gavião MBD, Bilt AVd. Salivary secretion and chewing: stimulatory effects from artificial and natural foods. J Appl Oral Sci 2004; 12: 159-163
    CrossrefPubMedGoogle Scholar
  • 49 Froehlich DA, Pangborn RM, Whitaker JR. The effect of oral stimulation on human parotid salivary flow rate and alpha-amylase secretion. Physiol Behav 1987; 41: 209-217
    CrossrefPubMedGoogle Scholar
  • 50 Hay KD, Morton RP. The efficacy of casein phosphoprotein-calcium phosphate complex (DC-CP) [Dentacal] as a mouth moistener in patients with severe xerostomia. N Z Dent J 2003; 99: 46-48
    PubMedGoogle Scholar
  • 51 Davies AN, Thompson J. Parasympathomimetic drugs for the treatment of salivary gland dysfunction due to radiotherapy. Cochrane Database Syst Rev 2015; (10) CD003782 DOI: 10.1002/14651858.CD003782.pub3.
    CrossrefPubMedGoogle Scholar
  • 52 Spivakovsky S, Spivakovsky Y. Parasympathomimetic drugs for dry mouth due to radiotherapy. Evid Based Dent 2016; 17: 79 doi:10.1038/sj.ebd.6401185
    CrossrefPubMedGoogle Scholar
  • 53 Marques MRC, Loebenberg R, Almukainzi M. Simulated biological fluids with possible application in dissolution testing. Dissolution Technol 2011; 18: 15-28
    PubMedGoogle Scholar
  • 54 Herlofson BB, Barkvoll P. The effect of two toothpaste detergents on the frequency of recurrent aphthous ulcers. Acta Odontol Scand 1996; 54: 150-153
    CrossrefPubMedGoogle Scholar
  • 55 Imfeld T, Sener B. In-vitro-Untersuchung der mechanischen Wirkung von Whitening-Zahnpasten des Schweizer Marktes. Acta Med Dent Helv 1999; 4: 195-200
    PubMedGoogle Scholar
  • 56 van Loveren C. Toothpastes. Basel: Karger; 2013
    Google Scholar
  • 57 Besinis A, van Noort R, Martin N. Remineralization potential of fully demineralized dentin infiltrated with silica and hydroxyapatite nanoparticles. Dent Mater 2014; 30: 249-262 doi:10.1016/j.dental.2013.11.014
    CrossrefPubMedGoogle Scholar
  • 58 Tschoppe P, Zandim DL, Martus P. et al. Enamel and dentine remineralization by nano-hydroxyapatite toothpastes. J Dent 2011; 39: 430-437
    CrossrefPubMedGoogle Scholar