Abstract：
In contrast with the last century, caries epidemiology has begun integrating enamel caries into determinations of caries prevalence and experience. The objective of the present systematic review and meta-analysis was to assess the caries status including estimations of enamel caries, of European adolescents.
Four databases (Medline Ovid, Embase, CINAHL, and SweMed+) were systematically searched from 1 January 2000 through 20 September 2021 for peer-reviewed publications on caries prevalence and caries experience in 12-19-year-olds; that also included evaluations of enamel lesions. Summary estimates were calculated using random effect model.
Overall, 30 publications were selected for the systematic review covering 25 observational studies. Not all studies could be used in the meta-analyses. Caries prevalence was 77% (n = 22 studies). Highest prevalence was reported in the age groups 16-19 years, and in studies where caries examinations were done before 2010. The overall mean DMFT score was 5.93 (n = 14 studies) and it was significantly lower among Scandinavian adolescents than among other European adolescents (4.43 vs. 8.89). The proportion of enamel caries (n = 7 studies) was 50%, and highest in the lowest age group (12-15 years). Results from the present systematic review reflected the caries distribution to be skewed at individual-, tooth- and surface levels; at tooth and surface level, also changed according to age.
Although studies in which the caries examinations had been done in 2010 or later documented a reduction in caries prevalence, caries during adolescence still constitutes a burden. Thus, the potential for preventing development of more severe caries lesions, as seen in the substantial volume of enamel caries during early adolescence, should be fully exploited. For this to happen, enamel caries should be a part of epidemiological reporting in national registers.
Four databases (Medline Ovid, Embase, CINAHL, and SweMed+) were systematically searched from 1 January 2000 through 20 September 2021 for peer-reviewed publications on caries prevalence and caries experience in 12-19-year-olds; that also included evaluations of enamel lesions. Summary estimates were calculated using random effect model.
Overall, 30 publications were selected for the systematic review covering 25 observational studies. Not all studies could be used in the meta-analyses. Caries prevalence was 77% (n = 22 studies). Highest prevalence was reported in the age groups 16-19 years, and in studies where caries examinations were done before 2010. The overall mean DMFT score was 5.93 (n = 14 studies) and it was significantly lower among Scandinavian adolescents than among other European adolescents (4.43 vs. 8.89). The proportion of enamel caries (n = 7 studies) was 50%, and highest in the lowest age group (12-15 years). Results from the present systematic review reflected the caries distribution to be skewed at individual-, tooth- and surface levels; at tooth and surface level, also changed according to age.
Although studies in which the caries examinations had been done in 2010 or later documented a reduction in caries prevalence, caries during adolescence still constitutes a burden. Thus, the potential for preventing development of more severe caries lesions, as seen in the substantial volume of enamel caries during early adolescence, should be fully exploited. For this to happen, enamel caries should be a part of epidemiological reporting in national registers.
摘要：
背景：与上个世纪相比，龋齿流行病学已经开始将釉质龋齿纳入龋齿患病率和经验的确定中。本系统评价和荟萃分析的目的是评估龋齿状态，包括对釉质龋齿的估计，欧洲青少年。
方法：四个数据库(MedlineOvid，Embase,CINAHL,和SweMed）从2000年1月1日至2021年9月20日进行了系统搜索，以获取有关12-19岁儿童龋齿患病率和龋齿经验的同行评审出版物；其中还包括对牙釉质病变的评估。使用随机效应模型计算汇总估计值。
结果：总体而言，选择了30篇出版物进行系统评价，涵盖25项观察性研究。并非所有研究都可以用于荟萃分析。龋齿患病率为77%（n=22项研究）。据报道，16-19岁年龄组的患病率最高，在2010年之前进行龋齿检查的研究中。总体平均DMFT评分为5.93（n=14项研究），斯堪的纳维亚青少年明显低于其他欧洲青少年（4.43vs.8.89).牙釉质龋齿的比例（n=7项研究）为50％，最低年龄组（12-15岁）最高。本系统评价的结果反映了龋齿分布在个体上的偏斜，牙齿和表面水平；在牙齿和表面水平，也根据年龄而变化。
结论：尽管在2010年或之后进行了龋齿检查的研究表明龋齿患病率降低，青春期的龋齿仍然是一种负担。因此，预防更严重龋齿病变发展的潜力，从青春期早期大量的釉质龋齿中可以看出，应该充分利用。为了发生这种情况，牙釉质龋齿应成为国家登记册中流行病学报告的一部分。
方法：四个数据库(MedlineOvid，Embase,CINAHL,和SweMed）从2000年1月1日至2021年9月20日进行了系统搜索，以获取有关12-19岁儿童龋齿患病率和龋齿经验的同行评审出版物；其中还包括对牙釉质病变的评估。使用随机效应模型计算汇总估计值。
结果：总体而言，选择了30篇出版物进行系统评价，涵盖25项观察性研究。并非所有研究都可以用于荟萃分析。龋齿患病率为77%（n=22项研究）。据报道，16-19岁年龄组的患病率最高，在2010年之前进行龋齿检查的研究中。总体平均DMFT评分为5.93（n=14项研究），斯堪的纳维亚青少年明显低于其他欧洲青少年（4.43vs.8.89).牙釉质龋齿的比例（n=7项研究）为50％，最低年龄组（12-15岁）最高。本系统评价的结果反映了龋齿分布在个体上的偏斜，牙齿和表面水平；在牙齿和表面水平，也根据年龄而变化。
结论：尽管在2010年或之后进行了龋齿检查的研究表明龋齿患病率降低，青春期的龋齿仍然是一种负担。因此，预防更严重龋齿病变发展的潜力，从青春期早期大量的釉质龋齿中可以看出，应该充分利用。为了发生这种情况，牙釉质龋齿应成为国家登记册中流行病学报告的一部分。
