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龋病的发展受多种因素影响，患者的全身健康状况可影响患龋病的风险，主要表现为全身疾病的治疗可以改变口腔微生态环境，影响唾液腺功能和唾液成分，直接或间接破坏牙体组织结构，导致龋易感性增加。与全身疾病相关的龋病具有特殊的临床特征，其防治方法也有所不同。本文回顾和分析全身疾病治疗过程中龋病易感的原因和机制，系统介绍全身疾病治疗中的龋病防治和龋病管理的现代理念。“,”The development of dental caries is affected by various factors. Patient's general health status can affect the risk of caries. Some systemic diseases may improve caries incidence or cause dental caries by changing oral microenvironment, affecting salivary gland function and salivary composition, and destroying dental structure directly or indirectly. The clinical symptoms and signs of caries associated with systemic diseases are different from common caries and this type of caries has its special strategy of prevention and therapy. The present review article analyzes the causes and mechanisms of caries susceptibility in patients receiving systemic therapy and systematically introduce the modern concepts of caries prevention and management in systemic therapy.