Basting R T, Serra M C
Department of Restorative Dentistry, School of Dentistry, University of Campinas-UNICAMP, Piracicaba, São Paulo, Brazil.
Quintessence Int. 1999 Mar;30(3):174-8.
The diagnosis of occlusal caries and the initiation of more effective treatment present a considerable challenge. Caries not only has decreased in prevalence, but also has changed in pattern and in progression because of the increased use of fluorides. Correct diagnosis is crucial, distinguishing lesions that can be arrested by noninvasive treatment from those that may justify restorative treatment. For incipient lesions, it is necessary to improve the patient's home care preventive methods, to apply fluoride or other prophylactic agents, or even to seal fissures, preserving the maximum amount of sound tooth structure. This article discusses the diagnosis of occlusal caries and noninvasive treatments for the management of early caries.
咬合面龋的诊断以及开展更有效的治疗面临着相当大的挑战。由于氟化物使用的增加，龋齿不仅患病率有所下降，而且在模式和进展方面也发生了变化。正确的诊断至关重要，要区分哪些病变可以通过非侵入性治疗得到控制，哪些病变可能需要进行修复治疗。对于早期病变，有必要改善患者的家庭护理预防方法，应用氟化物或其他预防剂，甚至进行窝沟封闭，以保留最大量的健康牙体组织。本文讨论了咬合面龋的诊断以及早期龋齿管理的非侵入性治疗方法。
