Anusavice K
University of Florida College of Dentistry, Gainesville 32610-0446, USA.
J Dent Educ. 2001 Oct;65(10):1143-6.
Optimal conservative treatment decisions to prevent, arrest, and reverse tooth demineralization caused by caries require probability estimates on caries risk and treatment outcomes. This review is focused on the use of the best scientific evidence to recommend treatment strategies for management of coronal caries in permanent teeth as a function of caries risk. Evidence suggests that assigning therapeutic regimens to individuals according to their risk levels should yield a significantly greater probability of success and better cost effectiveness than applying identical treatments to all patients independent of risk. Depending on caries risk levels, treatment decisions based on risk can minimize unnecessary surgical intervention by incorporating the best evidence to prescribe treatment regimens for the use of fluoride-releasing agents, sealants, chlorhexidine, or combinations of these products.
预防、阻止和逆转龋齿导致的牙齿脱矿的最佳保守治疗决策需要对龋齿风险和治疗结果进行概率估计。本综述聚焦于运用最佳科学证据，根据龋齿风险推荐恒牙冠龋管理的治疗策略。有证据表明，根据个体风险水平分配治疗方案，相较于对所有患者不分风险地应用相同治疗，成功概率显著更高且成本效益更佳。根据龋齿风险水平，基于风险的治疗决策可通过纳入最佳证据来为使用释氟剂、窝沟封闭剂、氯己定或这些产品的组合制定治疗方案，从而将不必要的手术干预降至最低。
