Baghdadi Ziad D
Department of Pediatric Dentistry at Damascus University School of Dentistry, Syria.
Am J Dent. 2002 Feb;15(1):54-65.
This review is a systematic assessment, from the literature, of the status quo of dental amalgam, resin-based composite and glass-ionomer restorations for carious lesions as it applies to new concepts, coupled with clinical research. Scientifically based and practical new materials and techniques are recommended to include in contemporary practice throughout the world. Clinical and laboratory studies which have been carried out in light of modern conservative principles, and in light of the current emphasis of treating dental caries as a disease process were reviewed and discussed. An approach to managing carious lesions based upon selected advantages of dental amalgam, resin-based composite and glass-ionomer technology applied to what is termed "preservation-based" approaches to restoring teeth has been synthesized. Researched evidence contradicts the notion of "extension for prevention" in favor of maintaining sound tooth structure which would translate into more patients with healthy dentitions for entire lifetimes.
本综述是基于文献对用于龋损的银汞合金、树脂基复合材料和玻璃离子修复体的现状进行的系统评估，涉及新概念以及临床研究。推荐采用基于科学且实用的新材料和技术，将其纳入全球当代临床实践。对依据现代保守原则以及当前将龋病视为一种疾病过程的重点所开展的临床和实验室研究进行了综述与讨论。综合了基于银汞合金、树脂基复合材料和玻璃离子技术的选定优势，应用于所谓“基于保存”方法修复牙齿来处理龋损的一种方法。研究证据反驳了“预防性扩展”的观念，并支持保留健康的牙体结构，这意味着会有更多患者终身拥有健康牙列情况。
