保守手术管理策略。

Conservative operative management strategies.

作者信息

McComb Dorothy

机构信息

Restorative Dentistry, Faculty of Dentistry, University of Toronto, 124 Edward Street, Room 352C, Toronto, Ontario M5G 1G6, Canada.

出版信息

Dent Clin North Am. 2005 Oct;49(4):847-65, vii-viii. doi: 10.1016/j.cden.2005.05.006.

DOI:10.1016/j.cden.2005.05.006

PMID:16150320

Abstract

Operative conservatism, including delayed operative intervention, is recommended to promote tooth longevity. Effective conservative operative strategies for the permanent dentition are the occlusal preventive resin and the proximal only restoration. Conservative strategies for the primary dentition have proves less successful. Conventional and conservative restorations are vulnerable to caries recurrence, material failure, and technical deficiencies. Successful conservatism demands discerning diagnostic decisions, effective disease management, and technical excellence. The diagnostic accuracy of radiographs and visual criteria is briefly reviewed for proximal and occlusal caries. Improved visual ranking criteria are supported for occlusal caries diagnosis. The use of dyes for occlusal diagnosis is not recommended.

摘要

为了延长牙齿寿命，建议采取手术保守治疗，包括延迟手术干预。恒牙列有效的保守手术策略是咬合面预防性树脂修复和仅近端修复。乳牙列的保守策略已被证明不太成功。传统和保守修复容易出现龋齿复发、材料失效和技术缺陷。成功的保守治疗需要敏锐的诊断决策、有效的疾病管理和精湛的技术。本文简要回顾了用于近端和咬合面龋齿的X线片和视觉标准的诊断准确性。支持采用改进的视觉分级标准进行咬合面龋齿诊断。不建议使用染料进行咬合面诊断。