Featherstone John D B
Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, USA.
Pediatr Dent. 2006 Mar-Apr;28(2):128-32; discussion 192-8.
The science behind caries prevention and reversal is well understood. A recent clinical trial has confirmed that reducing caries risk results in a reduction in dental decay. Dental caries progression or reversal depends upon the balance between demineralization and remineralization and can be visualized for clinical purposes as the "caries balance." This balance is determined by the relative weights of the sums of pathological factors and protective factors. A structured caries risk assessment should be carried out based upon the concept of the caries balance. Following the risk assessment, a treatment plan is devised which leads to the control of dental caries for the patient. The balance between pathological and preventive factors can be swung in the direction of caries intervention and prevention by the active role of the dentist and his/her auxiliary staff.
龋齿预防与逆转背后的科学原理已为人熟知。最近的一项临床试验证实，降低龋齿风险会减少牙齿龋坏。龋齿的进展或逆转取决于脱矿与再矿化之间的平衡，从临床角度来看，这种平衡可视为“龋齿平衡”。这种平衡由病理因素总和与保护因素总和的相对权重决定。应基于龋齿平衡的概念进行结构化的龋齿风险评估。在风险评估之后，制定治疗计划，以帮助患者控制龋齿。通过牙医及其辅助人员的积极作用，病理因素与预防因素之间的平衡可以朝着龋齿干预与预防的方向转变。
