Donly K J
Center for Clinical Studies, The University of Iowa, College of Dentistry, Iowa City.
Curr Opin Dent. 1991 Oct;1(5):551-5.
Dental materials for the restorative armamentarium in pediatric dental care continue to improve in esthetics and function. This review describes the application of some contemporary materials and concepts. Fluoride-releasing glass ionomers are appropriate for use as luting cements and as liners and bases. The glass ionomer cements have minimal solubility in oral fluids and possess the capability of inhibiting secondary caries. Amalgam and composite resin are effective for class II restorations, although amalgam placement is considerably less time consuming and less technique sensitive. Composite resins, particularly more highly filled resins, are appropriate for anterior restorative care. The use of ceramic glass inserts may provide strength and decrease restorative time for composite resin restorations in the future. When planning treatment for pediatric dental patients, each patient and restorative material to be used should be evaluated on an individual basis, in order to provide appropriate care within each material's limitations. Pediatric restorative dentistry involves the use of many materials. As materials improve in durability, strength, esthetics, and anticariogenic properties, the concepts of contemporary pediatric restorative dentistry change. Certainly, the traditional principles of restorative dentistry remain practical and significant in the practice of dentistry. Although these traditional concepts are extremely relevant, newer materials allow for modifications to be made during treatment planning in restorative dentistry. This review presents some newer materials and concepts and their applications in current pediatric restorative dentistry.
儿童牙科治疗中修复器械所用的牙科材料在美观性和功能性方面不断改进。本文综述了一些当代材料和概念的应用。含氟玻璃离子水门汀适合用作粘结水门汀、衬层和基底。玻璃离子水门汀在口腔液体中的溶解度极小，并且具有抑制继发龋的能力。银汞合金和复合树脂对Ⅱ类洞修复有效，尽管银汞合金的放置耗时少得多且对技术的敏感性较低。复合树脂，特别是填充度更高的树脂，适用于前牙修复治疗。陶瓷玻璃嵌体的使用未来可能会为复合树脂修复体提供强度并减少修复时间。在为儿童牙科患者制定治疗计划时，应根据个体情况对每位患者和所用的修复材料进行评估，以便在每种材料的局限性内提供适当的治疗。儿童修复牙科涉及多种材料的使用。随着材料在耐久性、强度、美观性和防龋性能方面的改进，当代儿童修复牙科的概念也在发生变化。当然，修复牙科的传统原则在牙科实践中仍然实用且重要。尽管这些传统概念极为相关，但新材料允许在修复牙科治疗计划期间进行调整。本文综述了一些新材料和概念及其在当前儿童修复牙科中的应用。
