Baelum V
Department of Community Oral Health and Pediatric Dentistry, School of Dentistry, Faculty of Health Sciences, University of Aarhus, Aarhus C, Denmark.
J Oral Rehabil. 2008 Feb;35(2):135-51. doi: 10.1111/j.1365-2842.2007.01784.x. Epub 2007 Sep 12.
Caries-related clinical decision-making remains a centrepiece of clinical dentistry. However, the oral disease patterns are rapidly changing towards the better among major sections of the populations, most notably in the high-income countries. The caries decline is well documented among children and younger adults, and is gradually seen to trickle into middle and old age as well. Although it is tempting for the dental profession to take the credit for this development, the evidence points in a different direction. The major contribution of dentistry seems primarily related to changes in the treatment philosophies towards a less interventionist approach. This review aims to spur a further change in the diagnostic and treatment criteria used in the management of dental caries for the benefit of the oral health status of our patients. We must come to terms with the fact that our traditional core skills, our manual dexterity and technical competence, have less to offer to oral health than we have been accustomed to think. The dental schools and the professional dental organizations must carry the responsibility for promoting the necessary changes in the caries related clinical decision-making strategies to allow practicing dentists to provide appropriate oral health care to our populations.
与龋齿相关的临床决策仍然是临床牙科的核心。然而，在大多数人群中，尤其是高收入国家，口腔疾病模式正迅速向好的方向转变。龋齿发病率下降在儿童和年轻人中已有充分记录，并且逐渐在中年人和老年人中也有所体现。尽管牙科行业很想将这一发展归功于自身，但证据指向了不同的方向。牙科的主要贡献似乎主要与治疗理念向较少干预方法的转变有关。本综述旨在推动在龋齿管理中使用的诊断和治疗标准发生进一步变化，以利于我们患者的口腔健康状况。我们必须认识到，我们传统的核心技能，即手部灵巧性和技术能力，对口腔健康的贡献比我们习惯认为的要少。牙科学校和专业牙科组织必须承担起责任，推动与龋齿相关的临床决策策略的必要变革，以使执业牙医能够为我们的人群提供适当的口腔保健。
