van Gemert-Schriks M C M, van Amerongen J P
Vakgroep Cariologie, Endodontologie en Pedodontologie van het Academisch Centrum Tandheelkunde Amsterdam.
Ned Tijdschr Tandheelkd. 2010 Mar;117(3):167-71. doi: 10.5177/ntvt2010.03.09174.
Within modern dentistry, a change from invasive to non-invasive strategies for the treatment of dental caries seems to be apparent. The foundation of non-invasive care is old, but is now interpreted differently as a result of new insights. Caries is a dynamic and multi-factorial process that takes place in the biofilm. There is a growing awareness that dental professionals are better off concentrating on controlling the causes of the disease than merely fighting the symptoms. The most important component seems to be the mechanical cleaning with a toothbrush and fluoride toothpaste. Operative care is only necessary when mechanical cleaning fails to control the caries and when the process proceeds into the dentin or when mechanical cleaning has become impossible due to cavitation. However, a suitable treatment strategy, which takes into consideration the dynamic nature of the caries process, can only be indicated when one has a clear picture of both the caries activity and the specific caries risk of the individual patient.
在现代牙科领域，从侵入性治疗策略向非侵入性治疗策略转变以治疗龋齿的趋势似乎很明显。非侵入性护理的基础由来已久，但由于新的见解，现在有了不同的解读。龋齿是发生在生物膜中的一个动态且多因素的过程。人们越来越意识到，牙科专业人员最好专注于控制疾病的病因，而不仅仅是对抗症状。最重要的组成部分似乎是用牙刷和含氟牙膏进行机械清洁。只有当机械清洁无法控制龋齿，且龋病进程发展到牙本质，或者由于形成空洞而无法进行机械清洁时，才需要进行手术治疗。然而，只有在清楚了解个体患者的龋病活动情况和特定龋病风险时，才能制定出考虑到龋病过程动态性质的合适治疗策略。
