Rao Arathi, Malhotra Neeraj
Department of Pedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Manipal University, Mangalore, India.
Compend Contin Educ Dent. 2011 Jul-Aug;32(6):26-33; quiz 34, 36.
Minimal intervention is a key phrase in today's dental practice. Minimal intervention dentistry (MID) focuses on the least invasive treatment options possible in order to minimize tissue loss and patient discomfort. Concentrating mainly on prevention and early intervention of caries, MID's first basic principle is the remineralization of early carious lesions, advocating a biological or therapeutic approach rather than the traditional surgical approach for early surface lesions. One of the key elements of a biological approach is the usage and application of remineralizing agents to tooth structure (enamel and dentin lesions). These agents are part of a new era of dentistry aimed at controlling the demineralization/ remineralization cycle, depending upon the microenvironment around the tooth. This article details the various agents that enhance and/or promote remineralization and discusses their clinical implications.
微创是当今牙科实践中的一个关键术语。微创牙科(MID)专注于尽可能采用侵入性最小的治疗方案,以尽量减少组织损失和患者不适。MID主要集中于龋齿的预防和早期干预,其首要基本原则是早期龋损的再矿化,提倡采用生物学或治疗方法而非传统手术方法来处理早期表层龋损。生物学方法的关键要素之一是将再矿化剂应用于牙齿结构(釉质和牙本质龋损)。这些药剂是牙科新时代的一部分,旨在根据牙齿周围的微环境控制脱矿/再矿化循环。本文详细介绍了各种增强和/或促进再矿化的药剂,并讨论了它们的临床意义。