König K G
Medical Faculty, University of Nijmegen, The Netherlands.
Int Dent J. 1990 Oct;40(5):283-8.
In the elderly, but increasingly also in middle-aged patients, root lesions are a major problem in everyday practice. Formerly, the cause of these root destructions was usually caries attack due to a failure of patients to practise adequate oral hygiene measures. However, with increasing dental motivation and health consciousness, patients--for example in the USA, Scandinavian countries and Switzerland--cause such lesions by vigorous, badly controlled brushing, often in combination with the consumption of 'healthy' vegetarian, erosive diets. The former problem of carious root destruction due to neglect thus seems to be gradually being replaced by the problem that self-care is not yet thoroughly understood, is exaggerated and is technically inadequate. Faulty brushing may result in severe damage to those gingival sites that require attention cariologically as well as periodontologically. To exploit all possibilities of (secondary) preventive management of patients, careful investigation and analysis of the clinical signs is required to identify the aetiology of the lesions in each case. Fortunately, therapeutic management of root lesions, regardless of their aetiology, is facilitated by modern restorative techniques and materials.
在老年人中，但如今在中年患者中也越来越常见的是，牙根病变在日常临床实践中是一个主要问题。以前，这些牙根破坏的原因通常是患者未能采取足够的口腔卫生措施而导致的龋齿侵袭。然而，随着患者对牙齿保健的积极性和健康意识的提高，例如在美国、斯堪的纳维亚国家和瑞士，患者由于用力过猛、控制不当的刷牙方式，往往还伴随着食用“健康”的素食、易致牙侵蚀的饮食，从而导致了此类病变。因此，以往因忽视导致的龋齿性牙根破坏问题，似乎正逐渐被自我护理尚未被充分理解、过度且技术上不足的问题所取代。错误的刷牙方式可能会对那些在龋病学和牙周病学上都需要关注的牙龈部位造成严重损害。为了充分利用对患者（二级）预防管理的所有可能性，需要仔细调查和分析临床症状，以确定每种情况下病变的病因。幸运的是，现代修复技术和材料有助于牙根病变的治疗管理，无论其病因如何。
