Teich Sorin T, Aizenbud Dror, Gutmacher Zvi
Case Western Reserve University, School of Dental Medicine, 10900 Euclid Avenue, Cleveland, OH 44106, USA.
Alpha Omegan. 2011 Fall-Winter;104(3-4):68-72.
In the past, the approach for treating caries was mainly symptomatic and involved removal of caries, teeth restoration, oral hygiene instructions, and fluoride applications in cases that presented with significant disease. As the bacterial component of the disease was revealed, questions emerged concerning the significance of each strain present and intervention in the process of caries development. This article reviews the evidence that supports the implementation of the current caries risk assessment and management protocol (CAMBRA). It details the current risk factors, techniques and devices for assessing them and, interventions that should be considered in order to address the risk. The paper defines specific guidelines for managing risks related to caries. Intervention should be customized according to the risk determined for each specific patient.
过去，治疗龋齿的方法主要是对症治疗，包括去除龋齿、牙齿修复、口腔卫生指导以及在病情严重的情况下应用氟化物。随着该疾病细菌成分的揭示，出现了关于每种存在的菌株的意义以及在龋齿发展过程中进行干预的问题。本文回顾了支持实施当前龋齿风险评估与管理方案（CAMBRA）的证据。它详细介绍了当前的风险因素、评估这些因素的技术和设备，以及为应对风险应考虑的干预措施。本文定义了管理与龋齿相关风险的具体指南。干预应根据为每个特定患者确定的风险进行定制。
