School of Dentistry, The University of Queensland, Brisbane, Australia.
Aust Dent J. 2013 Jun;58 Suppl 1:3-16. doi: 10.1111/adj.12045.
Minimum intervention dentistry (MID) is the modern medical approach to the management of caries, utilizing caries risk assessment, and focusing on the early prevention and interception of disease. Moving the focus away from the restoration of teeth allows the dentist to achieve maximum intervention, with minimal invasive treatments. The four core principles of MID can be considered to be: (1) Recognition - early identification and assessment of potential caries risk factors through lifestyle analysis, saliva testing and using plaque diagnostic tests; (2) Reduction - to eliminate or minimize caries risk factors by altering diet and lifestyle habits and increasing the pH of the oral environment; (3) Regeneration - to arrest and reverse incipient lesions, using appropriate topical agents including fluorides and casein phosphopeptides-amorphous calcium phosphates (CPP-ACP); (4) Repair - when cavitation is present and surgical intervention is required, conservative caries removal is carried out to maximize the repair potential of the tooth and retain tooth structure. Bioactive materials are used to restore the tooth and promote internal healing of the dentine. Effective implementation of MID involves integrating each of these four elements into patient assessment and treatment planning. This review paper discusses the key principles of MID as a philosophy of patient care, and the practical objectives which flow into individual patient care.
微创牙科（MID）是一种现代医学方法，用于管理龋齿，利用龋齿风险评估，并专注于早期预防和疾病干预。将重点从牙齿修复转移开，使牙医能够进行最大限度的干预，采用最小的侵入性治疗。MID 的四个核心原则可以被认为是：（1）识别-通过生活方式分析、唾液检测和使用菌斑诊断检测，早期识别和评估潜在的龋齿危险因素；（2）减少-通过改变饮食和生活习惯以及增加口腔环境的 pH 值，消除或最小化龋齿危险因素；（3）再生-使用适当的局部治疗剂，包括氟化物和酪蛋白磷酸肽-无定形磷酸钙（CPP-ACP），来阻止和逆转初期病变；（4）修复-当出现空洞且需要手术干预时，进行保守性龋齿去除，以最大限度地发挥牙齿的修复潜力并保留牙齿结构。生物活性材料用于修复牙齿并促进牙本质的内部愈合。有效实施 MID 需要将这四个要素整合到患者评估和治疗计划中。本文综述了 MID 作为一种患者护理理念的关键原则，以及转化为个体患者护理的实际目标。
