Kidd Edwina, Fejerskov Ole
King's College, London, UK.
Dent Update. 2013 May;40(4):277-8, 280-2, 285-6. doi: 10.12968/denu.2013.40.4.277.
The caries lesion is a sign or symptom resulting from numerous pH fluctuations in biofilms on teeth. The lesion may or may not progress and lesion progression can be controlled, slowed down or arrested. Control of the biofilm is the treatment of caries, the most important measure being to disturb the biofilm mechanically using a fluoride-containing toothpaste. The informed patient controls caries and the role of the dental professional is to advise how this should be done. This is the non-operative treatment of caries and it is worthy of payment. It should be mandatory as part of any operative treatment to ensure that the patient understands, and is able to perform, adequate plaque control.
It is very unfortunate that the current remuneration scheme (Unit of Dental Activity) in Health Service practice in England and Wales prevents practitioners adopting a modern biological approach to caries control.
龋损是牙齿生物膜中大量pH值波动导致的一种体征或症状。该病损可能进展，也可能不进展，病损进展可以得到控制、减缓或停止。控制生物膜是治疗龋齿的方法，最重要的措施是使用含氟牙膏机械性地干扰生物膜。有知识的患者可以控制龋齿，牙科专业人员的作用是告知如何做到这一点。这就是龋齿的非手术治疗，值得付费。作为任何手术治疗的一部分，应强制要求患者了解并能够进行充分的菌斑控制。
非常不幸的是，英格兰和威尔士卫生服务实践中的现行薪酬方案（牙科活动单位）阻碍了从业者采用现代生物学方法控制龋齿。
