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小儿患者管理中的微创牙科治疗

Minimal intervention dentistry in the management of the paediatric patient.

作者信息

Leal S C

机构信息

Department of Dentistry, Faculty of Health Sciences, University of Brasília, Campus Darcy Ribeiro, Asa Norte, Barsília - DF, Brazil.

出版信息

Br Dent J. 2014 Jun 13;216(11):623-7. doi: 10.1038/sj.bdj.2014.449.

Abstract

Minimal intervention dentistry (MID) is a philosophy of care that aims to conserve tooth tissues throughout a persons' life. This paper aims to review the literature on topics that are related to MID approaches for the management of dental caries and that can be applicable to the paediatric patient. Tools for caries diagnosis and early lesion detection are presented and discussed. More conservative and less invasive techniques for managing enamel and dentine carious lesions in primary and permanent teeth are compared to the traditional treatments. The traditional treatments are centred on the disease and on restoring its sequels, and have been shown to be insufficiently effective in controlling caries disease over time. In contrast, the MID philosophy has created potentially very suitable options for treating children that are considered more child-friendly, less anxiety provoking, preserve more tooth tissues and are equally good as the traditional treatments.

摘要

微创牙科(MID)是一种护理理念,旨在在人的一生中保护牙齿组织。本文旨在综述与MID治疗龋齿方法相关且适用于儿科患者的文献。介绍并讨论了龋齿诊断和早期病变检测工具。将用于治疗乳牙和恒牙釉质及牙本质龋损的更保守、侵入性更小的技术与传统治疗方法进行了比较。传统治疗方法以疾病为中心并修复其后果,但随着时间的推移,已证明在控制龋病方面效果不佳。相比之下,MID理念为治疗儿童创造了潜在的非常合适的选择,这些选择被认为对儿童更友好、引发的焦虑更少、保留更多牙齿组织,并且与传统治疗方法同样有效。

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