Doméjean S, Banerjee A, Featherstone J D B
Université Clermont Auvergne, UFR d'Odontologie, CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France.
Chair/Head of Department, Conservative &MI Dentistry, King's College London Dental Institute at Guy's Hospital, King's Health Partners, London, UK.
Br Dent J. 2017 Aug 11;223(3):191-197. doi: 10.1038/sj.bdj.2017.665.
This narrative review describes the intimate connection between minimum intervention (MI) oral healthcare and caries risk/susceptibility assessment (CRA). Indeed CRA is the corner stone of an MI care plan, allowing the determination of the appropriate interventions (non-invasive as well as invasive [restorative]) and recall consultation strategies. Various CRA protocols/models have been developed to assist the oral healthcare practitioner/team in a logical systematic approach to synthesising information about a disease that has a multifactorial aetiology. Despite the criticisms toward the lack of clear-cut validation of the proposed protocols/models, CRA still has great potential to enhance patient care by allowing the oral healthcare practitioner/team and the patient to understand the specific reasons for their caries activity and to tailor their care plans and recall intervals accordingly.
这篇叙述性综述描述了最小干预(MI)口腔保健与龋病风险/易感性评估(CRA)之间的密切联系。事实上,CRA是MI护理计划的基石,它能确定适当的干预措施(非侵入性以及侵入性[修复性])和复诊咨询策略。已经开发了各种CRA方案/模型,以帮助口腔保健从业者/团队以逻辑系统的方式综合有关一种具有多因素病因的疾病的信息。尽管有人批评所提出的方案/模型缺乏明确的验证,但CRA仍然具有很大的潜力,通过让口腔保健从业者/团队和患者了解其龋病活动的具体原因,并相应地调整护理计划和复诊间隔,来提高患者护理水平。