Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia.
Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
Aust Dent J. 2018 Mar;63(1):34-54. doi: 10.1111/adj.12550. Epub 2017 Oct 17.
The aim of this literature review is to explore the treatment methods for root caries in laboratory and clinical research in the last decade. A systematic search of publications in PubMed and Web of Science databases was performed. The timespan was limited to the last 10 years and English language. Further retrieval was conducted using the search terms of specific therapies or treatments. Eighty-two articles were included in this systematic review and full texts were retrieved. Types of studies included laboratory studies and clinical trials. Therapeutic approaches for root caries without risk of pulp exposure can be categorized into non-invasive and restorative treatment. Non-invasive treatments which targeted different causative factors of root caries have been developed in the last decade. Accordingly, several artificial caries model systems have been proposed for the study of root caries in the laboratory. Carious tissue excavation techniques and restorative materials and procedures have been modified to improve the prognosis of invasive treatment. It is of importance to determine the most appropriate therapy for root caries and further clinical trials are needed to draw firm conclusions concerning the efficacy and consistency of the various treatment methods proposed.
本文旨在探讨过去十年中实验室和临床研究中针对根面龋的治疗方法。我们在 PubMed 和 Web of Science 数据库中进行了系统性检索,时间限定为过去十年,语言为英语。然后使用特定疗法或治疗的检索词进行了进一步检索。本系统评价共纳入 82 篇文章,并检索到全文。研究类型包括实验室研究和临床试验。针对无牙髓暴露风险的根面龋的治疗方法可分为非侵入性和修复性治疗。过去十年中,针对根面龋的不同致病因素,已开发出多种非侵入性治疗方法。相应地,为了在实验室中研究根面龋,已经提出了几种人工龋模型系统。为了改善侵袭性治疗的预后,牙体组织的挖除技术以及修复材料和程序已被修改。确定最适合的根面龋治疗方法非常重要,需要进一步的临床试验来确定所提出的各种治疗方法的疗效和一致性。