Gruythuysen R J M, van Strijp A J P
Ned Tijdschr Tandheelkd. 2018 Jan;125(1):33-41. doi: 10.5177/ntvt.2018.01.16255.
Non-Restorative Cavity Treatment (NRCT) is not as popular in paediatric dentistry as it should be. Substantial quantitative and qualitative evidence concerning the treatment has now been published that testifies to the success of the treatment. Some healthcare providers apply the method successfully, while others have no trust in this non-invasive cavity treatment and continue to favour the restoration of carious lesions. Reasons given for this are, among others, that NRCT is too bothersome, the patient's (or the patient's parents') compliance is low and the reimbursement is inadequate. Children, however, benefit from oral healthcare providers who take the position that a child has a right to an etiological treatment that addresses the source of the caries process and that NRCT offers a uniquely viable treatment option for this purpose. This approach fits within the parameters established by professional ethics and the law. Apart from oral healthcare providers, all agencies involved in the profession and beyond have the moral and social obligation to do justice to the implied question of the child regarding this shift in oral healthcare.
非修复性龋洞治疗(NRCT)在儿童牙科中的应用并不像其应有的那样广泛。现在已经发表了大量关于该治疗方法的定量和定性证据,证明了该治疗的成功。一些医疗服务提供者成功地应用了该方法,而另一些人则对这种非侵入性龋洞治疗缺乏信心,仍然倾向于修复龋损。给出的原因包括,NRCT过于麻烦,患者(或患者父母)的依从性低以及报销不足。然而,儿童受益于那些认为儿童有权接受针对龋病过程源头进行病因治疗的口腔医疗服务提供者,并且NRCT为此提供了唯一可行的治疗选择。这种方法符合职业道德和法律规定的参数。除了口腔医疗服务提供者之外,该行业及其他相关的所有机构都有道德和社会义务公正地对待儿童在口腔医疗保健这一转变方面隐含的问题。