Fontana Margherita
Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, 1011 North University, Room 2393, Ann Arbor, MI 48109, USA.
Dent Clin North Am. 2019 Oct;63(4):695-703. doi: 10.1016/j.cden.2019.06.001. Epub 2019 Jul 18.
The objective of this article is to review evidence-based strategies available for the nonrestorative management of caries lesions, both cavitated and noncavitated. The goal is to help clinicians make appropriate decisions regarding nonrestorative management of caries lesions. In addition, in the decision-making process, clinicians must consider thresholds for restorative and nonrestorative care and strategies for nonrestorative management that are supported by best available evidence. It is important that this information be considered taking into account a provider's clinical expertise and a patient's treatment needs and preferences, in order to maintain health and preserve tooth structure.
本文的目的是回顾针对龋损(包括已形成龋洞的和未形成龋洞的)进行非修复性治疗的循证策略。目标是帮助临床医生就龋损的非修复性治疗做出恰当决策。此外,在决策过程中,临床医生必须考虑修复性治疗和非修复性治疗的阈值以及有最佳现有证据支持的非修复性治疗策略。重要的是,在考虑这些信息时要兼顾医疗服务提供者的临床专业知识以及患者的治疗需求和偏好,以维护健康并保留牙齿结构。