Department of Operative and Preventive Dentistry, Charité - Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany.
Oral Health Sciences, Vrije Universiteit Brussel, Brussels, Belgium.
Clin Oral Investig. 2020 May;24(5):1869-1876. doi: 10.1007/s00784-020-03268-7. Epub 2020 Apr 17.
To assess how to control, detect, and treat secondary caries. This review serves to inform a joint ORCA/EFCD consensus process.
Systematic and non-systematic reviews were performed or consulted and narratively synthesized.
Secondary (or recurrent) caries is defined as a lesion associated with restorations or sealants. While the restorative material itself has some influence on secondary caries, further factors like the presence and size of restoration gaps, patients' caries risk, and the placing dentist's experience seem more relevant. Current detection methods for secondary caries are only sparsely validated and likely prone for the risk of over-detection. In many patients, it might be prudent to prioritize specific detection methods to avoid invasive overtreatment. Detected secondary caries can be managed either by repair of the defective part of the restoration or its complete replacement.
There is sparse data towards the nature of secondary caries and how to control, detect, and treat it.
Despite often claimed to be a major complication of restorations, there is surprisingly little data on secondary caries. Longer-term studies may be needed to identify differences in secondary caries risk between materials and to identify characteristic features of progressive lesions (i.e., those in need of treatment).
评估如何控制、检测和治疗继发龋。本综述旨在为 ORCA/EFCD 联合共识过程提供信息。
进行了系统和非系统评价，并进行了叙述性综合。
继发（或复发性）龋是指与修复体或密封剂相关的病变。虽然修复材料本身对继发龋有一定影响，但其他因素，如修复体间隙的存在和大小、患者的龋齿风险以及放置牙医的经验似乎更为相关。目前用于继发龋的检测方法仅得到了有限的验证，并且可能容易出现过度检测的风险。在许多患者中，优先考虑特定的检测方法以避免不必要的过度治疗可能是明智的。已检出的继发龋可以通过修复修复体有缺陷的部分或完全更换来进行处理。
关于继发龋的性质以及如何控制、检测和治疗继发龋的相关数据非常有限。可能需要进行更长期的研究，以确定材料之间继发龋风险的差异，并确定进行性病变（即需要治疗的病变）的特征。
尽管经常被认为是修复体的主要并发症之一，但实际上关于继发龋的数据却很少。可能需要进行更长期的研究，以确定材料之间继发龋风险的差异，并确定进行性病变（即需要治疗的病变）的特征。
