Hayes Martina, Blum Igor R, da Mata Cristiane
Senior Lecturer in Restorative Dentistry, University College Cork.
Reader in Primary Dental Care and Advanced General Dental Practice & Director of Dental Outreach Training, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK; Consultant in Restorative Dentistry & Head of Primary Dental Care, King's College Hospital, London, UK.
Prim Dent J. 2020 Sep;9(3):18-22. doi: 10.1177/2050168420943075.
The prevalence of caries is set to increase in the coming years as a result of a growing ageing population and a concomitant reduction in levels of edentulousness. Evidence for management of caries in older adults is scarce compared to that for the child population, however, similar principles of risk assessment, prevention and minimal intervention should be applied by dental health professionals. Early identification of high-risk older adults facilitates the implementation of risk reduction strategies, such as topical fluoride regimes. When operative intervention cannot be avoided, Atraumatic Restorative Technique (ART) may allow for conservative cavity preparation and has the advantage of being suitable for the domiciliary setting.
由于人口老龄化加剧以及无牙颌水平相应下降，未来几年龋齿患病率将呈上升趋势。与儿童群体相比，关于老年人龋齿管理的证据较少，然而，牙科保健专业人员应采用类似的风险评估、预防和微创干预原则。早期识别高危老年人有助于实施降低风险策略，如局部用氟方案。当无法避免手术干预时，非创伤性修复治疗（ART）可能允许进行保守的窝洞预备，并且具有适用于家庭环境的优势。
