Centre of Oral, Clinical & Translational Science, Faculty of Dentistry, Oral and Craniofacial Research, King's College London, London, UK.
Clinical Lecturer in Paediatric Dentistry, Centre of Oral, Clinical and Translational Research, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK; Adjunct Professor in Paediatric Dentistry, Federal University of Rio de Janeiro, Brazil.
Br Dent J. 2020 Oct;229(7):459-465. doi: 10.1038/s41415-020-2154-x. Epub 2020 Oct 9.
This paper aims to update the reader on how minimally invasive (MI) techniques may be used to improve the longevity of carious or defective/compromised first permanent molars (cFPMs) in young children. Clinical and radiographic diagnosis and the prognostic factors will be discussed in view of recent studies showing that these teeth can be kept in function and have an improved prognosis as the child gets older. Clinical protocols for their care, based on the latest evidence and techniques for MI restorations, together with longevity information of possible restorative options, are described. This paper also explores the rationale behind enforced extractions and related morbidity, in order to help oral healthcare practitioners to determine the optimal management of these key elements in the dentition for the benefit of the patients.
本文旨在向读者介绍微创技术如何用于提高儿童早期龋坏或有缺陷/受损的第一恒磨牙（cFPMs）的寿命。根据最近的研究显示，这些牙齿可以保持功能，并随着孩子年龄的增长而改善预后，因此将讨论临床和放射学诊断以及预后因素。本文还探讨了强制拔牙及其相关发病率背后的基本原理，以帮助口腔保健从业者确定这些牙齿关键要素的最佳管理方法，从而使患者受益。本文还描述了基于 MI 修复最新证据和技术的临床护理方案，以及可能的修复选择的长寿信息。
