Huang Yuyao, Song Bingqing, Zhou Xuedong, Chen Hui, Wang Haohao, Cheng Lei
State Key Laboratory of Oral Diseases, West China School of Stomatology, National Clinical Research Center for Oral Diseases, Sichuan University, Chengdu 610064, China.
Department of Cariology and Endodontics, West China School of Stomatology, Sichuan University, Chengdu 610041, China.
Polymers (Basel). 2021 Mar 8;13(5):828. doi: 10.3390/polym13050828.
The incidence of dental caries, especially root caries, has risen in elderly populations in recent years. Specialized restorative materials are needed due to the specific site of root caries and the age-related changes in general and oral health in the elderly. Unfortunately, the restorative materials commonly used clinically cannot fully meet the requirements in this population. Specifically, the antibacterial, adhesive, remineralization, mechanical, and anti-aging properties of the materials need to be significantly improved for dental caries in the elderly. This review mainly discusses the strengths and weaknesses of currently available materials, including amalgam, glass ionomer cement, and light-cured composite resin, for root caries. It also reviews the studies on novel anti-caries materials divided into three groups, antimicrobial, remineralization, and self-healing materials, and explores their potential in the clinical use for caries in the elderly. Therefore, specific restorative materials for caries in the elderly, especially for root caries, need to be further developed and applied in clinical practice.
近年来，老年人龋齿尤其是根面龋的发病率有所上升。由于根面龋的特定部位以及老年人整体和口腔健康方面与年龄相关的变化，需要专门的修复材料。不幸的是，临床上常用的修复材料不能完全满足该人群的需求。具体而言，对于老年人龋齿，材料的抗菌、粘结、再矿化、机械和抗老化性能需要显著提高。本综述主要讨论了目前可用材料（包括汞合金、玻璃离子水门汀和光固化复合树脂）用于根面龋的优缺点。还综述了分为抗菌、再矿化和自修复材料三组的新型防龋材料的研究，并探讨了它们在老年人龋齿临床应用中的潜力。因此，需要进一步开发针对老年人龋齿尤其是根面龋的特定修复材料并应用于临床实践。
