Xu X, Zhou X D
Department of Operative and Endodontics, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Chengdu 610041, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2021 Jan 9;56(1):3-9. doi: 10.3760/cma.j.cn112144-20201102-00548.
Dental caries is a chronic infectious disease that occurs in the tooth hard tissues. Increasing evidence has also indicated a close involvement of dental caries in the onset and development of systemic diseases. In recent years along with the advances in high throughput-omics technologies, disease animal models, multicenter clinical studies, as well as the research and development in novel dental materials, digital and minimal invasive clinical techniques, robust progress have been made in the field of etiology, pathogenesis, diagnosis, prevention and treatment of dental caries. More importantly, the strategy of whole life cycle management of caries has promoted the combinatory management of dental caries and other systemic chronic diseases, and it has also shed light on the age-based management and risk-control-oriented personalized treatment of caries. In the future, more efforts should be warranted to further the basic research and accelerate its clinical application, so as to advance the early diagnosis, comprehensive prevention and functional-aesthetic treatment with minimal invasive intervention of carious teeth, and ultimately to promote the population-based whole lifecycle management of caries.
龋齿是一种发生在牙齿硬组织的慢性感染性疾病。越来越多的证据还表明,龋齿与全身性疾病的发生和发展密切相关。近年来,随着高通量组学技术、疾病动物模型、多中心临床研究的进展,以及新型牙科材料、数字化和微创临床技术的研发,龋齿的病因、发病机制、诊断、预防和治疗领域取得了显著进展。更重要的是,龋齿全生命周期管理策略推动了龋齿与其他全身性慢性病的联合管理,也为基于年龄的龋齿管理和以风险控制为导向的个性化治疗提供了思路。未来,应进一步加大基础研究力度并加速其临床应用,以推进龋齿的早期诊断、综合预防以及对患牙进行微创干预的功能美学治疗,最终促进基于人群的龋齿全生命周期管理。