State Key Laboratory of Oral Diseases & Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, National Clinical Research Centre for Oral Diseases, Sichuan University, Chengdu, China.
The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China.
Int J Oral Sci. 2022 Mar 31;14(1):17. doi: 10.1038/s41368-022-00167-3.
Dental Caries is a kind of chronic oral disease that greatly threaten human being's health. Though dentists and researchers struggled for decades to combat this oral disease, the incidence and prevalence of dental caries remain quite high. Therefore, improving the disease management is a key issue for the whole population and life cycle management of dental caries. So clinical difficulty assessment system of caries prevention and management is established based on dental caries diagnosis and classification. Dentists should perform oral examination and establish dental records at each visit. When treatment plan is made on the base of caries risk assessment and carious lesion activity, we need to work out patient‑centered and personalized treatment planning to regain oral microecological balance, to control caries progression and to restore the structure and function of the carious teeth. And the follow-up visits are made based on personalized caries management. This expert consensus mainly discusses caries risk assessment, caries treatment difficulty assessment and dental caries treatment plan, which are the most important parts of caries management in the whole life cycle.
龋齿是一种严重威胁人类健康的慢性口腔疾病。尽管牙医和研究人员几十年来一直在努力防治这种口腔疾病，但龋齿的发病率和患病率仍然相当高。因此，改善疾病管理是全人群和龋齿生命周期管理的关键问题。因此，基于龋齿的诊断和分类，建立了龋齿预防和管理的临床难度评估体系。牙医应在每次就诊时进行口腔检查并建立牙齿记录。在基于龋齿风险评估和龋齿病变活性制定治疗计划时，我们需要制定以患者为中心和个性化的治疗计划，以恢复口腔微生态平衡，控制龋齿进展，并恢复龋齿牙齿的结构和功能。并根据个性化的龋齿管理进行随访。本专家共识主要讨论了龋齿风险评估、龋齿治疗难度评估和龋齿治疗计划，这是整个生命周期中龋齿管理最重要的部分。
