Monographs in Oral Science最新文献_第10页

Evidence-Based Deep Carious Lesion Management: From Concept to Application in Everyday Clinical Practice. 基于证据的深部龋齿治疗:从概念到日常临床应用。

Monographs in Oral Science Pub Date : 2018-01-01 Epub Date: 2018-05-24 DOI: 10.1159/000487840

Sophie Doméjean, Brigitte Grosgogeat

引用次数: 4

Atraumatic Restorative Treatment: Restorative Component. 非创伤性修复治疗:修复成分。

Monographs in Oral Science Pub Date : 2018-01-01 Epub Date: 2018-05-24 DOI: 10.1159/000487836

Soraya Leal, Clarissa Bonifacio, Daniela Raggio, Jo Frencken

引用次数: 17

No Removal and Inactivation of Carious Tissue: Non-Restorative Cavity Control. 无清除和失活的龋齿组织:非恢复性的龋齿控制。

Monographs in Oral Science Pub Date : 2018-01-01 Epub Date: 2018-05-24 DOI: 10.1159/000487839

Guus van Strijp, Cor van Loveren

{"title":"No Removal and Inactivation of Carious Tissue: Non-Restorative Cavity Control.","authors":"Guus van Strijp, Cor van Loveren","doi":"10.1159/000487839","DOIUrl":"https://doi.org/10.1159/000487839","url":null,"abstract":"Non-restorative cavity control (NRCC) is a 3-part treatment option for dentine cavities in the primary dentition, for root carious lesions and cavitated coronal smooth surface lesions. The first part is that the patient's oral hygiene procedure/habits improve and involve the exposed dentine. For this, it may be necessary to expose the cavity (second part) so that it is accessible for the toothbrush (the lesion exposure method). As long as the dentine carious lesion is diagnosed as active or there is increased risk that carious lesion activity will recur, it is advisable to support the treatment with a 38% silver diamine fluoride (SDF) or a 5% sodium fluoride (NaF) varnish therapy (third part). NRCC has advantages over traditional restorative therapy as it avoids the stress and fear initiation that often results from invasive restorative therapy. It avoids a futile or detrimental repeat restorative cycle when cavity outlines have to be designed in caries active areas and it increases awareness of people's own responsibility for oral health and the quality of the oral hygiene procedure. NRCC has been advocated, particularly in primary dentitions, for patients or parents/carers who are able to accept responsibility for the disease and commit to remedial action including diet modification and regular, frequent toothbrushing with a fluoride toothpaste. It should not be used when immediate invasive action is required such as in the case of pain, infection, or sepsis, or where there is no readiness to change behaviours that have led to the development of the disease in the first place. Professionals who choose NRCC commit themselves to being critical regarding their educational qualities and to commence a cycle of quality improvement.","PeriodicalId":35771,"journal":{"name":"Monographs in Oral Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000487839","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36125472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Sealing Carious Tissue Using Resin and Glass-Ionomer Cements. 用树脂和玻璃离子胶合剂封堵龋齿组织。

Monographs in Oral Science Pub Date : 2018-01-01 Epub Date: 2018-05-24 DOI: 10.1159/000487837

Margherita Fontana, Nicola Innes

{"title":"Sealing Carious Tissue Using Resin and Glass-Ionomer Cements.","authors":"Margherita Fontana, Nicola Innes","doi":"10.1159/000487837","DOIUrl":"https://doi.org/10.1159/000487837","url":null,"abstract":"One of the most conservative ways to retain tooth structure, preserve pulpal health, and avoid invasive treatment is to simply completely seal established carious lesions. A tight seal to isolate the biofilm and arrest the lesion can be successfully achieved using a sealant material such as resin or glass-ionomer for non-cavitated lesions, a restorative material for cavitated lesions, or, for primary teeth, preformed stainless-steel crowns. This chapter focuses on sealants and restorative materials. Sealant materials are a viable treatment option for controlling non-cavitated lesions in occlusal and proximal surfaces where there is no significant breach in the surface integrity of the tooth, even if the lesion extends into dentine. Resin infiltration can also be used to manage proximal non-cavitated lesions. Even when the exact depth of lesion that can be sealed has not been established, evidence supports sealing shallow and moderate deep lesions into dentine. For cavitated lesions, sealing lesions without carious tissue removal might be an option when removal of tooth tissue is not required to provide a hard periphery around the lesion/cavity margin (to enhance bonding or to increase cavity depth for enough restorative material to be placed to last). There is little evidence for placing a restorative material over cavitated carious lesions without tissue removal or preparation. However, where there is a significant breach in the surface integrity of the tooth but there is still enough sound tooth tissue to provide bonding for an adhesive restoration, sealing in carious tissue might still be an option.","PeriodicalId":35771,"journal":{"name":"Monographs in Oral Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000487837","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36126727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Assessing the Risk of Developing Carious Lesions in Root Surfaces. 评估牙根表面发生龋病的风险。

Monographs in Oral Science Pub Date : 2017-01-01 Epub Date: 2017-10-19 DOI: 10.1159/000479343

Sophie Doméjean, Avijit Banerjee

引用次数: 4

Management of Cavitated Root Caries Lesions: Minimum Intervention and Alternatives. 空化根龋的治疗:最小干预和替代方法。

Monographs in Oral Science Pub Date : 2017-01-01 Epub Date: 2017-10-19 DOI: 10.1159/000479352

Michael F Burrow, Margaret A Stacey

{"title":"Management of Cavitated Root Caries Lesions: Minimum Intervention and Alternatives.","authors":"Michael F Burrow, Margaret A Stacey","doi":"10.1159/000479352","DOIUrl":"https://doi.org/10.1159/000479352","url":null,"abstract":"The prevalence of root caries among the elderly is increasing. The lesion shape can vary considerably from a broad shallow saucer-shape to a deeper defined cavity. The variety of shapes poses a series of complications when considering restorative management. This is accompanied with a paucity of clinical evidence on treatment techniques and clinical outcomes. The current philosophy centered on conservative management of root caries will most likely provide patients with the greatest chance of maintaining their teeth. When a lesion can be effectively cleaned in conjunction with a high fluoride content toothpaste and other remineralizing agents, this should be the treatment of choice. For lesions that are cavitated and cannot be effectively cleaned, the initial management should be to apply remineralizing agents for a period to \"harden\" lesion margins thus potentially reducing the prepared cavity and restoration size, as well as providing a better-defined tooth-restoration margin for finishing. Material selection is either a glass ionomer cement (conventional or resin-modified) or resin-based material. Frequently, the restoration site is easily contaminated; hence, glass ionomer cement is an ideal material. However, for saliva-deficient patients, resin composite or a combination of resin composite and resin-modified glass ionomer adhesive allows for a highly polished, easily cleansable restoration surface that may reduce the potential for further caries initiation. The current evidence base for the restoration of root caries is poor.","PeriodicalId":35771,"journal":{"name":"Monographs in Oral Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000479352","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35526709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Conventional Preventive Therapies (Fluoride) on Root Caries Lesions. 牙根龋的常规预防疗法(氟化物)

Monographs in Oral Science Pub Date : 2017-01-01 Epub Date: 2017-10-19 DOI: 10.1159/000479349

Ana Carolina Magalhães

{"title":"Conventional Preventive Therapies (Fluoride) on Root Caries Lesions.","authors":"Ana Carolina Magalhães","doi":"10.1159/000479349","DOIUrl":"https://doi.org/10.1159/000479349","url":null,"abstract":"Root caries lesions (RCLs) are highly prevalent in elderly and can negatively impact the quality of life. Therefore, preventive therapies should be applied to control or to arrest RCLs. This chapter will discuss the application of fluoride, a conventional preventive therapy, to control RCLs. Among the self-applied products, there is strong evidence that 5,000 ppm F toothpaste is more effective in arresting RCLs (by increasing hardness) and in preventing new lesions (PF of 51%) compared to 1,100-1,450 ppm F toothpastes, in 6-month clinical trials. With regard to professional fluoride applications, 5% NaF varnish (4 times/year) and 38% silver diamine fluoride solution (1 time/year) have been tested in clinical trials with a follow-up of 3 years. Five percent NaF varnish and 38% silver diamine fluoride have been shown to prevent the emergence of new RCLs in 64 and 71%, respectively. The professional fluoride application is often combined with the daily use of 5,000 ppm F toothpaste. However, there is a gap in the knowledge about the benefit (cost-effectiveness) and the optimal use of the combinations of fluoride products in the control of RCLs.","PeriodicalId":35771,"journal":{"name":"Monographs in Oral Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000479349","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35525716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Root Surface Biofilms and Caries. 根表面生物膜和龋齿。

Monographs in Oral Science Pub Date : 2017-01-01 Epub Date: 2017-10-19 DOI: 10.1159/000479304

Thuy Do, Nailê Damé-Teixeira, Monika Naginyte, Philip D Marsh

{"title":"Root Surface Biofilms and Caries.","authors":"Thuy Do, Nailê Damé-Teixeira, Monika Naginyte, Philip D Marsh","doi":"10.1159/000479304","DOIUrl":"https://doi.org/10.1159/000479304","url":null,"abstract":"Following gingival recession, which increases with age, the root surface becomes exposed, creating new environments for microbial colonization and biofilm formation. The formation of root surface biofilms is influenced by the availability and composition of saliva and gingival crevicular fluid; they provide components for the conditioning film (acquired root surface pellicle) and also act as a source of nutrients. The early bacterial colonizers of the root surface are similar to those found on the enamel, and Gram-positive species such as Streptococcus sanguinis, S. oralis, S. mitis, and Actinomyces species predominate. The root surface has a lower mineral and higher organic content than enamel, and so is more vulnerable to demineralization. The characterization of the microbiota associated with root surface lesions is still ongoing. Traditional culture-based studies have implicated species such as mutans streptococci, lactobacilli, bifidobacteria, and Actinomyces species, while molecular-based studies have provided evidence for a more complex microbiota with many Gram-negative and anaerobic bacteria being detected in addition to the more conventional cariogenic organisms. Ecological concepts have been applied to explain the microbial etiology of root caries. The acidic environment generated from the fermentation of dietary sugars selects saccharolytic bacteria that can preferentially grow and metabolize under low pH conditions, and then proteolytic Gram-negative species are selected when the dentin is exposed and collagen and other proteins become accessible to be catabolized. These species act in concert to degrade the inorganic and organic components of the dental tissues.","PeriodicalId":35771,"journal":{"name":"Monographs in Oral Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000479304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35623574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 27

Etiology, Risk Factors and Groups of Risk. 病因、危险因素和危险群体。

Monographs in Oral Science Pub Date : 2017-01-01 Epub Date: 2017-10-19 DOI: 10.1159/000479302

Martina Hayes, Francis Burke, Patrick Finbarr Allen

引用次数: 3

Biofilm Control and Oral Hygiene Practices. 生物膜控制和口腔卫生习惯。

Monographs in Oral Science Pub Date : 2017-01-01 Epub Date: 2017-10-19 DOI: 10.1159/000479348

Marisa Maltz, Luana Severo Alves, Julio Eduardo do Amaral Zenkner

引用次数: 8