应用微创理念构建老年龋病防治方案(一)

Minimal intervention dentistry: A vision of caries management for older patients.Ⅰ

随着我国步入老龄化社会,老年人口占总人口的比例逐步升高。近年来,随着老年口腔医学的不断发展与普及,我国老年人口内存留牙数不断增多,过去患龋率较低和需行大面积修复治疗的老年人群的龋病发生率有所提高,口腔医生在老年龋病防治工作中面临新的挑战。微创牙科治疗(MID)是一种全新的齿科医学理念,着眼于疾病的早发现、早诊断、早治疗,强调病症早期的微创(甚至分子水平)治疗以及发生不可逆性损伤时以患者为本的治疗方案。本文主要阐述了MID理念在老年龋病预防中的应用,主要内容包括患龋风险评估、龋病早期诊断(未形成龋洞前)、促进牙体外部和窝洞内部的再矿化,体现了MID在老年龋病早期诊断、早期治疗以及控制龋病进程中的重要作用。

The ageing of Chinese population combined with development of geriatric dentistry results in increased retention of natural teeth and higher risk of dental caries in older patients. This means new challenge for clinicians. Minimal intervention dentistry （MID） is a new approach to caries management in older patients, which emphasize on early discussion, early diagnosis and early treatment. It focuses on stopping the disease process and patient-friendly surgical intervention only when required. This article describes the application of MID in geriatric caries management： Assessment of the risk of caries; early detection （before cavity appears）; external and internal remineralization.