[Non-Restorative Cavity Treatment. Managing rather than masking caries activity].

Autor:	Gruythuysen RJ; Afdeling Cariologie Endodontologie Pedodontologie van het Academisch Centrum Tandheelkunde Amsterdam. r.gruythuysen@acta.nI
Jazyk:	Dutch; Flemish
Zdroj:	Nederlands tijdschrift voor tandheelkunde [Ned Tijdschr Tandheelkd] 2010 Mar; Vol. 117 (3), pp. 173-80.
DOI:	10.5177/ntvt2010.03.09176
Abstrakt:	Unlabelled: The traditional restorative approach to active dentin caries in the temporary dentition is questioned. This paper argues in favour of a causal approach. The causal approach focuses on caries management. Restoration is of secondary importance. Delay or replacement of invasive restorative treatment by a causal approach decreases discomfort for children and promotes oral health over time. A form of causal treatment is the so called Non-Restorative Cavity Treatment. This approach requires that some measures be taken for managing cavitated caries lesions: 1. written informed consent; 2. making the cavity accessible for plaque removal; 3. treating carious dentition with anti-cariogenic agents and/or applying a protective layer to the carious dentition; 4. monitoring the caries process; 5. effective communication about dental health education. Some diagnostic criteria are important for the risk assessment of cavitated lesions: 1. activity of the caries lesion; 2. accessibility of the caries lesion for plaque control; 3. depth of the cavity; 4. condition of the pulp. Conclusion: the causal approach can arrest the caries process even in advanced stages of decay.
Databáze:	MEDLINE
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