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ENGLISH ABSTRACT
龋损管理：龋坏组织去除的专家共识
陈智
卢展民
Schwendicke Falk
Innes Nicola P.T.
Frencken Jo E.
作者及单位信息
·
DOI： 10.3760/cma.j.issn.1002-0098.2016.12.003
Managing carious lesions: consensus recommendations on carious tissue removal
Chen Zhi
Lu Zhanmin
Schwendicke Falk
Innes Nicola P.T.
Frencken Jo E.
Authors Info & Affiliations
Chen Zhi
Department of Cariology and Endodontology, School of Stomatology, Wuhan University, Wuhan 430079, China
Lu Zhanmin
Faculty of Dentistry, The University of Hong Kong
Schwendicke Falk
Department of Operative and Preventive Dentistry, Charité-Universitätsmedizin Berlin, Germany
Innes Nicola P.T.
Paediatric Dentistry, Dundee Dental Hospital and School, University of Dundee, Dundee, UK
Frencken Jo E.
Department of Oral Function and Prosthetic Dentistry, College of Dental Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
·
DOI： 10.3760/cma.j.issn.1002-0098.2016.12.003
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摘要

近30年来，尽管许多国家的龋病患病率逐年下降，但龋病仍然是世界上最流行的疾病，影响着数十亿人口 [ 1 ] ，在全球产生巨额的医疗费用 [ 2 ] 。因此，如何管理龋病以减少其对人类的影响，已经成为口腔医学领域的重要课题。为实现这一目标，制定龋病管理策略时需要有充分的临床证据做指导。目前，已有越来越多的临床研究证据支持在此基础上形成推荐规范 [ 3 ] 。

引用本文

陈智,卢展民,Schwendicke Falk,等. 龋损管理：龋坏组织去除的专家共识[J]. 中华口腔医学杂志,2016,51(12)：712-716.

DOI:10.3760/cma.j.issn.1002-0098.2016.12.003

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近30年来，尽管许多国家的龋病患病率逐年下降，但龋病仍然是世界上最流行的疾病，影响着数十亿人口 [ 1 ]，在全球产生巨额的医疗费用 [ 2 ]。因此，如何管理龋病以减少其对人类的影响，已经成为口腔医学领域的重要课题。为实现这一目标，制定龋病管理策略时需要有充分的临床证据做指导。目前，已有越来越多的临床研究证据支持在此基础上形成推荐规范 [ 3 ]。
传统观念认为应完全去除龋坏组织，然后进行牙体充填治疗或粘接修复。在过去的30年，虽然有很多相关文献，但对于何时使用何种去龋方法，答案一直不明确，甚至令人困惑。另外，同一种方法在不同的国家也有不同的解释。随着对龋病认识的深入和大量去龋方法临床试验证据的出现，传统的去龋方法需要进一步改进。
为解决龋病管理防治中出现的这些问题，2015年2月来自12个国家的21位专家相聚比利时，成立了国际龋病共识协作组（International Caries Consensus Collaboration，ICCC ）。这些专家包括龋病学、材料科学、临床研究、系统回顾、指南制定等方面的专家，他们同时也是口腔医生。ICCC就龋病相关术语、去除龋坏组织两个方面达成专家共识（consensus recommendations），并全文发表于2016年国际牙科研究协会的会刊 Adv Dent Res。关于本推荐规范的形成、龋病术语推荐规范的详细介绍和讨论，以及关于去除龋坏组织推荐规范的详细介绍和讨论，请参阅Frencken等 [ 4 ]、Innes等 [ 5 ]及Schwendicke等 [ 6 ]2016年发表的文章，本共识根据以上3篇文献编译而成。
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备注信息
A
陈智，Email: nc.defudabe.uhwnehcihz，电话：027-87686198
B

本文首发于 Adv Dent Res ，2016 ，28 （2）：46-48, 49-57, 58-67

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