第9.3章:当前在日常实践中除的概念
Marisa Maltz1, Juliana Jobim Jardim1, Luana Severo Alves2
1Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Monographs in oral science
|June 26, 2023
概括
保守的牙损伤去除可以保持牙的活力和结构. 目前的证据支持基于病变深度的密封或选择性去除牙,避免完全消除微生物,以获得更好的结果.
科学领域:
- 牙科 牙科是指牙科的专业.
- 皮肤病学 皮肤病学 皮肤病学
- 恢复性牙科 恢复性牙科
背景情况:
- 除的历史方法强调完全消除微生物.
- 目前的理解承认,牙中的残留微生物污染是可以接受的,不会导致治疗失败.
研究的目的:
- 审查证据支持保守的除策略的证据.
- 为了指导临床决定在腔室准备过程中去除的牙牙的数量.
主要方法:
- 对评估受污染牙密封性的研究进行系统审查.
- 微生物学,临床,实验室和放射性发现的分析.
- 包括长期研究和随机临床试验.
主要成果:
- 皮的去除程度应根据病变深度来确定.
- 密封或选择性去除坚固的牙是适合浅度/中度病变.
- 对于深层病变,建议在一次会议中选择性去除软牙,以保持活力.
结论:
- 建议保守地去除,以保持牙的活力和结构.
- 在选择性空去除后,腔内可能不需要.
- 治疗策略应根据病变深度量身定制,以获得最佳的患者结果.
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