关于诊断虫的临床建议的ORCA-EFCD共识报告. 文件I:病变检测和深度评估
Jan Kühnisch1, Johan Km Aps2, Christian Splieth3
1Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians Universität München, Poliklinik für Zahnerhaltung und Parodontologie, Goethestraße 70, 80336, München, Germany. jan.kuehnisch@med.uni-muenchen.de.
Clinical oral investigations
|March 22, 2024
概括
视觉检查是检测可访问表面的牙的主要方法. 在临床实践中,建议使用牙科放射和其他诊断工具作为全面虫评估的补充方法.
科学领域:
- 牙科诊断和临床实践.
- 痕的检测和管理.
背景情况:
- 准确的初级 кариес检测对于有效的牙科治疗至关重要.
- 现有的检测方法在有效性和应用方面各不相同.
- 需要基于共识的建议来规范临床实践.
研究的目的:
- 为临床实践提供基于证据的建议,以检测初级虫病.
- 为使用视觉检查,牙科放射和辅助方法制定指导方针.
- 将科学证据与日常牙科实践的实际考虑相结合.
主要方法:
- 一个共识过程,涉及欧洲虫研究组织 (ORCA) 和欧洲保守牙科联合会 (EFCD) 的专家小组.
- 组建工作组,专注于检测方法,虫活动评估和个性化诊断.
- 文献审查,手稿起草,结构化的讨论,以及匿名的德尔菲调查,以达成关于建议的协议.
主要成果:
- 专家小组通过了八项共识建议.
- 三项建议侧重于视觉检查,三项建议侧重于牙科放射,两项建议侧重于额外的诊断方法.
- 尽管证据质量不同,但所有建议都达到了专家小组的共识.
结论:
- 视觉检查是推的首选方法,用于检测可访问表面的.
- 建议使用口腔内射线,特别是咬伤翼,作为额外的诊断方法.
- 在特定的临床场景中,辅助的非电离辐射方法可能是有益的.
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