华西口腔医学杂志

• 龋病学专栏 • 上一篇    下一篇

龋易感人群健康美学管理的策略与实践

刘涛1,2 程立3 杨惠4 王沪宁1 房宏志5 胡涛1,3   

  1. 1.口腔疾病研究国家重点实验室华西口腔医院牙体牙髓病科(四川大学),成都610041;2.昆明医科大学附属口腔医院牙体牙髓病科,昆明650031;3.口腔疾病研究国家重点实验室华西口腔医院预防科(四川大学);4.全科门诊;5.成都市第三人民医院口腔科,成都610041
  • 收稿日期:2016-02-22 修回日期:2016-06-20 出版日期:2016-10-01 发布日期:2016-10-01
  • 通讯作者: 胡涛,教授,博士,E-mail:hutao@scu.edu.cn
  • 作者简介:刘涛,硕士,E-mail:taoliu_scu@126.com

Strategy and practice of the healthy cosmetic management for patients with high dental caries susceptibility

Liu Tao1,2, Cheng Li3, Yang Hui4, Wang Huning1, Fang Hongzhi5, Hu Tao1,3.   

  1. 1. State Key Laboratory of Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; 2. Dept. of Conservative Dentistry and Endodontics, Affiliated Stomatology Hospital of Kunming Medical University, Kunming 650031, China; 3. State Key Laboratory of Oral Diseases, Dept. of Preventive Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; 4. State Key Laboratory of Oral Diseases, General Clinic, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; 5. Dept. of Stomatology, The Third People’s Hospital of Chengdu, Chengdu 610041, China
  • Received:2016-02-22 Revised:2016-06-20 Online:2016-10-01 Published:2016-10-01
  • Contact: Hu Tao, E-mail: hutao@scu.edu.cn.

摘要:

针对龋易感人群,提出一种全新的诊疗体系——健康美学管理。健康美学管理旨在恢复牙体美观的同时,考虑牙体、牙髓的保存,兼顾健康与美学,并达到个性化诊疗效果。健康美学管理的策略主要包括5个方面的内容:1)龋病风险评估;2)早期龋探测;3)数字化微笑设计;4)微创技术;5)龋病行为管理及医患沟通平台。本文结合临床实践,对健康美学管理的流程和方案进行阐释。

关键词: 健康美学管理, 龋病风险评估, 早期龋, 数字化设计, 微创技术, 医患沟通

Abstract:

A new clinic conception, healthy cosmetic management (HCM), was innovated introduced into diagnose and treatment of patients with high caries risk. The priority of HCM should be given to aesthetic restoration of teeth, taking consideration of the conserving of tissue and pulp of teeth and the balance between health and aesthetics, which may reach to the goal of the individual clinic treatment. HCM includes five steps: 1) caries risk assessment; 2) detection of initial caries; 3) digital aesthetic design; 4) minimally invasive therapy; 5) behavior management of caries and doctor-patient communication pattern. In this article, HCM is introduced into two aspects: process management and clinical protocols, followed by the combination of the clinical practice.

Key words: healthy cosmetic management,  caries risk assessment, initial caries, digital design, minimally invasive therapy, doctor-patient communication