龋病临床治疗难度因素及处理

doi:10.7518/hxkq.2017.01.001

华西口腔医学杂志 ›› 2017, Vol. 35 ›› Issue (1): 1-7.doi: 10.7518/hxkq.2017.01.001

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龋病临床治疗难度因素及处理

周学东¹(), 凌均棨², 梁景平³, 李继遥¹, 程磊¹, 余擎⁴, 牛玉梅⁵, 郭斌⁶, 陈晖⁷

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.中山大学光华口腔医学院附属口腔医院牙体牙髓病科,广东省口腔医学重点实验室,广州 510055
3.上海交通大学医学院附属第九人民医院牙体牙髓病科,上海 200011
4.军事口腔医学国家重点实验室,陕西省口腔医学重点实验室,第四军医大学口腔医院牙体牙髓病科,西安 710032
5.哈尔滨医科大学口腔医院牙体牙髓病科,哈尔滨 150001
6.中国人民解放军总医院口腔科,北京 100853
7.浙江大学医学院附属口腔医院牙体牙髓病科,杭州 310006

收稿日期:2016-11-16 修回日期:2016-12-30 出版日期:2017-02-01 发布日期:2017-02-01
作者简介:
周学东,教授,博士,E-mail：zhouxd@scu.edu.cn

Difficulty influence factors of dental caries clinical treatment

Xuedong Zhou¹(), Junqi Ling², Jingping Liang³, Jiyao Li¹, Lei Cheng¹, Qing Yu⁴, Yumei Niu⁵, Bin Guo⁶, Hui Chen⁷

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, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Province Key Laboratory of Stomatology, Guangzhou 510055, China
3. Dept. of Conservative Dentistry and Endodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
4. State Key Laboratory of Military Stomatology, Shanxi Province Key Laboratory of Stomatology, Dept. of Conservative Dentistry and Endodontics, Hospital of Stomatology, The Fourth Military Medical University, Xi’an 710032, China
5. Dept. of Conservative Dentistry and Endodontics, Hospital of Stomatology, Harbin Medical University, Harbin 150001, China
6. Dept. of Stomatology, Chinese PLA General Hospital, Beijing 100853, China
7. Dept. of Conservative Dentistry and Endodontics, Stomatology Hospital Affiliated to Zhejiang University of Medicine, Hangzhou 310006, China

Received:2016-11-16 Revised:2016-12-30 Online:2017-02-01 Published:2017-02-01

摘要/Abstract

摘要：

龋病是严重危害人类口腔健康的主要疾病,具有发病率高,治疗率低,再治疗率高等特点。目前,充填修复术仍然是龋病临床治疗的主要方法。随着微创美学牙科理念的提出,如何合理应用各种治疗技术,最大限度地保存牙体组织,实现龋病治疗效果的最大化已成为口腔临床迫切需要解决的问题。此外,临床上还存在大量的陈旧修复体,这些修复体的再处理也亟待规范。本文就全身因素、口腔因素、个体龋病易患性、治疗技术和材料、陈旧修复体处理,以及技术敏感性等影响龋病临床治疗的难度因素进行分析,并提出针对性的处理策略。

关键词: 龋病, 规范治疗, 再治疗, 难度因素, 技术敏感性

Abstract:

Dental caries is a major disease that threaten human’s oral healthy severely with the characteristics of high incidence, low rate of treatment and high rate of retreatment. At present, restorative treatment remains the main method for caries treatment. With the development of the Minimally Invasive Cosmetic Dentistry (MICD), reasonable application of various treatment technologies, maximum preservation of tooth tissues and realizing the maximization of treatment effects become problems that call for immediate solution in dental clinics. In addition, there still exist a large number of old restora-tions that need standard retreatments. Here, some difficulty influence factors of dental caries clinical treatment such as systemic and oral factors, individual caries susceptibility, treatment technologies and materials, retreatment methods of old restorations and technique sensitivity are analyzed, and corresponding processing strategies are also put forward.

Key words: dental caries, standard treatment, retreatment, difficulty factor, technique sensitivity

中图分类号:

R781.05

周学东, 凌均棨, 梁景平, 李继遥, 程磊, 余擎, 牛玉梅, 郭斌, 陈晖. 龋病临床治疗难度因素及处理[J]. 华西口腔医学杂志, 2017, 35(1): 1-7.

Xuedong Zhou, Junqi Ling, Jingping Liang, Jiyao Li, Lei Cheng, Qing Yu, Yumei Niu, Bin Guo, Hui Chen. Difficulty influence factors of dental caries clinical treatment[J]. West China Journal of Stomatology, 2017, 35(1): 1-7.

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龋病临床治疗难度因素及处理

Difficulty influence factors of dental caries clinical treatment

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