[Minimally invasive caries treatment].

M S Cenci, M Laske, F M Mendes
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Abstract

The development of minimally invasive caries treatment has dramatically changed dentistry. Instead of traditional, often invasive methods that resulted in significant loss of healthy dental tissue, this approach focuses on preserving the vitality of the pulp and minimizing tissue loss by delaying and scaling back restorative treatments. This involves the use of modern methods, with selective caries removal with or without indirect (pulp) capping being the norm for treating extensive lesions. The philosophy of minimal intervention goes beyond treatment choices to include a holistic approach from diagnosis to follow-up care, emphasizing personalized care based on risk profiles. This paradigm shift has greatly improved the standard of care, but continued attention to the risks of overdiagnosis and overtreatment is necessary to ensure optimal oral health.

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[微创龋齿治疗]。
微创龋齿治疗的发展极大地改变了牙科医学。传统的微创方法往往会导致健康牙体组织的大量损失,而这种方法则侧重于通过延迟和缩减修复治疗来保护牙髓的活力并最大限度地减少牙体组织的损失。这就需要使用现代方法,在治疗大面积病变时,通常会选择性地去除龋齿,并进行或不进行间接(牙髓)覆盖。最小干预的理念超越了治疗方法的选择,包括从诊断到后续护理的整体方法,强调根据风险状况进行个性化护理。这种模式的转变大大提高了护理标准,但为了确保最佳的口腔健康,有必要继续关注过度诊断和过度治疗的风险。
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