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Managing Carious Lesions: Consensus Recommendations on Terminology
Advances in Dental Research Pub Date : 2016-04-20 , DOI: 10.1177/0022034516639276 N.P.T. Innes 1 , J.E. Frencken 2 , L. Bjørndal 3 , M. Maltz 4 , D.J. Manton 5 , D. Ricketts 6 , K. Van Landuyt 7 , A. Banerjee 8 , G. Campus 9 , S. Doméjean 10 , M. Fontana 11 , S. Leal 12 , E. Lo 13 , V. Machiulskiene 14 , A. Schulte 15 , C. Splieth 16 , A. Zandona 17 , F. Schwendicke 18
Advances in Dental Research Pub Date : 2016-04-20 , DOI: 10.1177/0022034516639276 N.P.T. Innes 1 , J.E. Frencken 2 , L. Bjørndal 3 , M. Maltz 4 , D.J. Manton 5 , D. Ricketts 6 , K. Van Landuyt 7 , A. Banerjee 8 , G. Campus 9 , S. Doméjean 10 , M. Fontana 11 , S. Leal 12 , E. Lo 13 , V. Machiulskiene 14 , A. Schulte 15 , C. Splieth 16 , A. Zandona 17 , F. Schwendicke 18
Affiliation
Variation in the terminology used to describe clinical management of carious lesions has contributed to a lack of clarity in the scientific literature and beyond. In this article, the International Caries Consensus Collaboration presents 1) issues around terminology, a scoping review of current words used in the literature for caries removal techniques, and 2) agreed terms and definitions, explaining how these were decided. Dental caries is the name of the disease, and the carious lesion is the consequence and manifestation of the disease—the signs or symptoms of the disease. The term dental caries management should be limited to situations involving control of the disease through preventive and noninvasive means at a patient level, whereas carious lesion management controls the disease symptoms at the tooth level. While it is not possible to directly relate the visual appearance of carious lesions’ clinical manifestations to the histopathology, we have based the terminology around the clinical consequences of disease (soft, leathery, firm, and hard dentine). Approaches to carious tissue removal are defined: 1) selective removal of carious tissue—including selective removal to soft dentine and selective removal to firm dentine; 2) stepwise removal—including stage 1, selective removal to soft dentine, and stage 2, selective removal to firm dentine 6 to 12 mo later; and 3) nonselective removal to hard dentine—formerly known as complete caries removal (technique no longer recommended). Adoption of these terms, around managing dental caries and its sequelae, will facilitate improved understanding and communication among researchers and within dental educators and the wider clinical dentistry community.
中文翻译:
处理龋病:术语共识建议
用于描述龋病的临床管理的术语的变化导致了科学文献及其他文献中缺乏清晰性。在本文中,国际龋齿共识合作组织提出1)围绕术语的问题,对文献中用于去除龋齿技术的当前词语进行范围界定的回顾,以及2)约定的术语和定义,解释了这些术语和定义是如何确定的。龋齿是疾病的名称,龋齿病变是疾病的结果和表现,即疾病的体征或症状。龋齿管理一词应仅限于涉及通过在患者一级通过预防和非侵入性手段控制疾病的情况,而龋齿管理则在牙齿一级控制疾病症状。虽然不可能将龋病病变的临床表现的视觉外观直接与组织病理学联系起来,但我们还是根据疾病的临床后果(软,革质,坚硬和坚硬的牙本质)来使用术语。去除龋组织的方法定义如下:1)选择性去除龋组织-包括选择性去除软牙本质和选择性去除牢固牙本质;2)逐步去除-包括阶段1至6 mo后选择性去除为软牙质,以及阶段2选择性去除为牢固的牙质;3)非选择性去除硬质牙本质-以前称为完全龋齿去除(不再推荐使用此技术)。在管理龋齿及其后遗症方面采用这些术语,
更新日期:2016-04-20
中文翻译:
处理龋病:术语共识建议
用于描述龋病的临床管理的术语的变化导致了科学文献及其他文献中缺乏清晰性。在本文中,国际龋齿共识合作组织提出1)围绕术语的问题,对文献中用于去除龋齿技术的当前词语进行范围界定的回顾,以及2)约定的术语和定义,解释了这些术语和定义是如何确定的。龋齿是疾病的名称,龋齿病变是疾病的结果和表现,即疾病的体征或症状。龋齿管理一词应仅限于涉及通过在患者一级通过预防和非侵入性手段控制疾病的情况,而龋齿管理则在牙齿一级控制疾病症状。虽然不可能将龋病病变的临床表现的视觉外观直接与组织病理学联系起来,但我们还是根据疾病的临床后果(软,革质,坚硬和坚硬的牙本质)来使用术语。去除龋组织的方法定义如下:1)选择性去除龋组织-包括选择性去除软牙本质和选择性去除牢固牙本质;2)逐步去除-包括阶段1至6 mo后选择性去除为软牙质,以及阶段2选择性去除为牢固的牙质;3)非选择性去除硬质牙本质-以前称为完全龋齿去除(不再推荐使用此技术)。在管理龋齿及其后遗症方面采用这些术语,