Zoekopdracht:
faculteit: "ACTA" en publicatiejaar: "2010"
| Auteur | R.J.M. Gruythuysen | | Titel | Niet-restauratieve caviteitsbehandeling. Cariës activiteit beteugelen in plaats van maskeren |
| Tijdschrift | Nederlands Tijdschrift voor Tandheelkunde |
| Jaargang | 117 |
| Jaar | 2010 |
| Nummer | 3 |
| Pagina's | 173-180 |
| ISSN | 00282200 |
| Faculteit | ACTA |
| Samenvatting | The traditional re storative approach to active dentin carie s in th e temporary
dentition is questioned. This paper argues in favour of a causal approach.
The causal approach focuses on caries m anagement. Restoration is of
secondary im portance. Delay or replacement of invasive re storative treatm ent
by a causal approach decreases d iscomfort for ch ildren and promotes oral
health over time. A form of causal treatment is the so called ‘Non-Res torative
Cavity Treatment’. This approach requires that some m easures be taken for
managing cavitated caries lesions: 1. written informed consent; 2. m aking
the cavity accessible for plaque removal; 3. treating carious dentition with
anti-cariogenic agents and/or applying a protective layer to the carious
dentition; 4. m onitoring the caries process; 5. effective communication about
dental h ealth education. Some d iagnostic criteria are im portant for th e risk
as ses sment of cavitated les ions : 1. activity of the caries les ion; 2. acces s ibility
of the caries les ion for plaque control; 3. d epth of the cavity; 4. condition of
the pulp. Conclusion: the causal approach can arrest the caries process even
in advanced s tages of d ecay. |
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