Caries removal techniques and instrumentation: a review
Caries removal techniques and instrumentation: a review
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龋齿清除技术和仪器：回顾
DOI：
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发表时间：
1998
影响因子：
3.4
通讯作者：
L. Samaranayake
中科院分区：
文献类型：
--
作者：
H. Yip;L. Samaranayake
旋转器械的发明不仅提高了去龋的速度，而且也减少了对健康牙本质的破坏。因此，早在20世纪50年代，就有人试图开发一种侵入性较小的技术，如空气研磨和超声波技术，用于去除龋齿。空气抛光的建议使用发表于20世纪80年代初。随后对龋过程有了更好的理解，在20世纪80年代后期引入了酶技术。其他技术，如化学机械龋齿去除和激光系统，也尝试和研究在过去的四十年中，以尽量减少不必要的删除健全的牙齿物质，虽然这些和其他技术在本文中审查尚未取代使用旋转仪器。此外，近年来发展的微洞制备概念以及酸蚀技术、树脂粘结和玻璃离子水门汀的使用也彻底改变了保守牙科中的洞制备原理。本文回顾了这些不同的去龋技术和仪器的发展，以及在过去世纪左右颁布的洞制备的进化哲学。
Abstract The invention of rotary instruments not only improved the speed of caries removal but also the destruction of sound tooth substance. Hence, as early as the 1950s, there were attempts to develop a less invasive technique, such as the air-abrasive and ultrasonic techniques, for the purpose of caries removal. The proposed use of air-polishing was published in the early 1980s. Subsequent better understanding of the carious process saw the introduction of the enzyme technique in the late 1980s. Other techniques, such as chemomechanical caries removal and laser systems, have also been attempted and researched during the last four decades to minimise the unnecessary removal of sound tooth substance, although these and other techniques reviewed in this article have not yet superseded the use of rotary instruments. Furthermore, the concept of micro-cavity preparation developed in recent years and the introduction of acid-etch techniques, resin bonding and the use of glass-ionomer cements have also revolutionised the principles of cavity preparation in conservative dentistry. This article reviews the development of these various caries removal techniques and instrumentation and the evolutionary philosophies of cavity preparation promulgated over the last century or so.