Nonrestorative Caries Treatment: A Systematic Review Update.
Nonrestorative Caries Treatment: A Systematic Review Update.
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DOI：
10.1016/j.identj.2022.06.022
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发表时间：
2022-12
影响因子：
3.3
通讯作者：
Burrow MF
中科院分区：
文献类型：
--
作者：
Cabalén MB;Molina GF;Bono A;Burrow MF
龋齿是最普遍的慢性非传染性疾病。近几十年来，人们一直强调预防其发作和早期干预以阻止早期病变的进展，以避免或延迟牙齿的修复螺旋。越来越多的人将他们的天然牙齿保留到老年，因此需要持续的牙科修复干预来维护它们。这项系统性综述的目的是更新2017年至2022年5年期间报告不同非修复性龋齿治疗方案有效性的临床研究的最新技术水平。从2个电子数据库中检索相关文章，包括2017年1月至2022年4月发表的随机临床试验（RCT），评估至少一种非修复性龋齿治疗方案的有效性和继发性影响，对乳牙或恒牙上有非空洞或空洞龋损的成人和/或儿童进行，并通过X光片或视觉/触觉评估进行诊断。所有纳入的35篇文章均提供了随访期为6 - 84个月的RCT结果。这些研究中的大多数被认为是高质量的文章，偏倚风险较低。在12项研究中提到密封剂和氟化物凝胶和保护漆是预防龋齿病变发生和在早期阶段阻止龋齿病变的有效策略。在10篇文献中，树脂浸润报告了非空化近端病变的高龋齿阻止率。银氟化物在开放性牙本质病变中表现出高的阻龋率，无论是在乳牙和恒牙以及根龋病变中，都可以进行清洁。2017年至2022年期间发表的新证据是大量临床研究的结果，为非修复性龋齿治疗方案的有效性提供了进一步的证据。
Caries is the most prevalent chronic noncommunicable disease. Strategies to prevent its onset and early interventions to arrest the progression of early lesions have been emphasised throughout recent decades to avoid or delay the restorative spiral of the tooth. More individuals are retaining their natural teeth into old age, thereby necessitating ongoing restorative dentistry intervention for their maintenance. The aim of this systematic review was to update the state of the art regarding clinical studies reporting the effectiveness of different nonrestorative caries treatment options in the 5-year period from 2017 to 2022. Relevant articles were retrieved from 2 electronic databases, including randomised clinical trials (RCTs) published from January 2017 until April 2022, assessing effectiveness and secondary effects of at least one nonrestorative caries treatment option, carried out with adults and/or children with noncavitated or cavitated carious lesions on either primary or permanent teeth and diagnosed by radiographs or visual/tactile assessment. All 35 included articles presented the results of RCTs with a follow-up period ranging from 6 to 84 months. Most of these studies were considered high-quality articles with a low risk of bias. Sealants and fluoride gels and varnishes were mentioned in 12 studies as effective strategies to prevent the onset of caries lesions and to arrest them in the early stages. Resin infiltration reported high caries arresting rates in noncavitated proximal lesions in 10 publications. Silver diammine fluoride presented high caries-arresting rates in open dentin lesions, both in primary and permanent dentitions as well as in root caries lesions that were accessible for cleansing. New evidence has been published between 2017 and 2022 as the result of numerous clinical studies providing further evidence of the effectiveness of nonrestorative caries treatment options.
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影响因子：
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通讯作者：
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