Secondary caries: a literature review with case reports.
Secondary caries: a literature review with case reports.
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DOI：
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发表时间：
2000-03
影响因子：
1.9
通讯作者：
I. Mjör;F. Toffenetti
中科院分区：
文献类型：
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作者：
I. Mjör;F. Toffenetti
继发性龋齿的临床诊断是迄今为止更换修复体的最常见原因，但诊断的科学依据却很薄弱。本文的目的是回顾继发性（复发性）龋齿的文献，并提供病例报告以记录继发性龋齿临床诊断中遇到的问题。有关继发龋的文献经过严格审查，并细分为临床诊断、继发病变位置、组织病理学、微渗漏和微生物学。病例报告包括因继发龋或复合修复体边缘染色而计划更换的修复体。术前和术后对病灶进行拍照。根据现有的有限文献，继发性龋齿似乎是与原发性龋齿相似或相同的局部病变。它通常位于修复体的牙龈上。狭窄的缝隙、缝隙、沟渠和“微渗漏”不会导致继发龋，但宽阔的空隙可能会导致继发龋。继发性龋齿临床诊断较困难。牙本质和牙釉质的稠度或硬度和变色是最佳参数。继发龋与位于修复体边缘的原发龋相同。
The clinical diagnosis of secondary caries is by far the most common reason for replacement of restorations, but the scientific basis for the diagnosis is meager. The purpose of this article is to review the literature on secondary (recurrent) caries and present case reports to document the problems encountered in the clinical diagnosis of secondary caries. The literature on secondary caries was critically reviewed and subdivided into clinical diagnosis, location of secondary lesions, histopathology, microleakage, and microbiology. The case reports included restorations that were scheduled to be replaced because of secondary caries or stained margins of composite restorations. The lesions were photographed preoperatively and postoperatively. Based on the limited literature available, secondary caries appears to be a localized lesion similar or identical to primary caries. It is most often localized gingivally on restorations. Narrow gaps, crevices, ditches, and "microleakage" do not lead to secondary caries, but wide voids may. Secondary caries is difficult to diagnose clinically. Consistency or hardness and discoloration of dentin and enamel are the best parameters. Secondary caries is the same as primary caries located at the margin of a restoration.