FDI World Dental Federation - Clinical Criteria for the Evaluation of Direct and Indirect Restorations Update and Clinical Examples
FDI World Dental Federation - Clinical Criteria for the Evaluation of Direct and Indirect Restorations Update and Clinical Examples
复制标题
DOI：
10.3290/j.jad.a19262
复制
发表时间：
2010-08-01
影响因子：
3.3
通讯作者：
Heintze, Siegward D.
中科院分区：
文献类型：
--
作者：
Hickel, Reinhard;Peschke, Arnd;Heintze, Siegward D.
2007年，FDI世界牙科联合会批准了新的临床标准，并同时在三种牙科杂志上发表。标准分为三组：美学参数（四个标准），功能参数（六个标准）和生物参数（六个标准）。每个标准可以用五个分数表示，三个分数表示可接受，两个分数表示不可接受（一个分数表示可修复，一个分数表示更换）。自2007年以来，该标准已在多项临床研究中使用，其应用中产生的经验导致需要修改一些标准和评分。两个主要的改变涉及染色和近端接触。由于边缘和表面的染色有不同的原因，这两种现象不会同时出现。因此，染色已被区分为边缘染色和表面染色。近端接触现在以“近端解剖形式”的名称出现，因为近端轮廓是一个特定的，通常是非美学的问题，不能被整合到标准“美学解剖形式”中。www.e-calib.info临床研究人员和其他研究工作者可以通过评估后牙脱位的临床病例来交互式地训练和校准自己，这些病例以高质量的图片呈现。目前，约有300个临床病例被纳入数据库，并定期更新。该计划提供了16项临床标准中的8项的培训：“表面光泽”;“染色（表面，边缘）";“颜色匹配和透明性”;“美学解剖形式”;“材料断裂和保留”;“边缘适应”;“龋齿，侵蚀，脱落复发”;和“牙齿完整性（釉质裂纹，牙齿断裂）"。典型的临床病例，这八个标准和相应的五个分数。
In 2007, new clinical criteria were approved by the FDI World Dental Federation and simultaneously published in three dental journals. The criteria were categorized into three groups: esthetic parameters (four criteria), functional parameters (six criteria), and biological parameters (six criteria). Each criterion can be expressed with five scores, three for acceptable and two for non-acceptable (one for reparable and one for replacement). The criteria have been used in several clinical studies since 2007, and the resulting experience in their application has led to a requirement to modify some of the criteria and scores. The two major alterations involve staining and approximal contacts. As staining of the margins and the surface have different causes, both phenomena do not appear simultaneously. Thus, staining has been differentiated into marginal staining and surface staining. The approximal contact now appears under the name "approximal anatomic form" as the approximal contour is a specific, often non-esthetic issue that cannot be integrated into the criterion "esthetic anatomical form".In 2008, a web-based training and calibration tool called e-calib (www.e-calib.info) was made available. Clinical investigators and other research workers can train and calibrate themselves interactively by assessing clinical cases of posterior restorations, which are presented as high quality pictures. Currently, about 300 clinical cases are included in the database which is regularly updated. Training for 8 of the 16 clinical criteria is available in the program: "Surface luster"; "Staining (surface, margins)"; "Color match and translucency"; "Esthetic anatomical form"; "Fracture of material and retention"; "Marginal adaptation"; "Recurrence of caries, erosion, abfraction"; and "Tooth integrity (enamel cracks, tooth fractures)". Typical clinical cases are presented for each of these eight criteria and their corresponding five scores.