Niet-restauratieve caviteitsbehandeling. Cariës activiteit beteugelen in plaats van maskeren

R.J.M. Gruythuysen

    Research output: Contribution to JournalArticleProfessional

    Abstract

    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.
    Original languageDutch
    Pages (from-to)173-180
    JournalNederlands Tijdschrift voor Tandheelkunde
    Volume117
    Issue number3
    DOIs
    Publication statusPublished - 2010

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