再矿化处理,它提供了非侵入性的优势,越来越多地被用作管理早期釉质龋齿的最小干预治疗。这篇综述的目的是制定EBM指南,以优化早期釉质龋的非侵入性治疗策略。日本保守牙科学会(JSCD)指导委员会制定了使用GRADE系统治疗早期牙釉质龋齿的指南,这是全球性的,指南开发的主流标准。该委员会选择了最常见的临床问题(CQs)治疗初期釉质龋,并确定了临床上重要的结果,以评估治疗效果。使用广泛的电子和手动搜索,确定了相关的随机对照试验和对照临床试验.根据委员会提供的证据资料,小组讨论了影响,所选治疗方法的利弊,以及它们的成本效益和可行性,以便在非侵入性治疗早期釉质龋方面达成共识。小组成员投票后,对每个临床问题提出了建议。根据每个CQ的证据概况和小组讨论,专家强烈建议局部使用氟化物来抑制早期釉质龋齿的空化,并减少白斑病变。
Remineralization treatment, which offers the advantage of being non-invasive, is increasingly being used as a minimal intervention treatment in managing incipient enamel caries. The aim of this review was to develop EBM
guideline for optimized strategies for non-invasive treatment of incipient enamel caries. Japanese Society of Conservative Dentistry (JSCD)
guideline committee formulated a
Guideline for treating incipient enamel caries using the GRADE system, which is the global, mainstream standard for
guideline development. The committee selected the most frequent clinical questions (CQs) in treating incipient enamel caries and identified clinically important outcomes in evaluating the efficacy of treatments. Using extensive electronic and manual searches, relevant randomized controlled trials and controlled clinical trials were identified. Based on evidence profiles produced by the committee, the panel discussed the effects, benefits and disadvantages of the selected treatments, as well as their cost effectiveness and feasibility, in order to achieve a
consensus in treating incipient enamel caries non-invasively. A recommendation was made for each clinical question after voting by the panel members. Based on the evidence profile and panel discussions for each CQ, the experts strongly recommended application of topical fluoride to inhibit cavitation of incipient enamel caries, and to diminish white spot lesions.