Clinical guidelines for treating caries in adults following a minimal intervention policy¡ªEvidence and consensus based report

详细信息    查看全文

• 作者：Y. Momoi ; M. Hayashi ; ^{mikarin@dent.osaka-u.ac.jp} ; M. Fujitani ; M. Fukushima ; S. Imazato ; S. Kubo ; T. Nikaido ; A. Shimizu ; M. Unemori ; C. Yamaki
• 关键词：Caries ; Minimal intervention ; Guideline ; Evidence ; Consensus ; Clinical questions
• 刊名：Journal of Dentistry
• 出版年：2012
• 出版时间：February 2012
• 年：2012
• 卷：40
• 期：2
• 页码：95-105
• 全文大小：541 K

文摘

Objectives

In 2002, FDI (World Dental Federation) published a policy advocating that caries be treated by minimal intervention (MI). This MI policy has been accepted worldwide and is taught in universities. But acceptance in general dental practice has been slower, especially in Japan where healthcare payment and practice favour drilling and filling. To help disseminate this MI policy into general practice, the Japanese Society of Conservative Dentistry developed an evidence-based clinical guideline for restoring carious permanent teeth in adult patients.

Methods

The guideline was developed by a committee of nine university clinicians and a librarian. The committee selected the most frequent clinical questions in treating caries and used electronic databases to search and assess the best scientific evidence for each. Members then added their clinical experience and discussed to reach consensus on each question on treating caries with MI policy. Graded recommendations and guidance were made for each clinical question. The provisional guideline was strengthened after review and discussion with university researchers and general practitioners.

Results

The guideline addresses the 16 most frequent clinical questions in treating adult caries, including restorative methods and how to tackle root caries. Recommendations for treatment using MI policy were developed using the best scientific evidence and consensus of experienced clinicians.

Clinical significance

The guideline offers a practical expert view of treating caries with the MI policy that incorporates the best scientific evidence, the latest techniques, the most preferable materials and the general consensus of expert clinicians.