牙根齲齒之診斷與治療處置－文獻回顧

The Diagnosis and Treatment of Root Caries- A Review

王宜斌(Yi-Bing Wang) ； 游翔博(Xiang-Bo You)

《中華民國家庭牙醫學雜誌》 10卷4期 (2016/03) Pp. 4-14

https://doi.org/10.6566/JFD/2016.10(4).4

摘要

牙根齲齒是老年人口腔常見的疾病。老年人因牙齦萎縮、牙周病及口乾症等因素導致很容易產生牙根齲齒。其防護在於口腔衛生維護、氟化物的運用、飲食諮詢服務、早期診斷、適當的治療處置和定期回診。牙根齲齒的治療及控制有其困難度，因為在填補物的邊緣很容易產生新的齲齒。牙根齲齒填補後之持久性與所使用的填補材料及窩洞修形方法有關聯。本篇文獻回顧將說明造成牙根齲齒填補失敗的影響因素。同時亦敘述各種填補材料的優缺點。

關鍵字

牙根齲齒 ； 老年人 ； 氟化物 ； 填補材料

並列摘要

Root caries is a common oral disease in the older adults. The elderly are at particular risk of root caries due to gingival recession, periodontal disease, and xerostomia. Preventive measures for root caries should include oral hygiene, administration of fluoride, dietary counseling, early diagnosis and treatment, as well as recall visits. Root caries can be difficult to control and treat, because new caries develops rapidly at the margins of the restorations. The longevity of operative management for root caries depend on materials used and cavity preparation methods. This review will describe the factors affect the failure rate in root caries restoration. The advantage and disadvantage of filling material will be also described.

並列關鍵字

root caries ； the elderly ； fluoride ； filling material