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open access
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ISSN : 0376-4672
보건학에서는 건강한 상태에서 질병에 이환되어 사망 또는 재활에 이르는 건강과 질병의 연속성을‘질병의 자연사’라는 모형을 통해 설명한다. 구강보건학에서도 건강한 치아가 전구병원성기, 조기질환기, 진전질환기를 거쳐 발거되는 과정을 1차, 2차, 3차 예방의 개념으로 도식화하고 있다. 예를 들어 어린 시절에작은 와동이 생겨 아말감 충전을 한 치아는 몇 년이지나 와동은 더 넓어 지고, 깊어 지고 더 큰 수복물로충전이 되고 보존치료와 근관치료와 보철치료 과정을연속적으로 거치면서 최악의 경우에는 발거에 도달하게 된다.
This article reviewed theological background and historicak development in dental caries management by risk assessment. Dental caries prevention and treatment according to CAMBRA model is patient-centered, risk-based, evidence-based practice. Team approach is necessary and clinician need to integrate science, practice and product. Dental hygienist take a important role in implementing CAMBRA. CAMBRA model could be incorporated into dental and dental hygiene education. Dentist and dental hygienist able to provide scientific and ethical care managing dental caries by risk assessment.
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