ISSN : 0376-4672
치아우식증은 구강내 세균에 의해 매개되는 감염성질환으로 이를 예방하려는 노력이 오래전부터 있어왔다1). 그 결과 유병률이 급격하게 감소였으나 일정수준에서 정체되고 있어 현재까지도 중요한 구강문제로 남아있다. 치아우식증의 발생을 감소시키고, 감소추세를 가속화시키기 위해서는 개인별 구강 위생 평가를통한 적절한 대응과 조기 진단을 통한 치료 및 적절한 예방프로그램이 필요하다.
The new paradigm of dentistry require the detection of caries in their earlier stages. To achieve this, a high technology detection device and systematic and organized caries management system are needed. Caries management by risk assessment (CAMBRA) model is representative caries management system that satisfied new paradigm. Dental caries prevention and treatment according to CAMBRA model is patient-centered, risk-based, evidence-based practice. Therefore, individual caries management such as CAMBRA should be performed through accurate assessment of caries disease indicators and comprehensive assessment of caries risk factors and protective factors. Based on the CAMBRA better effectiveness of comprehensive dental caries management including non-surgical treatment will be accomplished.
1. Featherstone JD. The caries balance: contributing factors and early detection. J Calif Denta Assoc 2003;31:129-133.
2. Featherstone JD, Adair SM, Anderson MH, et al. Caries management by risk assessment:consensus statement, April 2002. J Calif Dent Assoc 2003;31:257-269.
3. 김백일. QLF의 원리와 임상적 활용. 대한치과의사협회지 2011;49:443-450.
4. Stookey GK. Quantitative light fluorescence: a technology for early monitoring of the caries proess. Dent Clin North Am 2005;49:753-770.
5. Kang SM, Jung HI, Jeong SH, et al. Development of a new color scale for a caries activity test. J Korean Acad Oral Health 2010;34:9-17.
6. Majare I, Kallestal C, Stenlund H. Incidence and progression of approximal caries from 11 to 22years of age in Sweden: A prospective radiographic study. Caries Res 1999;33:93-100.
7. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res 2007:86:662-666.