Caries Management by Risk Assessment (CAMBRA): 패러다임의 전환
Caries Management by Risk Assessment (CAMBRA) : a Paradigm Shift
김은희, 이언화, 홍성옥, 안소연,
소속 상세정보
김은희 ( Kim Eun-Hee ) - 원광대학교 치과대학 산본치과병원 소아치과
이언화 ( Lee Eon-Hwa ) - 원광대학교 치과대학 산본치과병원 치과교정과
홍성옥 ( Hong Sung-Ok ) - 원광대학교 치과대학 산본치과병원 치과보존과
안소연 ( An So-Youn ) - 원광대학교 치과대학 산본치과병원 소아치과
KMID : 1146620130020020077
Abstract
Dental caries is a bacterially based disease that progresses when acid is produced by bacterial action. Pathological factors, including multiple species of acidogenic bacteria, salivary dysfuncion, and dietary carbohydrates are related to caries progression. Protective factors, which include antibacterials, salivary calcium, phosphate and proteins, salivar y
flow, and fluoride in saliva can balance, prevent or reverse dental caries. This article will introduce caries management by risk assessment (CAMBRA). It will summarize the scientific evidence behind the “caries imbalance” concept, which is the key to CAMBRA in clinical practice, Caries Risk Assessment (CRA) and Caries management protocols. CRA contains three domains : clinical findings, risk/biological factors and protective factors, and caries management protocols are applied by the caries risk level. Implementation of caries management by risk assessment into daily dental practice is a reality, with improvements yet to come.
키워드
Dental caries; Caries Management by Risk Assessment (CAMBRA); Caries risk assessment (CRA); Caries management protocol; Caries imbalance
원문 및 링크아웃 정보
등재저널 정보