Diagnóstico y manejo de la caries dental mediante los sistemas ICDAS y ICCMS. A propósito de varios casos clínicos
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2020
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Los estudios reportados en los últimos años definen la caries dental como una enfermedad multifactorial resultado del desequilibrio en el balance entre la superficie dental y la biopelícula. El sistema ICCMSTM se enfoca en desenlaces de salud oral presentando una secuencia de pasos a seguir para obtener el manejo más acertado de la caries dental. Apunta a prevenir la aparición de nuevas lesiones de caries, prevenir que las lesiones existentes avancen más y preservar la estructura dental con manejos conservadores de los tejidos duros dentales, incorporando aquellos tratamientos no-operatorios, en estadíos más iniciales de caries y con manejos operatorios conservadores en estadíos más severos y avanzados de caries.
Describir cómo se maneja el sistema ICCMSTM en la práctica clínica. Se evaluaron 6 pacientes con diferentes estadios de caries dental en un rango entre 20 a 43 años. Se les realizó examen clínico, radiografías y fotografías iniciales. Se utilizaron los sistemas internacionales ICDAS y ICCMS para el diagnóstico y manejo estandarizado de la caries y controles periódicos para evaluar la evolución de los pacientes.
Con ICCMS se logró manejar los factores de riesgo de cada paciente y conjugarlo con controles periódicos de prevención. ICCMSTM es eficaz en el diagnóstico preciso y estandarizado de la caries, así como en el manejo integral del paciente permitiendo controlar los factores de riesgo y monitorear periódicamente cada caso, reevaluando su componente personal y clínico integral.
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Abstract
Recent reported studies define dental caries as a multifactor disease resulting from an imbalance between the dental surface and biofilm. The ICCMSTM focuses on oral health outcomes presenting a sequence to be followed in order to obtain a more accurate caries management. It aims at preventing new caries lesions, hindering current ones from advancing and preserving dental structure with conservative approaches for hard dental tissues. It incorporates non-surgical treatments for early-stage caries and conservative surgical procedures in more advanced and severe stages.
To describe how the ICCMSTM system is used in clinical practice. Six patients were assessed with ages from 20 to 43 years with a clinical examination, radiographs and initial photographs. The ICDAS and ICCMS™ systems were used for diagnosis, standardized management and periodic controls in order to evaluate the patient evolution.
Risk factors in patients were managed with ICCMS™ and coordinate with periodic preventive controls.
ICCMS™ is effective for a precise and standardised caries diagnosis - as well as an integral patient management - allowing control of risk factors, periodic monitoring of each case and re-evaluation of its integral personal and clinical component.
Recent reported studies define dental caries as a multi-factor disease resulting from an
imbalance between the dental surface and biofilm. The ICCMSTM focuses on oral health outcomes presenting a sequence to be followed in order to obtain a more accurate caries management. It aims at preventing new caries lesions, hindering current ones from advancing and preserving dental structure with conservative approaches for hard dental tissues. It incorporates non-surgical treatments for early-stage caries and conservative surgical procedures in more advanced and severe stages. Aim: to describe how the ICCMSTM system is used in clinical practice. Materials and methods: Six patients were assessed with ages from 20 to 43 years with a clinical examination, radiographs and initial photographs. The ICDAS and ICCMS™ systems were used for diagnosis, standardised management and periodic controls in order to evaluate the patient evolution.
Risk factors in patients were managed with ICCMS™ and coordinate with periodic preventive controls. ICCMS™ is effective for a precise and standardised caries diagnosis - as well as an integral patient management - allowing control of risk factors, periodic monitoring of each case and re- valuation of its integral personal and clinical component.