Caries Excavation

Currently there is no reason, in most cases of cavitated caries lesions, to remove affected tissue. This book presents evidence-based research on the topic and provides assessments of diagnostic devices. It offers new insights into how a dentine carious cavity can be managed by either tissue removal or restoration. Methods for preserving dental tissue are presented and ample evidence highlights the need to seal with a quality restorative material. An update on how to conduct a randomized clinical trial is followed by a chapter on agreed upon terminology for supporting improved communication among oral health professionals around the world. This is a must-read for general practitioners, restorative specialists, dental students, and oral hygienists/therapists.

Currently there is no reason, in most cases of cavitated caries lesions, to remove affected tissue. This book presents evidence-based research on the topic and provides assessments of diagnostic devices. It offers new insights into how a dentine carious cavity can be managed by either tissue removal or restoration. Methods for preserving dental tissue are presented and ample evidence highlights the need to seal with a quality restorative material. An update on how to conduct a randomized clinical trial is followed by a chapter on agreed upon terminology for supporting improved communication among oral health professionals around the world. This is a must-read for general practitioners, restorative specialists, dental students, and oral hygienists/therapists.

Authoritative and comprehensive resource on the disease process and clinical management of dental caries. Dental Caries: The Disease and Its Clinical Management, 4th Edition maintains the same focus on high-level coverage of the disease etiology and process, clinical assessment and prognosis and wider public health issues connected with dental caries management, including an enhanced focus on caries control. Fully updated throughout, the chapters that discuss theory emphasize how the knowledge can be applied in both the clinic and in the public health domain to improve oral health. The new edition also includes up-to-date and validated diagnostic and management options for caries whilst ensuring that the tools provided allow practitioners to serve the needs of different socio-economic populations. All sections are complimented by high-quality color photographs, clear line drawings and references for further study. With contributions from international experts in research and clinical practice, Dental Caries includes information on: Acquisition and establishment of the oral microbiome, metabolism of the microbiome in caries, and the essential role of saliva for dental caries and erosion Initiation and progression of dental caries in dental hard tissues and the relationship between sugar, diets, and dental caries The caries control concept and consequences for minimally invasive management of caries Caries control in children, adults, and the elderly, including root surface caries and oral health care in the elderly Implication of caries control for the dental profession, including best practices for assessment of lesion activity, prognosis and risk for developing dental caries Dental Caries, Fourth Edition is an unrivaled guide to tooth decay, and a must-have resource for undergraduate and postgraduate students in dental public health, paediatric and restorative dentistry as well as all practitioners looking to develop their clinical skills.

This book explains how to optimize clinical conditions for detection of the earliest visible signs of dental caries and how best to assess caries activity as a basis for effective management. The available evidence from the literature on detection criteria and methods is distilled and placed in a clinical context to facilitate implementation in clinical practice. Guidance is offered on removal of the dental biofilm and the potential impact of various factors on the performance of different caries detection devices. The histological changes that occur during the caries process and their effect on the clinical appearance of caries lesions are explained. In addition, several caries classification systems based on visual detection criteria and designed to allow staging are presented. Consideration is also given to currently marketed detection aids, including methods involving light fluorescence, transillumination, and radiography. In each case, a summary of the detection performance, based on available supporting evidence, is tabulated together with advice on appropriate clinical application. The reader will find the text to be clearly written and informative, with many supporting clinical images.

This book describes the challenges that deep carious lesions pose for dental practitioners, including the risk of endodontic complications and the difficulty of restorative treatment, and identifies options for overcoming these challenges on the basis of the best available evidence. The opening chapter sets the scene by discussing pathophysiology, histopathology, clinical symptomatology, and treatment thresholds. The various treatment options are then systematically presented and reviewed, covering non-selective, stepwise, and selective carious tissue removal and restoration, sealing of lesions using resin sealants or crowns, and non-restorative management approaches. In each case the current evidence with respect to the treatment is carefully evaluated. Advantages and disadvantages are explained and recommendations made on when to use the treatment in question. Illustrative clinical cases and treatment pathways for clinicians are included. This book will be of value for all practitioners who treat dental caries and carious lesions, whether in the permanent or the primary dentition. It will also be of interest to under- and postgraduate students in cariology and restorative, operative, preventive, and pediatric dentistry.

Case reports and clinical trials conducted in various countries show, more and more frequently, a positive correlation between the presence of original teeth and prevalence of root caries in older age. Because this is a global trend, it is likely that the predicted increase in the worldwide elderly population may soon cause a significant increase in the number of people requiring effective means of preventing and treating root surface caries. In response to this development, a team of outstanding contributors has reviewed the most important aspects of root caries. This new volume presents their findings along with discussions of how to deal with this health issue that progressively affects the oral health balance. The chapters in this book are divided in four core parts: Epidemiology, Biological Determinants, Lesion Assessment and Features and Preventive and Operative Therapies. The collection of state-of-the-art articles provides a broad overview and will serve as a reference for clinicians as well as scientists and, hopefully, will encourage new research.

The International Caries Detection and Assessment System (ICDAS) offers clinical criteria and codes, together with a framework to support and enable personalized comprehensive caries management for improved long-term health outcome. Based on the ICDAS, this publication provides an up-to-date synthesis of the fields of detection, assessment, diagnosis and monitoring of caries. The available evidence is reviewed, and a summary is given of the current international views on best practice of how the information collected can be collated and synthesized to inform the planning, delivery and clinical evaluation of patient-centred, comprehensive caries management. The book includes a unique glossary of key terms developed with a number of international groups and establishes new links between cariology in clinical practice, caries research, dental education and epidemiology, and dental public health. The book presents valuable information for practitioners and other dental health professionals with an interest in dental caries and its modern, evidence-based, clinical management as well as for all involved in the domains of dental public health, caries research or education.

Vital Pulp Treatment A comprehensive reference work covering all aspects of vital pulp treatments in clinical practice Vital Pulp Treatment offers a comprehensive overview of existing and developing vital pulp therapies, the science that underpins them as well as their clinical applications. Preserving dental pulp tissue is critical to oral health and vital pulp treatments are designed to maintain, repair, and regenerate this tissue. With a focus on clinical practice, this book begins with the diagnosis and causes of pulpitis before elaborating on the application of vital pulp treatment after trauma, caries, or dental procedures. Later chapters cover a variety of extent treatment modalities including caries removal, pulpotomy, direct or indirect pulp capping and regenerative endodontic therapies. Vital Pulp Treatment readers will also find: Clinical photographs to support and highlight key parts of the text Detailed discussion of topics including pulp diagnostics, deep caries, and pulp exposure management, as well as controversial and clinically relevant discussions Dedicated treatment of each therapeutic modality with a summary of the state of the art in each case Outcome measures and follow-up guidelines Rooted in evidence-based dentistry and robust scientific research, Vital Pulp Treatment is ideal for dentists, endodontists, restorative dentists, and dental students looking for information on this critical component of modern minimally-invasive dentistry.