Evidence Based Caries Prevention

This book aims to define the etiological factors in dental caries and to guide the clinician towards methods of caries prevention that are evidence based. The coverage includes discussion of the active role of the biofilm and the oral environment and emphasizes the multifactorial etiology of dental caries. The opening chapters describe the early detection and diagnosis of dental caries, highlight the value of caries risk assessment to the patient, and explain the dynamic process of the demineralization–remineralization cycle. Information is presented on the action of fluoride, and the evidence relating to the use and effectiveness of remineralization agents and biomimetic materials is reviewed. Additionally, the effects of antimicrobials such as chlorhexidine and ozone are summarized. Further chapters focus on dietary counseling (with information on sweeteners and probiotics), the effectiveness of sealants in caries prevention, and resin infiltration. The philosophy of prophylaxis and ways to improve patient compliance and achieve proper mechanical plaque removal are discussed. The book is concluded with a chapter discussing preventive actions in representative cases.

This issue of Dental Clinics of North America focuses on Caries Management and is edited by Drs. Sandra Guzmán-Armstrong, Margherita Fontana, Marcelle Matos Nascimento and Andrea G. Ferreira Zandona. Articles will include: Non-Surgical management of cavitated and non-cavitated lesions; Approaches to modulate biofilm ecology; Dietary implications in dental caries: A practical approach on nutritional counseling; Motivational communication in the dental practice: On the road to preventing oral disease; Personalized dental caries management in adults; Personalized dental caries management in geriatric and special needs populations; Clinical decision making in the management of dental caries; Surgical management of caries lesions: Selective removal of carious tissues; The interprofessional role in dental caries management: Perspectives from a nurse, physician, and social worker; Third party perspective of dental caries management; Less is more? The long-term health and cost consequences emanating from minimal invasive caries management; Performance of adhesives and restorative materials after selective removal of carious lesions: Restorative materials with anti-caries properties; Personalized dental caries management in children; and more!

Covering the science behind the diseasea comprehensive approach to modern caries management This systematic approach to modern caries management combines new, evidence-based treatment techniques with the scientific underpinnings of caries formationproviding an in-depth review for both clinicians in daily practice and students advancing in the field. Beginning with patho-anatomic changes in the dental hard tissues, Dental Caries: Science and Clinical Practice goes on to cover non-invasive, minimally invasive, and more aggressive interventions based on each stage of the disease. From microbiology and histology to visual, tactile and radiographic diagnosis, risk assessment, preventive measures, and tooth preservation and treatment strategies, the book is packed with valuable clinical information for all dental practitioners. Key Features: Succinctly covers the science behind the disease, with recommendations for treatments based on assessment starting at the microscopic level Written by a team of leading worldwide authorities on caries treatment and managementand utilizing the International Caries Detection and Assessment System (ICDAS) standard throughout Covers the newest treatment techniques, including adhesion technology, fissure sealing and infiltration, caries removal, tooth-colored restorations, and more Demonstrates step-by-step caries procedures in striking, full-color illustrations of adult and pediatric cases Offers the newest thinking on early prevention and behavioral changes in oral health promotion, including the role of diet and nutrition, biofilm management, fluoride use, population-based approaches, and more Shifting to the new paradigm of heal and seal rather than the more invasive drill and fill, this beautifully illustrated text puts scientific principles into clinical action for the best results. It is an essential resource for a complete, proactive approach to caries detection, assessment, treatment, management, and prevention in contemporary dental practice.

This issue of Dental Clinics of North America focuses on Evidence-Based Dentistry, and is edited by Dr. Robert J. Weyant. Articles will include: The Evidence-Based Dental Office; Implementation of Evidence-Based Dentistry and Changing Behavior: What Dentists Need to Know; Evidence-Based Dentistry Update for Pediatric Dentistry; Evidence-Based Dentistry Update on Opioid Appropriate Use and Risks; Evidence-Based Dentistry Update on Silver Diamine Fluoride; Evidence-Based Update on Diagnosis and Management of Gingivitis and Periodontitis; How Evidence-Based Dentistry Has Shaped the Practice of Oral Medicine; Teaching Evidence-Based Dentistry: Dental Curriculum; Evidence-Based Dentistry for Caries Risk Assessment and Disease Management; Implementing Evidence-Based Dentistry Guidelines; Evidence-Based Dentistry and Dental Health Policy; and more!

Dental Caries is a major new work on a subject of vital concern to all dentists. It builds on the work of two former books, Textbook of Clinical Cariology and Fluoride in Dentistry, to present a definitive resource on caries prevention and treatment. The management of dental caries is central to daily work in dental offices because caries is ubiquitous in all populations, lesion development continues lifelong and caries is the most common cause of tooth loss around the world. The book's logical structure consists of four parts, covering: The Disease; Diagnosis; Prevention, Non-Operative and Operative Treatment and Prognosis. It provides a clear understanding of the disease process, be it at an individual or population level. The Editors are joined by 28 expert authors who have contributed a wealth of chapters, ranging from the role of fluorides to restoring the tooth. Careful balance between prophylaxis and surgical intervention guides the reader through the maze of treatment decisions, while the breadth of the book reflects diverse, and sometimes controversial, opinion on dental caries.

Prevention is better than healing ... or treatment. Thus, preventive dentistry is a cross-sectional challenge for all fields in dentistry, and one that has already achieved great success, as shown by the caries decline in many countries. The walls between prevention and treatment have recently fallen in caries and periodontal disease, as well as in orthodontics, where guidance of function and space maintenance are a combination of prevention and treatment. This book discusses new developments and innovations in preventive dentistry, from primary "real" prevention to secondary prevention by inactivating initial lesions, and on to tertiary prevention to avoid subsequent progression and complications of manifest oral disease. This evidence base is then translated into clinical dental practice. The book addresses everyone interested or involved in dentistry, including students, the whole dental practice team, educators, health scientists, and policy makers, who want to gain insight into these up-to-date clinical practices and future developments. It intends to make an impact on teaching and all fields of clinical dentistry – not by giving cookbook recipes, but by pointing out the rationale behind the changes in our routines. Presented by an international group of recognized specialists in their fields, the topics include the new understanding and management of caries and periodontal disease, prevention of orthodontic problems, diagnostic approaches, the role of diet and according recommendations for oral health, routes to better oral hygiene, changes in oral disease patterns and their consequences, non- and minimally invasive caries treatment, current fluoride guidelines including the use of silver fluorides, risk management, a common risk-factor approach, facilitating behavior changes, sealants, and probiotics. This broad spectrum is elucidated for the most relevant dental problems from early childhood to seniors to implement preventively oriented dental practice.

The gold standard for evidence-based public health, The Guide to Community Preventive Services is a primary resource to improve health and prevent disease in states, communities, independent, nonfederal Task Force on Community Preventive Services, The Guide uses comprehensive systemic review methods to evaluate population-oriented health interventions. The recommendations of the Task Force are explicitly linked to the scientific evidence developed during systematic reviews. This volume examines the effectiveness and efficiency of interventions to combat such risky behaviors as tobacco use, physical inactivity, and violence; to reduce the impact and suffering of specific conditions such as cancer, diabetes, vaccine-preventable diseases, and motor vehicle injuries; and to address social determinants oh health such as education, housing, and access to care. The chapters are grouped into three broad categories: changing risk behaviors; reducing specific diseases, injuries, and impairments; and methodological background for the book itself.

This book provides wide-ranging information on current clinical and scientific knowledge on the various aspects of fissure sealing. Trends in the epidemiology of caries are first examined, followed by thorough description of the morphology of pits and fissures and types of sealant. The role of sealants in the prevention of caries is discussed. Diagnostic parameters are presented, along with step-by-step descriptions of clinical procedures for fissure sealing. Chapters are also included on alternative techniques of fissure sealing, sealing of carious fissures, and therapeutic fissure sealing. The final chapter in the book focuses on the cost effectiveness of the procedure. Tooth surfaces with pits and fissures are particularly vulnerable to caries development. Sealants were developed to help manage these sites of the tooth and safeguard the surfaces from decay. This book has been written by acknowledged experts in the field. It will be of value for all dental professionals seeking to deepen their understanding of current knowledge on the science and the clinical application of pit and fissure sealants.