Dental caries: the disease and its clinical management
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| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Oxford [u.a.]
Blackwell Munksgaard
2008
|
| Edition: | 2. ed. |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XXIII, 616 S. Ill., graph. Darst. |
| ISBN: | 9781405138895 1405138890 |
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| 245 | 1 | 0 | |a Dental caries |b the disease and its clinical management |c ed. by Ole Fejerskov ... |
| 250 | |a 2. ed. | ||
| 264 | 1 | |a Oxford [u.a.] |b Blackwell Munksgaard |c 2008 | |
| 300 | |a XXIII, 616 S. |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 650 | 7 | |a Cariës |2 gtt | |
| 650 | 7 | |a Cárie dentária (diagnóstico;tratamento) |2 larpcal | |
| 650 | 4 | |a Dental Caries |x diagnosis | |
| 650 | 4 | |a Dental Caries |x therapy | |
| 650 | 4 | |a Dental Restoration, Permanent | |
| 650 | 4 | |a Dental caries |x Diagnosis | |
| 650 | 4 | |a Dental caries |x Treatment | |
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Record in the Search Index
| _version_ | 1804137560362975232 |
|---|---|
| adam_text | Contents
Preface: an Editors guide to reading the book xiii
Contributors xix
Part I The disease and its diagnosis 1
Chapter 1 Defining the disease: an introduction 3
O. Fejerskov, E.A.M. Kidd, B. Nyvad and V. Baelum
Introduction 4
Terminology 5
Background literature 6
References 6
Chapter 2 Clinical appearances of caries lesions 7
O. Fejerskov, B. Nyvad and E.A.M. Kidd
What do caries lesions look like clinically? 8
Deciduous dentition 8
Permanent dentition 10
References 18
Chapter 3 Pathology of dental caries 19
O. Fejerskov, B. Nyvad and E.A.M. Kidd
Introduction 20
Enamel reactions during eruption 21
Enamel changes during early caries lesion development 23
The approximal white-spot lesion 27
Progression of the enamel lesion 32
Arrest of the caries lesion 32
Occlusal caries 35
Dentin reactions to caries progression 39
Pulpo-dentinal reactions 42
Root-surface caries 44
Background literature 47
References 48
Chapter 4 Visual-tactile caries diagnosis 49
B. Nyvad, O. Fejerskov and V. Baelum
Introduction 50
The diagnostic process 5()
Why do we diagnose caries? 5 /
Diagnosis in a dental caries perspective 51
How early should caries lesions be detected? 53
What are the best visual-tactile caries diagnostic criteria? 53
Commonly used visual-tactile criteria 55
Differential diagnosis 60
Visual-tactile caries examination: a systematic clinical approach 62
Additional aids in visual-tactile caries diagnosis 64
Benefits and limitations of visual-tactile caries diagnosis 66
References 67
vi Contents
Chapter 5 Radiography for caries diagnosis 69
I. Mejare and E.A.M. Kidd
Introduction 70
Technical and quality aspects 70
Prescription and timing ofbitewing radiography 79
References 87
Chapter 6 Additional diagnostic measures 89
A. Lussi and B. Angmar-Mansson
Introduction 90
Methods based on X-ray 90
Methods based on light 92
Methods based on electrical current 97
Are the methods suitable for use in clinical practice or only useful for research? 98
Can the methods stand alone or are they only adjuncts to a clinical-visual examination? 99
References 99
Chapter 7 The foundations of good diagnostic practice 103
V. Baelum, B. Nyvad, H.-G. Grondahl and O. Fejerskov
Introduction 104
The making of a dentist 104
The dental examination: in the best interest of patients 105
What are we looking for - what is caries? 106
The wealth of caries diagnostic methods 108
The evolution in caries diagnostic methods 108
Evaluating caries diagnostic methods 109
Diagnostic test assessment in the essentialistic gold-standard paradigm 109
Leaps in the essentialistic gold-standard reasoning 111
Diagnostic test evaluation in the nominalistic caries paradigm 113
Interexaminer and intraexaminer errors in caries diagnosis 114
How do we deal with the unavoidable diagnostic uncertainty? 115
The additional diagnostic yield argument 116
Concluding remarks 117
References 118
Part II Clinical caries epidemiology 121
Chapter 8 The epidemiology of dental caries 123
B.A. Burt, V. Baelum and O. Fejerskov
Introduction 124
Measuring dental caries 125
Distribution of caries 129
Summary 141
References 141
Chapter 9 The impact of diagnostic criteria on estimates of prevalence, 147
extent and severity of dental caries
N. Pitts
Introduction 148
Diagnostic criteria for dental caries: an epidemiological perspective 148
Caries diagnostic thresholds and specific epidemiological considerations 151
Impact of diagnostic criteria on estimates of caries prevalence 154
Impact of diagnostic criteria on estimates of caries extent 155
Contents vii
Impact of diagnostic criteria on estimates of the severity of dental caries 157
A framework for considering the choice of appropriate diagnostic criteria for 158
epidemiological studies
Summary 158
References 158
Part III Dental caries in a biological context 161
Chapter 10 The oral microflora and biofilms on teeth 163
P.D. Marsh and B. Nyvad
Introduction 164
The resident microflora 164
Dental biofilms: development, structure, composition and properties 166
Caries microbiology: a brief historical perspective 178
Methodological problems in microbiological studies of dental caries 178
Microbiology of caries 179
Cariogenic features of dental biofilm bacteria 182
Concluding remarks 185
Background literature 185
References 185
Chapter 11 The role of saliva 189
A. Bardow, F. Lagerlof, B. Nauntofte and J. Tenovuo
Introduction 190
Formation of saliva 190
Hypofunction of salivary glands 194
Oral clearance 195
Inorganic saliva composition 196
Saliva buffer capacity and pH regulation 198
Saliva proteins 200
Role of the pellicle 202
Other caries-related components in saliva 203
Saliva and the risk of developing caries lesions 204
Management of salivary gland hypofunction 206
Concluding remarks 206
Background literature 207
References 207
Chapter 12 Chemical interactions between the tooth and oral fluids 209
J.M. ten Cate, M.J. Larsen, E.I.F. Pearce and O. Fejerskov
Introduction 210
The importance of the mineral phase in enamel 210
Enamel mineral and oral fluids 213
Demoralization and remineralization of the dental hard tissues 217
Remineralization 220
Dentin caries 221
Fluoride reactions in the oral environment 225
Dental calculus 229
Background literature 230
References 230
viii Contents
Chapter 13 Erosion of the teeth 233
M.J. Larsen
Introduction 234
Clinical manifestations and diagnosis 234
Histological and chemical features 236
Classification by depth of the lesion 237
Classification by etiology 237
Erosion caused by food and drinks 238
Erosion caused by stomach contents 243
Erosion caused by airborne acids 243
Idiopathic erosion 244
Prophylaxis and treatment of erosion 244
Conclusion 246
Background literature 246
References 246
Part IV Non-operative therapy 249
Chapter 14 The control of disease progression: non-operative treatment 251
E.A.M. Kidd and O. Fejerskov
Introduction 252
Can the caries process be prevented? 252
Controlling disease progression 252
Should disease control be considered as treatment of the caries lesion? 253
Why use the term non-operative treatment ? 254
Does the approach work? Is it cost-effective? 254
References 254
Chapter 15 Role of oral hygiene 257
B. Nyvad
Introduction 258
Some theoretical considerations 258
The biological effect of tooth cleaning 258
The clinical effect of tooth cleaning 259
The effect of professional tooth cleaning 262
The effect of dental flossing 263
Concluding remarks 263
References 263
Chapter 16 Antimicrobials in caries control 265
A.A. Scheie and EC. Petersen
Dental plaque: the biofilm lifestyle and the rationale for antimicrobial intervention 266
Biological activity and mode of action 267
Modification of dental biofilm biochemistry and ecology 269
Vehicles for administration of caries-prophylactic agents 269
Specific agents 270
Other agents proposed for caries prophylaxis, but without documented anticaries effect 273
Concluding remarks and future approaches 275
Background literature 276
References 276
Contents ix
Chapter 17 Might caries control involve immunization and gene therapy? 279
R.R.B. Russell
Introduction 280
Dental caries vaccine 280
Alternative approaches to targeting cariogenic bacteria 284
Natural defense mechanisms of the tooth 284
Conclusion 285
References 285
Chapter 18 Fluorides in caries control 287
R. Ellwood, O. Fejerskov, J.A. Cury and B. Clarkson
Introduction 288
How fluoride came into dentistry 288
Physiological and toxicological aspects of fluoride delivery 293
Current methods of fluoride delivery 304
Appropriate use of fluoride in caries control 319
Summary of recommendations for fluoride-delivery methods 322
Background literature 323
References 323
Chapter 19 The role of dietary control 329
D.T. Zero, P. Moynihan, P. Lingstrom and D. Birkhed
Introduction 330
Diet and dental caries in humans 330
Influence of different intake patterns 333
Influence of fluoride on the relationship between sugars and caries 334
Groups at increased risk of dental caries in relation to diet 336
Relative cariogenicity of different carbohydrates 338
Novel carbohydrates and dental health 338
Protective factors in foods 344
Diet and dental erosion 346
Promoting good dietary habits for dental health 346
References 349
Part V Operative intervention 353
Chapter 20 The role of operative treatment in caries control 355
E.A.M. Kidd, J.P. van Amerongen and W.E. van Amerongen
Introduction 356
What is happening in your dental school? 356
The outcome of non-operative treatment 356
Does this approach always work? 358
Occlusal surfaces 358
Approximal surfaces 359
Recurrent caries 359
Deciduous teeth 35}
Summary 353
References 3^4
x Contents
Chapter 21 Caries removal and the pulpo-dentinal complex 367
E.A.M. Kidd, L. Bjerndal, D. Beighton and O. Fejerskov
Introduction 368
Summary of caries lesion progression in dentin 368
The pulpo-dentinal complex and caries 371
The relevance of pulpo-dentinal reactions to operative management 373
The current operative tradition 374
The infected dentin concept and its clinical consequence 374
Studies placing fissure sealants over carious dentin 376
Stepwise excavation studies 376
Why re-enter? 377
Randomized controlled clinical trials 380
Conclusions 382
References 382
Chapter 22 Restoring the tooth: the seal is the deal 385
J.P. van Amerongen, W.E. van Amerongen, T.F. Watson, N.J.M. Opdam, F.J.M. Roeters,
D. Bittermann and E.A.M. Kidd
Introduction 386
Materials 387
Treatment of pit and fissure caries 396
Treatment of approximal caries 402
Treatment of caries in anterior teeth and the cervical area 410
Restorative procedures in the primary dentition 416
Failure and repair of restorations 420
References 423
Chapter 23 The atraumatic restorative treatment approach 427
J.E. Frencken and W.E. van Amerongen
History of ART 428
A treatment approach of fissure sealing and minimal operative intervention 429
Atraumatic aspects 431
The ART approach step-by-step, for use with glass-ionomer restorative material 432
Survival of ART sealants and ART restorations 434
Comparison of ART with conventional treatment approaches 438
Causes of failure of ART restorations 439
Integration of ART into oral health services 439
References 440
Chapter 24 Longevity of restorations: the death spiral 443
V. Qvist
Introduction 444
Clinical assessment of restorations 444
Assessment of restoration longevity 444
The amalgam debate and its consequences for restoration longevity 447
Longevity of restorations in the primary dentition 448
Longevity of restorations in the permanent dentition 449
Factors influencing restoration longevity 451
Consequences of restoration longevity for dental health and cost 453
Concluding remarks 454
References 454
Contents xi
Part VI Caries control and prediction 457
Chapter 25 Clinical decision making: technical solutions to biological problems or 459
evidence-based caries management?
V. Baelum
Introduction 460
The historical bias towards dental mechanics 460
Appropriate dental care: what is it? 461
Appropriate caries management: how to get there? 462
Are we heading towards cookbook dentistry? 464
Caries-related clinical decision making: what it is not 464
Caries-related clinical decision making: what it is 467
Appropriate caries scripts: proposal for a guideline 468
References 471
Chapter 26 Promoting oral health in populations 475
E. Kay and R. Craven
Defining oral health and health education and promotion 476
Theories of health-related behavior 477
Oral health education: does it work? 479
Practical tips for influencing individual patients behavior 482
Conclusions 485
References 485
Chapter 27 Caries control for the individual patient 487
E.A.M. Kidd, B. Nyvad and I. Espelid
Introduction 488
How are current caries activity and risk of future caries progression assessed? 488
How is the information used to categorize patients into risk groups? 491
What non-operative treatments are available? 491
How is the individual helped to control disease progression? 495
When should the patient be recalled? 496
Caries control in children and adolescents 497
Caries control in patients with a dry mouth 500
Caries control in people who cannot care for themselves 502
Failure 503
References 503
Chapter 28 Caries control for populations 505
V. Baelum, A. Sheiham and B. Burt
Introduction 506
The caries decline and changes in the practice of dentistry 506
Why does caries occur? 507
Upstream or downstream: does it matter? 510
Sick individuals or sick populations? 511
Options for change: which preventive strategy should be used? 512
The h igh - risk approach 513
The population strategy for caries prevention 515
The directed population strategy 517
A short history of caries-preventive strategies for populations 518
A wider perspective on prevention S19
Wanted: a population-based common risk factor approach to prevention 520
Where does this leave the traditional dentist? Need for a new professionalism 521
References 523
xii Contents
Chapter 29 Caries prediction 527
H. Hausen
Introduction 528
Clinicians assess risk, researchers predict 529
The course of a typical prediction study 529
Practical examples 531
What level of accuracy would be sufficient in everyday practice? 536
What level of accuracy can be achieved? 536
How valuable are the proposed measures? 540
Background literature 540
References 541
Chapter 30 Preventing dental caries: what are the costs? 543
J. Feine, N. Jamal and S. Esfandiari
Introduction 544
Health-care economics 544
What is a benefit? What is a cost? 545
The cost of dental caries 545
Review of economic studies of preventive approaches 546
Conclusions 550
References 551
Part VII Dentistry in the twenty-first century 553
Chapter 31 Variation in clinical decision making related to caries 555
J.D. Bader and D.A. Shugars
Introduction 556
Variation in detection of caries lesions 556
Variation in caries management decisions 561
The consequences of variation 565
A long-term approach to reducing variation 568
References 573
Chapter 32 for richer, for poorer, in sickness and in health ... 575
The role of dentistry in controlling caries and periodontitis globally
V. Baelum, W. van Palenstein Helderman, A. Hugoson, R. Yee and O. Fejerskov
Introduction 576
Development of dentistry: the profession 576
Development of dentistry: the disease concepts 578
Development of dentistry: low-income countries 580
Planned dental services: wishful thinking or achievable goal? 581
The magnitude of disease burdens 583
The burden of periodontal diseases 586
Dental caries: the major oral disease burden 590
Trends in the burden of oral diseases 594
Social gradients in oral disease burdens 597
Disease burdens: whose burdens? 597
Quo vadis? Priorities in oral health care for low- and middle-income countries 599
Quo vadis? Priorities for high-income countries 601
References 602
Index 607
|
| adam_txt |
Contents
Preface: an Editors' guide to reading the book xiii
Contributors xix
Part I The disease and its diagnosis 1
Chapter 1 Defining the disease: an introduction 3
O. Fejerskov, E.A.M. Kidd, B. Nyvad and V. Baelum
Introduction 4
Terminology 5
Background literature 6
References 6
Chapter 2 Clinical appearances of caries lesions 7
O. Fejerskov, B. Nyvad and E.A.M. Kidd
What do caries lesions look like clinically? 8
Deciduous dentition 8
Permanent dentition 10
References 18
Chapter 3 Pathology of dental caries 19
O. Fejerskov, B. Nyvad and E.A.M. Kidd
Introduction 20
Enamel reactions during eruption 21
Enamel changes during early caries lesion development 23
The approximal white-spot lesion 27
Progression of the enamel lesion 32
Arrest of the caries lesion 32
Occlusal caries 35
Dentin reactions to caries progression 39
Pulpo-dentinal reactions 42
Root-surface caries 44
Background literature 47
References 48
Chapter 4 Visual-tactile caries diagnosis 49
B. Nyvad, O. Fejerskov and V. Baelum
Introduction 50
The diagnostic process 5()
Why do we diagnose caries? 5 /
Diagnosis in a dental caries perspective 51
How early should caries lesions be detected? 53
What are the best visual-tactile caries diagnostic criteria? 53
Commonly used visual-tactile criteria 55
Differential diagnosis 60
Visual-tactile caries examination: a systematic clinical approach 62
Additional aids in visual-tactile caries diagnosis 64
Benefits and limitations of visual-tactile caries diagnosis 66
References 67
vi Contents
Chapter 5 Radiography for caries diagnosis 69
I. Mejare and E.A.M. Kidd
Introduction 70
Technical and quality aspects 70
Prescription and timing ofbitewing radiography 79
References 87
Chapter 6 Additional diagnostic measures 89
A. Lussi and B. Angmar-Mansson
Introduction 90
Methods based on X-ray 90
Methods based on light 92
Methods based on electrical current 97
Are the methods suitable for use in clinical practice or only useful for research? 98
Can the methods stand alone or are they only adjuncts to a clinical-visual examination? 99
References 99
Chapter 7 The foundations of good diagnostic practice 103
V. Baelum, B. Nyvad, H.-G. Grondahl and O. Fejerskov
Introduction 104
The making of a dentist 104
The dental examination: in the best interest of patients 105
What are we looking for - what is caries? 106
The wealth of caries diagnostic methods 108
The evolution in caries diagnostic methods 108
Evaluating caries diagnostic methods 109
Diagnostic test assessment in the essentialistic gold-standard paradigm 109
Leaps in the essentialistic gold-standard reasoning 111
Diagnostic test evaluation in the nominalistic caries paradigm 113
Interexaminer and intraexaminer errors in caries diagnosis 114
How do we deal with the unavoidable diagnostic uncertainty? 115
The additional diagnostic yield argument 116
Concluding remarks 117
References 118
Part II Clinical caries epidemiology 121
Chapter 8 The epidemiology of dental caries 123
B.A. Burt, V. Baelum and O. Fejerskov
Introduction 124
Measuring dental caries 125
Distribution of caries 129
Summary 141
References 141
Chapter 9 The impact of diagnostic criteria on estimates of prevalence, 147
extent and severity of dental caries
N. Pitts
Introduction 148
Diagnostic criteria for dental caries: an epidemiological perspective 148
Caries diagnostic thresholds and specific epidemiological considerations 151
Impact of diagnostic criteria on estimates of caries prevalence 154
Impact of diagnostic criteria on estimates of caries extent 155
Contents vii
Impact of diagnostic criteria on estimates of the severity of dental caries 157
A framework for considering the choice of appropriate diagnostic criteria for 158
epidemiological studies
Summary 158
References 158
Part III Dental caries in a biological context 161
Chapter 10 The oral microflora and biofilms on teeth 163
P.D. Marsh and B. Nyvad
Introduction 164
The resident microflora 164
Dental biofilms: development, structure, composition and properties 166
Caries microbiology: a brief historical perspective 178
Methodological problems in microbiological studies of dental caries 178
Microbiology of caries 179
Cariogenic features of dental biofilm bacteria 182
Concluding remarks 185
Background literature 185
References 185
Chapter 11 The role of saliva 189
A. Bardow, F. Lagerlof, B. Nauntofte and J. Tenovuo
Introduction 190
Formation of saliva 190
Hypofunction of salivary glands 194
Oral clearance 195
Inorganic saliva composition 196
Saliva buffer capacity and pH regulation 198
Saliva proteins 200
Role of the pellicle 202
Other caries-related components in saliva 203
Saliva and the risk of developing caries lesions 204
Management of salivary gland hypofunction 206
Concluding remarks 206
Background literature 207
References 207
Chapter 12 Chemical interactions between the tooth and oral fluids 209
J.M. ten Cate, M.J. Larsen, E.I.F. Pearce and O. Fejerskov
Introduction 210
The importance of the mineral phase in enamel 210
Enamel mineral and oral fluids 213
Demoralization and remineralization of the dental hard tissues 217
Remineralization 220
Dentin caries 221
Fluoride reactions in the oral environment 225
Dental calculus 229
Background literature 230
References 230
viii Contents
Chapter 13 Erosion of the teeth 233
M.J. Larsen
Introduction 234
Clinical manifestations and diagnosis 234
Histological and chemical features 236
Classification by depth of the lesion 237
Classification by etiology 237
Erosion caused by food and drinks 238
Erosion caused by stomach contents 243
Erosion caused by airborne acids 243
Idiopathic erosion 244
Prophylaxis and treatment of erosion 244
Conclusion 246
Background literature 246
References 246
Part IV Non-operative therapy 249
Chapter 14 The control of disease progression: non-operative treatment 251
E.A.M. Kidd and O. Fejerskov
Introduction 252
Can the caries process be prevented? 252
Controlling disease progression 252
Should disease control be considered as 'treatment' of the caries lesion? 253
Why use the term 'non-operative treatment'? 254
Does the approach work? Is it cost-effective? 254
References 254
Chapter 15 Role of oral hygiene 257
B. Nyvad
Introduction 258
Some theoretical considerations 258
The biological effect of tooth cleaning 258
The clinical effect of tooth cleaning 259
The effect of professional tooth cleaning 262
The effect of dental flossing 263
Concluding remarks 263
References 263
Chapter 16 Antimicrobials in caries control 265
A.A. Scheie and EC. Petersen
Dental plaque: the biofilm lifestyle and the rationale for antimicrobial intervention 266
Biological activity and mode of action 267
Modification of dental biofilm biochemistry and ecology 269
Vehicles for administration of caries-prophylactic agents 269
Specific agents 270
Other agents proposed for caries prophylaxis, but without documented anticaries effect 273
Concluding remarks and future approaches 275
Background literature 276
References 276
Contents ix
Chapter 17 Might caries control involve immunization and gene therapy? 279
R.R.B. Russell
Introduction 280
Dental caries vaccine 280
Alternative approaches to targeting cariogenic bacteria 284
Natural defense mechanisms of the tooth 284
Conclusion 285
References 285
Chapter 18 Fluorides in caries control 287
R. Ellwood, O. Fejerskov, J.A. Cury and B. Clarkson
Introduction 288
How fluoride came into dentistry 288
Physiological and toxicological aspects of fluoride delivery 293
Current methods of fluoride delivery 304
Appropriate use of fluoride in caries control 319
Summary of recommendations for fluoride-delivery methods 322
Background literature 323
References 323
Chapter 19 The role of dietary control 329
D.T. Zero, P. Moynihan, P. Lingstrom and D. Birkhed
Introduction 330
Diet and dental caries in humans 330
Influence of different intake patterns 333
Influence of fluoride on the relationship between sugars and caries 334
Groups at increased risk of dental caries in relation to diet 336
Relative cariogenicity of different carbohydrates 338
Novel carbohydrates and dental health 338
Protective factors in foods 344
Diet and dental erosion 346
Promoting good dietary habits for dental health 346
References 349
Part V Operative intervention 353
Chapter 20 The role of operative treatment in caries control 355
E.A.M. Kidd, J.P. van Amerongen and W.E. van Amerongen
Introduction 356
What is happening in your dental school? 356
The outcome of non-operative treatment 356
Does this approach always work? 358
Occlusal surfaces 358
Approximal surfaces 359
Recurrent caries 359
Deciduous teeth 35}
Summary 353
References 3^4
x Contents
Chapter 21 Caries removal and the pulpo-dentinal complex 367
E.A.M. Kidd, L. Bjerndal, D. Beighton and O. Fejerskov
Introduction 368
Summary of caries lesion progression in dentin 368
The pulpo-dentinal complex and caries 371
The relevance of pulpo-dentinal reactions to operative management 373
The current operative tradition 374
The infected dentin concept and its clinical consequence 374
Studies placing fissure sealants over carious dentin 376
Stepwise excavation studies 376
Why re-enter? 377
Randomized controlled clinical trials 380
Conclusions 382
References 382
Chapter 22 Restoring the tooth: 'the seal is the deal' 385
J.P. van Amerongen, W.E. van Amerongen, T.F. Watson, N.J.M. Opdam, F.J.M. Roeters,
D. Bittermann and E.A.M. Kidd
Introduction 386
Materials 387
Treatment of pit and fissure caries 396
Treatment of approximal caries 402
Treatment of caries in anterior teeth and the cervical area 410
Restorative procedures in the primary dentition 416
Failure and repair of restorations 420
References 423
Chapter 23 The atraumatic restorative treatment approach 427
J.E. Frencken and W.E. van Amerongen
History of ART 428
A treatment approach of fissure sealing and minimal operative intervention 429
Atraumatic aspects 431
The ART approach step-by-step, for use with glass-ionomer restorative material 432
Survival of ART sealants and ART restorations 434
Comparison of ART with conventional treatment approaches 438
Causes of failure of ART restorations 439
Integration of ART into oral health services 439
References 440
Chapter 24 Longevity of restorations: the 'death spiral' 443
V. Qvist
Introduction 444
Clinical assessment of restorations 444
Assessment of restoration longevity 444
The amalgam debate and its consequences for restoration longevity 447
Longevity of restorations in the primary dentition 448
Longevity of restorations in the permanent dentition 449
Factors influencing restoration longevity 451
Consequences of restoration longevity for dental health and cost 453
Concluding remarks 454
References 454
Contents xi
Part VI Caries control and prediction 457
Chapter 25 Clinical decision making: technical solutions to biological problems or 459
evidence-based caries management?
V. Baelum
Introduction 460
The historical bias towards dental mechanics 460
Appropriate dental care: what is it? 461
Appropriate caries management: how to get there? 462
Are we heading towards 'cookbook' dentistry? 464
Caries-related clinical decision making: what it is not 464
Caries-related clinical decision making: what it is 467
Appropriate caries scripts: proposal for a guideline 468
References 471
Chapter 26 Promoting oral health in populations 475
E. Kay and R. Craven
Defining oral health and health education and promotion 476
Theories of health-related behavior 477
Oral health education: does it work? 479
Practical tips for influencing individual patients' behavior 482
Conclusions 485
References 485
Chapter 27 Caries control for the individual patient 487
E.A.M. Kidd, B. Nyvad and I. Espelid
Introduction 488
How are current caries activity and risk of future caries progression assessed? 488
How is the information used to categorize patients into risk groups? 491
What non-operative treatments are available? 491
How is the individual helped to control disease progression? 495
When should the patient be recalled? 496
Caries control in children and adolescents 497
Caries control in patients with a dry mouth 500
Caries control in people who cannot care for themselves 502
Failure 503
References 503
Chapter 28 Caries control for populations 505
V. Baelum, A. Sheiham and B. Burt
Introduction 506
The caries decline and changes in the practice of dentistry 506
Why does caries occur? 507
Upstream or downstream: does it matter? 510
Sick individuals or sick populations? 511
Options for change: which preventive strategy should be used? 512
The h igh - risk approach 513
The population strategy for caries prevention 515
The directed population strategy 517
A short history of caries-preventive strategies for populations 518
A wider perspective on prevention S19
Wanted: a population-based common risk factor approach to prevention 520
Where does this leave the traditional dentist? Need for a new professionalism 521
References 523
xii Contents
Chapter 29 Caries prediction 527
H. Hausen
Introduction 528
Clinicians assess risk, researchers predict 529
The course of a typical prediction study 529
Practical examples 531
What level of accuracy would be sufficient in everyday practice? 536
What level of accuracy can be achieved? 536
How valuable are the proposed measures? 540
Background literature 540
References 541
Chapter 30 Preventing dental caries: what are the costs? 543
J. Feine, N. Jamal and S. Esfandiari
Introduction 544
Health-care economics 544
What is a benefit? What is a cost? 545
The cost of dental caries 545
Review of economic studies of preventive approaches 546
Conclusions 550
References 551
Part VII Dentistry in the twenty-first century 553
Chapter 31 Variation in clinical decision making related to caries 555
J.D. Bader and D.A. Shugars
Introduction 556
Variation in detection of caries lesions 556
Variation in caries management decisions 561
The consequences of variation 565
A long-term approach to reducing variation 568
References 573
Chapter 32 'for richer, for poorer, in sickness and in health .' 575
The role of dentistry in controlling caries and periodontitis globally
V. Baelum, W. van Palenstein Helderman, A. Hugoson, R. Yee and O. Fejerskov
Introduction 576
Development of dentistry: the profession 576
Development of dentistry: the disease concepts 578
Development of dentistry: low-income countries 580
Planned dental services: wishful thinking or achievable goal? 581
The magnitude of disease burdens 583
The burden of periodontal diseases 586
Dental caries: the major oral disease burden 590
Trends in the burden of oral diseases 594
Social gradients in oral disease burdens 597
Disease burdens: whose burdens? 597
Quo vadis? Priorities in oral health care for low- and middle-income countries 599
Quo vadis? Priorities for high-income countries 601
References 602
Index 607 |
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| index_date | 2024-07-02T20:29:29Z |
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| language | English |
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| spelling | Dental caries the disease and its clinical management ed. by Ole Fejerskov ... 2. ed. Oxford [u.a.] Blackwell Munksgaard 2008 XXIII, 616 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Cariës gtt Cárie dentária (diagnóstico;tratamento) larpcal Dental Caries diagnosis Dental Caries therapy Dental Restoration, Permanent Dental caries Diagnosis Dental caries Treatment Karies (DE-588)4029669-6 gnd rswk-swf Karies (DE-588)4029669-6 s DE-604 Fejerskov, Ole Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016440426&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Dental caries the disease and its clinical management Cariës gtt Cárie dentária (diagnóstico;tratamento) larpcal Dental Caries diagnosis Dental Caries therapy Dental Restoration, Permanent Dental caries Diagnosis Dental caries Treatment Karies (DE-588)4029669-6 gnd |
| subject_GND | (DE-588)4029669-6 |
| title | Dental caries the disease and its clinical management |
| title_auth | Dental caries the disease and its clinical management |
| title_exact_search | Dental caries the disease and its clinical management |
| title_exact_search_txtP | Dental caries the disease and its clinical management |
| title_full | Dental caries the disease and its clinical management ed. by Ole Fejerskov ... |
| title_fullStr | Dental caries the disease and its clinical management ed. by Ole Fejerskov ... |
| title_full_unstemmed | Dental caries the disease and its clinical management ed. by Ole Fejerskov ... |
| title_short | Dental caries |
| title_sort | dental caries the disease and its clinical management |
| title_sub | the disease and its clinical management |
| topic | Cariës gtt Cárie dentária (diagnóstico;tratamento) larpcal Dental Caries diagnosis Dental Caries therapy Dental Restoration, Permanent Dental caries Diagnosis Dental caries Treatment Karies (DE-588)4029669-6 gnd |
| topic_facet | Cariës Cárie dentária (diagnóstico;tratamento) Dental Caries diagnosis Dental Caries therapy Dental Restoration, Permanent Dental caries Diagnosis Dental caries Treatment Karies |
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