Effectively Managing Dental Caries: Prevention and Disease Ownership

2013 ◽  
Vol 2 (3) ◽  
pp. 26-29 ◽  
Author(s):  
Paul Brunton
Keyword(s):  
Dental Caries ◽  
Digital Technology ◽  
Caries Prevention ◽  
Operative Intervention ◽  
White Spot ◽  
White Spot Lesions ◽  
Carious Lesions ◽  
Caries Removal

• Better prevention will result in smaller carious lesions being diagnosed at an earlier stage • White spot lesions are amenable to being repaired using biomimetic technologies • Digital technology will improve diagnosis but will also assist practitioners in the monitoring of lesions • When operative intervention is indicated it will be of a minimal nature. Following validation, newer techniques for caries removal will become the norm

scholarly journals Lasers in Diagnosis, Interception and Management of White Spot Lesions and Dental Caries - A Review

2021 ◽  
Vol 10 (9) ◽  
pp. 624-631
Author(s):  
Payal Sandeep Chaudhari ◽  
Manoj Ghanshyam Chandak ◽  
Kajol Naresh Relan ◽  
Pooja Ghanshyam Chandak ◽  
Chanchal Harikishor Rathi ◽  
...  
Keyword(s):  
Dental Caries ◽  
Carbon Dioxide Laser ◽  
Dental Anxiety ◽  
Acid Resistance ◽  
Laser Fluorescence ◽  
White Spot ◽  
White Spot Lesions ◽  
Rotating Speed ◽  
Increased Risk ◽  
Caries Removal

Despite huge developments in oral health, dental caries still remains a community health issue globally. Dental caries is prevalent worldwide amongst adults and school children; nearly 100 % of the population is affected in most of the countries. Caries harms the outer dental structures, eventually reaching the dental pulp, making the teeth undermined and ultimately compromising functional abilities. It is the major reason for loss of tooth. For the management of carious lesions, the tissues which are decayed should be removed and replaced by dental restorations. Increased potential for causing dental anxiety and uneasiness in many patients has been reported with the usage of routine caries removal systems such as diamond and tungsten carbide rotating burs. Moreover, with the use of high and low rotating speed drills, which is used for complete dentin removal, over excavation of caries (when the deeper dentin layers are involved) may happen eventually leading to increased risk of exposing and damaging the pulp irreversibly. These disadvantages have led to exploration of new alternatives such as stepwise, minimal or no dentinal caries removal procedures that illustrate clinical benefit over comprehensive caries removal in the treatment of dentinal caries. Laser technology has reformed the management of dental caries. Laser has been found to be the latest, most recent, conservative, less traumatic and minimally invasive caries removal procedure. The energy of laser is absorbed which is then transformed to heat, leading to microstructural and chemical alterations in the surface of enamel which is irradiated thereby improving enamel acid resistance. Laser also helps to maintain a dry surrounding that improves the dentist’s vision of the working field thereby resulting in an improved outcome. KEY WORDS Lasers, White Spot Lesions, Dental Caries, Laser Fluorescence, Orthodontic Therapy, Carbon-Dioxide Laser

scholarly journals Cross-sectional Study on White Spot Lesions and its Association with Dental Caries Experience among School Children

2020 ◽  
Vol 13 (2) ◽  
pp. 107-112
Author(s):  
Deepa Austin ◽  
Hosadurga L JayaKumar ◽  
Krishnaswamy M Chandra ◽  
Vanishree Kemparaj ◽  
Priyanka Prahladka
Keyword(s):  
Dental Caries ◽  
School Children ◽  
Cross Sectional Study ◽  
White Spot ◽  
Caries Experience ◽  
White Spot Lesions ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Enamel remineralisation-inducing materials for caries prevention

2021 ◽  
Vol 54 (3) ◽  
pp. 165
Author(s):  
Sri Kunarti ◽  
Widya Saraswati ◽  
Dur Muhammad Lashari ◽  
Nadhifa Salma ◽  
Tasya Nafatila
Keyword(s):  
Calcium Phosphate ◽  
Dental Caries ◽  
Tricalcium Phosphate ◽  
Amorphous Calcium Phosphate ◽  
Caries Prevention ◽  
Multifactorial Disease ◽  
Dental Tissue ◽  
Carious Lesions ◽  
Caries Management ◽  
Casein Phosphopeptide

Background: Dental caries is a multifactorial disease indicated by the progressive demineralisation process of dental tissue. It is caused by an imbalance between the remineralisation and demineralisation processes. The focus of caries management is on prevention. Providing materials that can induce remineralisation is one management of caries prevention. Various materials have been or are being researched, such as casein phosphopeptide amorphous calcium phosphate (CPP–ACP), tricalcium phosphate (fTCP), bioactive glass (BAG), and nanotechnologies such as nano-hydroxyapatite (n-HAP) and silver nano fluorine (NSF). Purpose: This study aims to review the development of enamel remineralisation inducing materials as a newer approach in caries prevention. Review: Various ingredients have been shown to increase enamel remineralisation through different mechanisms in preventing the development of carious lesions. Conclusion: CPP–ACP, fTCP, BAG, n-HAP, and NSF can induce enamel remineralisation as caries prevention agents. n-HAP and NSF are the most effective agents to enhance enamel remineralisation to prevent caries.

Minimally Invasive Selective Caries Removal put into Practice

Dental Update ◽  
2020 ◽  
Vol 47 (10) ◽  
pp. 841-847
Author(s):  
Bhupinder Dawett ◽  
Sarah Young ◽  
Chris Deery ◽  
Avijit Banerjee
Keyword(s):  
Dental Caries ◽  
Minimally Invasive ◽  
Oral Care ◽  
Health Resources ◽  
Operative Strategy ◽  
Carious Lesions ◽  
Deep Carious Lesions ◽  
Caries Removal ◽  
The Uk ◽  
Selective Caries Removal

Dental caries remains a significant health problem globally, causing morbidity in those affected and consuming health resources. The management of caries consumes considerable finances both for individuals and the public purse. The scientific understanding of the dental caries process has evolved considerably over the last four decades with a move towards a minimum intervention oral care (MIOC) approach to managing patients. The minimally invasive operative intervention that retains demineralised, caries-affected dentine under a well-sealed restoration in order to avoid instrumentation close to the pulp, has shown clinical efficacy in treating individual teeth, as part of the MIOC framework. However, implementation of the selective caries removal approach in deep lesions is still not thought to be practised routinely by clinicians both globally, and in the UK. This article discusses some of the issues that may account for this and describes a case study using this operative strategy. CPD/Clinical Relevance: Restoring deep carious lesions can be a challenge, but using selective caries removal approaches will help minimise the adverse effects of pulp trauma.

scholarly journals Effectiveness of a combined silver nanoparticles/fluoride varnish in dental remineralization in children: in vivo study

2017 ◽  
Vol 30 (2) ◽  
pp. 21-24
Author(s):  
Claudia Butrón-Téllez Girón ◽  
J. Mariel-Cárdenas ◽  
M. Pierdant-Pérez ◽  
J.F. Hernández-Sierra ◽  
J.E. Morales-Sánchez ◽  
...  
Keyword(s):  
Silver Nanoparticles ◽  
Dental Caries ◽  
Laser Cavity ◽  
White Spot ◽  
Fluoride Varnish ◽  
White Spot Lesions ◽  
Prophylactic Measure ◽  
Cavity Detection ◽  
Effective Strategies

Dental caries is an infectious disease that can occur in children, sometimes as soon as the teeth eruption starts. Nanotechnology provides effective strategies in prevention and treatment of dental caries. The purpose of this study was to determine the effectiveness of the addition of silver nanoparticles to a fluoride varnish for the remineralization of primary teeth with white spot lesions. A trial was carried out in children with dental demineralization (white spot lesions) on both maxillary dental teeth. One of the teeth received three applications of a fluoride varnish with silver nanoparticles, and the other one, three applications of the same varnish without the silver nanoparticles. We measured the mineral content of the teeth with a laser cavity detection device (DIAGNOdent®) before the first application of the varnishes, and 3 months after the last application. The results show significant differences between teeth treated with silver nanoparticles. Teeth have been treated with fluoride varnish added with silver nanoparticles  seemed to enhance dental structure than teeth treated with conventional varnish, and this effect was also found between basal and final measurements in this group. The fluoride varnish added with silver nanoparticles seems to be more effective in the dental remineralization. This strategy may be used as a prophylactic measure to avoid development of caries.

Caries Experience of Leukemic Children During Intensive Course of Chemotherapy

2007 ◽  
Vol 32 (2) ◽  
pp. 155-158 ◽  
Author(s):  
Çiğdem Elbek Çubukçu ◽  
Adalet Meral Günes
Keyword(s):  
Dental Caries ◽  
Course Design ◽  
Dental Treatment ◽  
Intensive Therapy ◽  
Oral Care ◽  
White Spot ◽  
Caries Experience ◽  
White Spot Lesions ◽  
Primary Molar ◽  
Initial Caries

Objective: To determine the incidence of dental caries in 64 leukemic children who received dental treatment before the initiation of chemotherapy and had intensive oral care during the course. Design: Caries experience (deft/DMFT), white-spot lesions (enamel demineralization), premature primary molar extractions and carious first permanent molars were investigated before and after intensive therapy. Setting: Pediatric Dental Care Unit and Department of Pediatric Hematology, Faculty of Medicine, Uludağ University. Results: The dental caries level was insignificantly higher following chemotherapy compared to the initial caries level. However, the prevalence of white-spot lesions was significantly increased during the course. Caries level in 30 subjects (47%) remained stable. Conclusion: Caries level in leukemic children, who were not caries-free before chemotherapy, could be stabilized by caries prevention methods such as frequent topical fluoride applications and fissure sealants, intensive oral care and improved self-care practices.

Comparision of two fluoride varnishes for controlling white spot lesions. Randomized clinical trial

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Jesús Alberto Luengo - Fereira
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
White Spot ◽  
Controlled Clinical Trial ◽  
White Spot Lesions ◽  
Randomized Controlled Clinical Trial ◽  
Chi Square ◽  
Randomized Controlled ◽  
Anterior Teeth ◽  
The Mean

Objective: To compare two fluorinated varnishes for the control of white spot lesions.Material and Methods: A randomized controlled clinical trial was conducted. A total of 103 active whitespot lesions on permanent upper anterior teeth from 24 patients, aged 7 to 9 years were randomly assigned totwo groups, G1: Duraphat® (n=52) and G2: DuraShield® (n=51). Weekly applications were perform for fourconsecutive weeks. Fifth week the dimension, regression and activity of the lesions were evaluated. Student’sT test, Wilcoxon Ranks and Chi square were used at 5% significance. Results: At the end of the study, the lesion reduction was observed in 69.7%, finding significant differences(p<0.05) in the mean of the initial and final dimensions in general (2.74 mm to 1.91 mm) and in each group, G1(2.84 mm to 2.03 mm), G2 (2.64 mm to 1.78 mm). In the activity of the lesions, it was found in the G1, 12 active and6 inactive lesions; while in G2, there were 14 active and 29 inactive; these differences were significant (p<0.05). Conclusions: The two evaluated products showed similar clinical efficacy in the remineralization of activewhite spot lesions after 4 weeks of therapy.

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