scholarly journals Exploring the Compliance of Resilient High-Caries-Risk Patients Who Reversed Caries Severity

2021 ◽  
Author(s):  
Ming-Ching Wang ◽  
Ching-Yi Wu ◽  
Wei-Han Chen ◽  
Chieh-Yu Liu ◽  
Yi-Ching Ho
Keyword(s):  
Treatment Success ◽  
Permanent Dentition ◽  
Caries Risk ◽  
Treatment Protocols ◽  
Dental Attendance ◽  
Behavioural Characteristics ◽  
High Caries Risk ◽  
Risk Patients ◽  
Behavioural Factors ◽  
Dental Conditions

Abstract Background: Behavioural factors, such as compliance and regular dental attendance, have been proven to reverse caries severity. However, these factors have not been explored enough. The aim of this study was to explore the behavioural characteristics of compliant patients who had severe dental caries in primary dentition but whose dental conditions were considerably improved in mixed or permanent dentition.Methods: The 'w and W' criteria were designed to classify patients who had a worse or higher caries risk in primary and mixed or permanent dentition. Resilience, or reversal of caries severity, was thus defined as improvement based on these criteria. Interviews were performed with two groups of participants, including eight resilient children (M/F= 5/3) and their ten caregivers (M/F=2/8) in the patient group and ten paediatric dentists (M/F=6/4; clinical experience mean=26.9 years, minimum=16 years) in the dentist group. Thematic analyses were used to identify main themes.Results: Four themes were identified: (1) dental things/teeth are their priority, (2) normalising, (3) tiger parenting/conscientiousness and (4) trust. These ideas were identically described by both the patient and dentist groups.Conclusions: Resilience is the behavioural characteristic of children who outperform expectations, given their caries history and risk. Resilient patients reverse the fate of their teeth by their compliance with treatment protocols following dental guidelines, changing their dental behaviours, and thus, leading to treatment success. Dentists' suggestions are the priority and provide the norms in resilient patients' daily life. These patients find no excuses for not implementing dentists' advice, not only because they trust their dentists but also because they and their caregivers were conscientious about following dentists’ orders.

scholarly journals Saliva pH Changes in Patients with High and Low Caries Risk After Consuming Organic (Sucrose) and Non-Organic (Maltitol) Sugar

2020 ◽  
Vol 12 (2) ◽  
Author(s):  
Widowati W ◽  
Akbar SH ◽  
Tin MH
Keyword(s):  
High Risk ◽  
Risk Group ◽  
High Risk Group ◽  
Low Risk ◽  
Caries Risk ◽  
Ph Changes ◽  
Ph Values ◽  
High Caries Risk ◽  
Risk Patients ◽  
Snack Consumption

Introduction: Enamel demineralization is associated with decrease in saliva pH due to fermentation of sugar by oral commensal. Thus, exploring the changing pattern of saliva pH is meaningful in dental caries prevention. The aim of this study was to compare the changing pattern of saliva pH after consuming different types of sweeteners (sucrose and maltitol). Methods: It was a case-control study involving 14 male patients attending IIUM dental clinic who were selected with the intention of getting seven patients with high caries risk ( DMFT ≥6) and seven patients with low caries risk (DMFT ≤3) with initial saliva pH interval of 6.5 to7.5. Patients were asked to consume snacks containing 8 gram sucrose and 8 gram maltitol as sweeteners. The changing pH values of the saliva were measured by Waterproof pHTestr 10BNC (Oakton, Vernon Hills, USA) seven times consecutively at 0 (before snack consumption), and at 5, 10, 15, 20, 30 and 60 minutes after snack consumption. The pH values of saliva of patients with low and high caries risk after consuming sucrose and maltitol were statistically analized by using Anova and Tukey-HSD tests at α = 0.05. Result: There were significant differences in saliva pH changes between low-risk group and high-risk group after consuming sucrose and maltitol. Conclusion: The changing patterns of saliva pH in high-risk patients were lower than those of low-risk patients after consuming two types of snacks containing sucrose and maltitol.

Preventive and community dentistry

2020 ◽  
pp. 23-53
Keyword(s):  
Dental Caries ◽  
Age Groups ◽  
Caries Risk ◽  
Community Dentistry ◽  
High Caries Risk ◽  
Oral Environment ◽  
Risk Patients ◽  
Diet Assessment ◽  
Preventative Dentistry

This chapter outlines caries development, progression, and prevention as well as the role of saliva in neutralizing harmful acids in the oral environment. The action of fluoride is also discussed including appropriate doses, supplementation, professional application, and toxicity. Evidence for the role of sugar in dental caries is then described. This chapter has an emphasis on preventative dentistry including the use of fissure sealants in varying age groups, going on to highlight the importance of diet assessment and modification in high caries-risk patients. The chapter also discusses dentistry for people with disabilities and has a section on different types of dental care professionals.

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