scholarly journals Nonrestorative Management of Dental Caries

2021 ◽  
Vol 9 (10) ◽  
pp. 121
Author(s):  
Ollie Yiru Yu ◽  
Walter Yu-Hang Lam ◽  
Amy Wai-Yee Wong ◽  
Duangporn Duangthip ◽  
Chun-Hung Chu
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Treatment Plan ◽  
Policy Statement ◽  
Evidence Based ◽  
Caries Risk ◽  
Minimal Intervention ◽  
Etiological Factors ◽  
Caries Management ◽  
Plaque Control

The World Dental Federation (FDI) policy statement in 2016 advocated evidence-based caries-control measures for managing dental caries. The caries management philosophy has shifted from the traditional surgical manners to minimal intervention dentistry. Minimal intervention dentistry aims to extend the longevity of natural teeth. It places the nonrestorative approaches as a priority. The nonrestorative approaches for caries management aim to tackle the etiological factors of dental caries. Caries can be prevented or reversed by restricting the sugar intake and its frequency in the diet, improving oral hygiene practices, and using fluoride toothpaste. This article aims to present strategies for the nonrestorative management of dental caries, which are divided into four components to address the different etiological factors of dental caries. The first component is controlling dental plaque. Strategies for plaque control include oral hygiene instruction, motivational interviewing, mechanical plaque control, and chemical plaque control. The second component for nonrestorative management is reducing the risk of caries by identifying caries risk factors and protective factors, assessing personal caries risk, and customizing a treatment plan. Evidence-based measures for caries prevention include using fluoride, and dental sealants should be provided. The third component includes topical treatment to remineralise early carious lesions. The last component is long-term follow-up. Appropriate strategy adoption for the nonrestorative management of dental caries prolongs the life span of the teeth and sustains the good oral health of patients.

scholarly journals Case Report: a 5-Year Follow-up of Proximal Caries Lesion Diagnosis

2018 ◽  
Vol 20 (3) ◽  
pp. 158
Author(s):  
Renata Espíndola Silveira ◽  
Isabela Pereira Furtado ◽  
Marco Aurélio Carvalho ◽  
Lawrence Gonzaga Lopes ◽  
João Batista Souza ◽  
...  
Keyword(s):  
Dental Caries ◽  
Clinical Examination ◽  
Oral Hygiene ◽  
Dietary Habits ◽  
Treatment Plan ◽  
Preventive Treatment ◽  
Diagnostic Methods ◽  
Carious Lesions ◽  
Oral Hygiene Instructions

Abstract This clinical case was aimed at reporting and discussing diagnostic methods for early detection and preventive treatment of proximal carious lesions. The patient presented to the dental clinic seeking treatment of a problem she reported as being “dental caries”. The patient’s orthodontist diagnosed dental caries, by means of radiographic exam. There was no evidence of any proximal carious lesion in the intraoral examination. The bitewing radiographs presented a radiolucent area limited to enamel in the mesial of maxillary left-second-bicuspid. For the purpose of confirming the intraoral diagnosis, an immediate tooth separation was performed. The immediate separation was unable to provide sufficient access; thus, the slow separation approach was performed. After 24-hours, tooth separation of 1mm was obtained, providing enough access for clinical examination. The proximal areas were evaluated by transillumination and impression taking. During the visual inspection, an area of enamel staining was observed, with no roughness due to tactile inspection and the evaluation by transillumination and impression showed no cavitation. The following preventive treatment plan was endorsed: oral hygiene instructions with emphasis to the importance of flossing the proximal areas, and healthy dietary habits. After a 5-years period of follow-up, the enhanced oral hygiene and heathy dietary habits were observed. A clinical examination with immediate tooth separation and bitewing radiographs was performed and showed no cavitation. Thecombination of methods for detecting carious lesions in proximal surfaces was effective in obtaining a diagnosis of cariesin the permanent dentition. The absence of cavitated lesions must be indicative of preventive treatment.Keywords: Dental Caries. Preventive Dentistry. Diagnosis, Oral.ResumoEste caso clínico objetivou relatar e discutir os métodos diagnósticos para detecção e tratamento preventivo de lesões cariosas proximais. A paciente procurou atendimento restaurador com queixa de cárie diagnosticada por exame radiográfico realizado após término de seu tratamento ortodôntico. Ao exame clínico não havia suspeita de lesão cariosa. A avaliação radiográfica revelou, na face mesialdo dente 25, presença de área radiolúcida limitada à metade externa do esmalte. Para confirmação do diagnóstico realizou-se a separação interdentária imediata, porém como a mesma não permitiu adequada visualização foi realizada a separação mediata e após 24 horas obteve-se adequada separação (1 mm) para o exame clínico. Em seguida, a superfície proximal foi avaliada por transiluminação e moldagem. Durante a inspeção visual foi constatada área de manchamento do esmalte, com ausência de rugosidade pela inspeção tátil e a avaliação tanto por transiluminação da superfície proximal, quanto por moldagem revelou ausência de cavitação. Devido o diagnóstico obtido o seguinte tratamento preventivo foi indicado: reforço de higiene oral com ênfase na importância do uso do fio dental e hábitos dietéticos saudáveis. Após 5 anos de acompanhamento melhoria da higiene oral e hábitos dietéticos foram constatados. O exame clínico com separação interdentária imediata e exame radiográfico revelaram ausência de cavitação. Conclui-se que a combinação de métodos de detecção de lesões cariosas proximais foi efetivo no diagnóstico da cárie dentária na dentição permanente. O resultado deste relato de caso mostrou que a ausência de lesões cariosas cavitadas deve ser um indicativo de tratamento preventivo.Palavras-chave: Cárie Dentária. Odontologia Preventiva. Diagnóstico Bucal.

scholarly journals Salivary sIgA and PRAP-1 Protein in Relation to Dental Caries: A Comparative Study

2020 ◽  
Vol 11 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Aseel Al-ani ◽  
Douglas A. MacDonald ◽  
Maha Ahmad
Keyword(s):  
Dental Caries ◽  
Secretory Iga ◽  
Enzyme Linked Immunosorbent Assay ◽  
Caries Risk ◽  
Confounding Variables ◽  
High Caries Risk ◽  
Caries Management ◽  
Assessment Guidelines ◽  
Unstimulated Saliva ◽  
The Relationship

Aim: Certain individuals are more prone to dental caries than others are. Caries risk may be related in the secretion of certain defensive salivary proteins including secretory IgA (sIgA) and proline-rich acidic protein (PRAP-1). In this study, we investigated the relationship between PRAP-1 and sIgA leading to the susceptibility of development of dental caries in adults and explored the differences in the levels of sIgA and PRAP-1 between men and women. Materials and Methods: Unstimulated saliva samples were collected from 28 patients with high caries risk and 32 control subjects with low caries risk according to caries management by risk assessment guidelines. sIgA and PRAP-1 levels in clarified saliva samples were measured using the enzyme-linked immunosorbent assay. Results: According to our results, sIgA and PRAP-1 levels did not demonstrate statistically significant differences as a function of caries risk or gender, even when potential confounding variables such as age and numbers of teeth were taken into consideration. Estimates of effect size, however, revealed small- to medium-sized effects and suggest that significant results may have been found if larger sample sizes were used. Conclusion: The results of this study indicate that caries risk and salivary levels of sIgA and PRAP-1 do not appear to be significantly associated. Statistically significant findings could emerge if the sample size was larger.

scholarly journals Study of caries risk factors in a group of Bucharest schoolchildren (2)

2015 ◽  
Vol 61 (2) ◽  
pp. 156-160
Author(s):  
Cristian Funieru ◽  
◽  
Ruxandra Ionela Sfeatcu ◽  
Elena Funieru ◽  
Mihaela Răescu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Dental Caries ◽  
Oral Hygiene ◽  
Buffering Capacity ◽  
Mutans Streptococci ◽  
Entire Group ◽  
Moderate Degree ◽  
Caries Risk ◽  
Poor Oral Hygiene ◽  
Real Risk

Introduction. A poor oral hygiene, a wick salivary buffering capacity or a high number of colonies of specific bacteria are real risk factors for dental caries. Material and method. This study was conducted on a sample of 46 students aged 10 to 12 years attending two schools in Bucharest. Oral hygiene assessment was made both by using questionnaires and by calculating the OHI-S score. The salivary risk factors were identified and analyzed using GC Saliva Check Buffer and GC Saliva Check Mutans tests. Results. OHI-S score for the entire group led to a moderate degree of oral hygiene. Almost 40% of pupils had a number of mutans streptococci colonies over the limit. Conclusions. The poor oral hygiene and the high number of mutans streptococci colonies in saliva found in this study lead to a high dental caries risk.

scholarly journals Evidence-Based Caries Management for All Ages-Practical Guidelines

2021 ◽  
Vol 2 ◽  
Author(s):  
John D. B. Featherstone ◽  
Yasmi O. Crystal ◽  
Pamela Alston ◽  
Benjamin W. Chaffee ◽  
Sophie Doméjean ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Clinical Trials ◽  
Dental Caries ◽  
Clinical Outcomes ◽  
Assessment System ◽  
Risk Level ◽  
Caries Risk ◽  
Caries Risk Assessment ◽  
Management Procedures ◽  
Caries Management

Introduction: The purpose of the present paper is to provide step-by-step guidelines for dental healthcare providers to manage dental caries based upon caries risk assessment (CRA) for ages 0–6 years and 6 years through adult. The manuscript reviews and updates the CAMBRA (caries management by risk assessment) system which includes CRA and caries management recommendations that are guided by the assessed risk level.Caries Risk Assessment: CAMBRA CRA tools (CRAs) have been evaluated in several clinical outcomes studies and clinical trials. Updated CAMBRA CRAs for ages 0–6 years and 6 years through adult are provided. These CRAs have been refined by the addition of a quantitative method that will aid the health care provider in determining the caries risk of individuals.Caries Management Based Upon Risk Assessment: Guidelines for individualized patient care are provided based upon the caries risk status, results of clinical exams and responses of the patient to questions in the CRA. These guidelines are based upon successful outcomes documented in several clinical outcomes studies and clinical trials. The paper includes a review of successful caries management procedures for children and adults as previously published, with additional emphasis on correct use of silver diamine fluoride (SDF) for children. The caries management plan for each individual is based upon reducing the caries risk factors and enhancing the protective factors with the additional aid of behavior modification. Beneficially altering the caries balance is coupled with minimal intervention restorative dentistry, if appropriate. These methods are appropriate for the management of dental caries in all patients.

Candida, Mutans Streptococci, Oral Hygiene and Caries in Children

2011 ◽  
Vol 36 (2) ◽  
pp. 185-188 ◽  
Author(s):  
Benjamin Peretz ◽  
Yardena Mazor ◽  
Nurit Dagon ◽  
Ronit Bar-Ness Greenstein
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Mutans Streptococci ◽  
Caries Risk ◽  
Cariogenic Bacteria ◽  
Clear Association

Objective: to test the association between Candida and mutans streptococci (ms), oral hygiene and caries levels and in children. Methods: 22 boys and 12 girls (age 6 to 14.5 years) participated in the study. Each participant received a toothbrush, and was asked to brush his/her teeth after proper instructions. Dental caries and oral hygiene were recorded. Candida and ms levels were determined in saliva samples. Results: Candida colonies were observed in 70.5% of the children. No association was found between Candida and caries or plaque and gingival indices. C. albicans-positive children demonstrated significantly higher brushing scores. Conclusions: Our findings may suggest that there is no clear association between Candida in saliva, and levels of cariogenic bacteria and caries risk in children.

scholarly journals Dental Management in a Patient with Glanzmann’s Thrombasthenia : A Case Report

2020 ◽  
Vol 47 (3) ◽  
pp. 352-358
Author(s):  
Miran Han ◽  
Jongsoo Kim
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Dental Treatment ◽  
Clinical Symptoms ◽  
Treatment Plan ◽  
Deciduous Teeth ◽  
Excessive Bleeding ◽  
Glanzmann’S Thrombasthenia ◽  
Gingival Bleeding ◽  
Glanzmann's Thrombasthenia

Glanzmann’s thrombasthenia (GT) is a rare, autosomal recessive inherited congenital disorder, characterized by impaired blood coagulation due to platelet dysfunction. It was first reported by the pediatrician Glanzmann in 1918.GT affects both males and females, and it is more common in regions of the Middle East, India, and France, where intermarriage is common. It has an incidence of about 1 in 1,000,000 people. In South Korea, according to the Division of Rare Diseases, Korea Centers for Disease Control and Prevention, around 200 cases have been reported in 2018.Clinical symptoms include petechia, ecchymosis, epistaxis, and gingival bleeding. The spontaneous loss of deciduous teeth can result in excessive bleeding with that blood transfusion should be considered. Preventing hemorrhages and hemostasis are most important factors in dental treatment. Local bleeding can be controlled by compression, but platelet transfusion can be required by prolonged bleeding.Pediatric dentists can minimize the gingival bleeding by control of the oral hygiene to prevent gingivitis and dental caries. The importance of oral hygiene and periodic recall check-up should be emphasized. During dental treatment, the examination and the treatment plan of patient should be modified to prevention of hemorrhages carefully.A 6-year-old girl with GT was referred for the treatment of dental caries, and resin restoration was performed under nitrous oxide inhalation sedation. After treatment, compression was required for the bleeding control.

scholarly journals The benefits of association of early diagnosis with bioactive materials for management of dental caries

2021 ◽  
Vol 10 (5) ◽  
pp. 700-705
Author(s):  
Angélica Feltrin Dos Santos ◽  
Tainara Tonon Castelluccio ◽  
Gerson Aparecido Foratori-Junior ◽  
Daniela Rios ◽  
Linda Wang ◽  
...  
Keyword(s):  
Dental Caries ◽  
Smart Materials ◽  
Correct Diagnosis ◽  
Minimal Invasive ◽  
White Spot Lesion ◽  
Caries Risk ◽  
Bioactive Materials ◽  
Minimally Invasive Dentistry ◽  
Risk Condition ◽  
Caries Management

The concept of minimally invasive dentistry certainly promoted significant changes towards more conservative dental caries management, which allows for quality information regarding the diagnosis, prognosis, and clinical management of dental caries even regarding the maintenance of restorative procedures. This case report aimed to highlight the relevance and feasibility of a streamlined caries disease management based on caries-risk determination and minimal invasive concepts associated with bioactive materials. A 13-year-old female patient sought dental care. Clinically, active white spot lesion on the occlusal surface of right upper first premolar coming from the fissures was noteworthy under moist condition. Bitewing radiography confirmed an interproximal carious lesion involving dentin. The cavity preparation was performed as more conservative as possible, removing the carious tissue selectively and treated with bioactive materials. After 12-month follow-up, successful performance of the restoration was seen while the patient caries-risk condition seems to be under control. This clinical case demonstrates that a correct diagnosis associated with smart materials and appropriate restorative procedures can offer effective and conservative results. Evidence-based treatment benefits patient avoiding unnecessary dental compromising and the maintenance of oral health.

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