From 'ICDAS' to 'CariesCare International': the 20-year journey building international consensus to take caries evidence into clinical practice

This paper charts the 20-year collaborative journey made by international teams of dental researchers, educators and practitioners. Following the initial development of the International Caries Detection and Assessment System (ICDAS) in 2002, the International Caries Classification and Management System (ICCMS) was collaboratively developed between 2010-2017 with several dental research and practice organisations, and influenced by best evidence judged via SIGN methodology, the UNEP Minamata Treaty (and linked phasing down of dental amalgam), three Dental Policy Labs and an international movement in operative dentistry to move towards minimally invasive dentistry. The FDI World Dental Federation publicised and advocated the ICCMS in 2019, when the 'CariesCare International' Consensus Guide and 4D caries management system was published to aid the delivery of ICCMS into practice. This system, which is designed to help practitioners deliver optimal caries care for patients, is now being adapted internationally for post-pandemic use in the 'Caries OUT' study. It is also being used as a vehicle for implementing the updated Delivering better oral health guidance on caries, as part of the minimum intervention oral healthcare delivery framework in the UK.

Five-to-five clear aligner therapy: predictable orthodontic movement for general dentist to achieve minimally invasive dentistry

Background Esthetic dentistry has become a very important aspect of every dental treatment from the patient perspective, whether it is orthodontics or implant therapy. The aim of this article is to describe the advantages of a newly developed branch of five-to-five clear aligner therapy (CAT) (Invisalign Go, Align Technology, San Jose, Calif) in interdisciplinary treatments especially in terms of minimally invasive interventions. Case presentation Two case reports are presented together with a comprehensive analysis using the SAFE (Safety, Assessment, Function, Ethics) assessment. This paper aims to introduce a new systematic in CAT. Invisalign Go (Align Technology, Santa Clara, California, USA) allows orthodontic treatment from second premolar and second premolar in both arches. It is specially designed for general practitioners devoted to restorative dentistry for a better planning of a multidisciplinary and mini-invasive treatment plan. Discussion and conclusion The clinical results demonstrate how CAT is extremely useful in multidisciplinary treatment plan in order to straighten teeth especially in a pre-restorative phase to allow minimally invasive and adhesive restorations.

Pandemic-Driven Disruptions in Oral Health: Transformative Trends in Care for Older Adults

Oral healthcare for the aging was severely disrupted during the pandemic of coronavirus disease 2019 (COVID-19). Transformative changes in care delivery involved teledentistry, mobile/portable dentistry, minimally invasive dentistry, aerosol minimization, and interprofessional oral care. Management of chronic oral health problems evolved through periods of limited to no access to daily and professional oral healthcare. Access to care has been influenced by availability of the oral care workforce, variability in long term care policy, and the lack of funding to cover medically necessary services delivered via asynchronous telehealth technologies. Impacts were identified six and twelve months into the pandemic. These will be compared to the state of oral healthcare for the aging 18 months from the start of the pandemic. The impact of vaccination on access to care will be explored. Variability between states (Idaho/Michigan/Minnesota/Rhode Island) will be addressed. Directions of new and needed research opportunities will be discussed.

Fatigue and fracture resistance and survival of occlusal veneers of composite resin and ceramics blocks in posterior teeth with occlusal wear: A protocol for a systematic review

Review question / Objective: The aim of this systematic review is to synthesize the scientific evidence that evaluates fatigue and fracture resistance, survival, and stress distribution, of composite resin CAD/CAM and ceramic CAD/CAM occlusal veneers in posterior teeth with severe occlusal wear. Condition being studied: Currently there is an increase in cases of dental wear, due to several factors such as: excessive consumption of carbonated drinks, a diet high in acids, gastric diseases, anorexia, bulimia, dental grinding, use of highly abrasive toothpastes, or a combination of these(9) (10) (11) (12); which affect the patient in several aspects: loss of vertical dimension, sensitivity due to the exposure of dentin, esthetics, affectation of the neuromuscular system(11) (13) (14). With the advent of minimally invasive dentistry, occlusal veneers have been found to be a valid option to rehabilitate this type of cases and thus avoid greater wear of the dental structure with full coverage restorations. Sometimes when performing a tabletop it is not necessary to perform any preparation, thus preserving the maximum amount of dental tissue(3) (6) (15). Due to the masticatory load either in patients without parafunction where the maximum masticatory force is approximately 424 N for women and 630 N for men or in those who present parafunction where the maximum bite force can vary from 780 to 1120N(7), it is necessary that the occlusal veneers support that load which makes indispensable a compilation of studies investigating both fatigue and fracture resistance and the survival rate of occlusal veneers in different materials and thicknesses.

Odontologia Minimamente Invasiva em Tempos de Covid-19: Revisão de literatura / Minimally Invasive Dentistry in Times of Covid-19: Literature Review

2020 foi marcado pelo COVID-19 em escala global, a doença é transmitida por meio de gotículas de saliva de pessoas infectadas. Entendendo como o vírus se espalha e observando os métodos de atendimento da clínica odontológica, uma das principais formas de transmissão é por meio de aerossóis formados por canetas de alta rotação, equipamentos de ultrassom e seringas triplas. O objetivo deste estudo é obter análises a partir de uma revisão de literatura, para orientar o cirurgião dentista no seu entendimento na estratégia de mínima intervenção em dentes decíduos e abordar a importância da diminuição dos fatores de riscos em tempos de COVID-19.