Caries management: technical solutions to biological problems or evidence‐based care?
Identifieur interne : 006447 ( Main/Exploration ); précédent : 006446; suivant : 006448Caries management: technical solutions to biological problems or evidence‐based care?
Auteurs : V. Baelum [Danemark]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2008-02.
Descripteurs français
- Wicri :
- topic : Soins de santé.
English descriptors
- KwdEn :
- Acta odontol scand, Approximal, Bader, Baelum, Biological problems, Bitewing, Blackwell publishing, Caries, Caries diagnosis, Caries lesion formation, Caries lesions, Caries management, Caries process, Caries scripts, Cavitated, Clinical decision, Clinical dentistry, Clinical examination, Clinical guidelines, Clinical practice, Clinician, Cochrane database syst, Community dent, Community dent health, Decision trees, Dent, Dent assoc, Dent educ, Dental, Dental care, Dental caries, Dental education, Dental practice, Dental practitioners, Dental profession, Dental schools, Dental services, Dental students, Dentistry, Educ, Epidemiol, Fejerskov, Guideline, Health care, Journal compilation, Lesion, Mjor, Ndings, Niederman, Nyvad, Operative dentistry, Oral health, Periodontal disease, Pivotal role, Practitioner, Publ health dent, Radiographic, Secondary caries, Sheiham, Shugars, Systematic review, Technical solutions, Treatment criteria, Treatment decisions, Treatment option, Treatment philosophies, Uoride.
- Teeft :
- Acta odontol scand, Approximal, Bader, Baelum, Biological problems, Bitewing, Blackwell publishing, Caries, Caries diagnosis, Caries lesion formation, Caries lesions, Caries management, Caries process, Caries scripts, Cavitated, Clinical decision, Clinical dentistry, Clinical examination, Clinical guidelines, Clinical practice, Clinician, Cochrane database syst, Community dent, Community dent health, Decision trees, Dent, Dent assoc, Dent educ, Dental, Dental care, Dental caries, Dental education, Dental practice, Dental practitioners, Dental profession, Dental schools, Dental services, Dental students, Dentistry, Educ, Epidemiol, Fejerskov, Guideline, Health care, Journal compilation, Lesion, Mjor, Ndings, Niederman, Nyvad, Operative dentistry, Oral health, Periodontal disease, Pivotal role, Practitioner, Publ health dent, Radiographic, Secondary caries, Sheiham, Shugars, Systematic review, Technical solutions, Treatment criteria, Treatment decisions, Treatment option, Treatment philosophies, Uoride.
Abstract
Summary Caries‐related clinical decision‐making remains a centrepiece of clinical dentistry. However, the oral disease patterns are rapidly changing towards the better among major sections of the populations, most notably in the high‐income countries. The caries decline is well documented among children and younger adults, and is gradually seen to trickle into middle and old age as well. Although it is tempting for the dental profession to take the credit for this development, the evidence points in a different direction. The major contribution of dentistry seems primarily related to changes in the treatment philosophies towards a less interventionist approach. This review aims to spur a further change in the diagnostic and treatment criteria used in the management of dental caries for the benefit of the oral health status of our patients. We must come to terms with the fact that our traditional core skills, our manual dexterity and technical competence, have less to offer to oral health than we have been accustomed to think. The dental schools and the professional dental organizations must carry the responsibility for promoting the necessary changes in the caries related clinical decision‐making strategies to allow practicing dentists to provide appropriate oral health care to our populations.
Url:
DOI: 10.1111/j.1365-2842.2007.01784.x
Affiliations:
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Baelum</name><affiliation wicri:level="1"><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Community Oral Health and Pediatric Dentistry, School of Dentistry, Faculty of Health Sciences, University of Aarhus, Aarhus C</wicri:regionArea><wicri:noRegion>Aarhus C</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL ORAL REHABILITATION</title><idno type="ISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><imprint><biblScope unit="vol">35</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="135">135</biblScope><biblScope unit="page" to="151">151</biblScope><biblScope unit="page-count">17</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2008-02">2008-02</date></imprint><idno type="ISSN">0305-182X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0305-182X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acta odontol scand</term><term>Approximal</term><term>Bader</term><term>Baelum</term><term>Biological problems</term><term>Bitewing</term><term>Blackwell publishing</term><term>Caries</term><term>Caries diagnosis</term><term>Caries lesion formation</term><term>Caries lesions</term><term>Caries management</term><term>Caries process</term><term>Caries scripts</term><term>Cavitated</term><term>Clinical decision</term><term>Clinical dentistry</term><term>Clinical examination</term><term>Clinical guidelines</term><term>Clinical practice</term><term>Clinician</term><term>Cochrane database syst</term><term>Community dent</term><term>Community dent health</term><term>Decision trees</term><term>Dent</term><term>Dent assoc</term><term>Dent educ</term><term>Dental</term><term>Dental care</term><term>Dental caries</term><term>Dental education</term><term>Dental practice</term><term>Dental practitioners</term><term>Dental profession</term><term>Dental schools</term><term>Dental services</term><term>Dental students</term><term>Dentistry</term><term>Educ</term><term>Epidemiol</term><term>Fejerskov</term><term>Guideline</term><term>Health care</term><term>Journal compilation</term><term>Lesion</term><term>Mjor</term><term>Ndings</term><term>Niederman</term><term>Nyvad</term><term>Operative dentistry</term><term>Oral health</term><term>Periodontal disease</term><term>Pivotal role</term><term>Practitioner</term><term>Publ health dent</term><term>Radiographic</term><term>Secondary caries</term><term>Sheiham</term><term>Shugars</term><term>Systematic review</term><term>Technical solutions</term><term>Treatment criteria</term><term>Treatment decisions</term><term>Treatment option</term><term>Treatment philosophies</term><term>Uoride</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Acta odontol scand</term><term>Approximal</term><term>Bader</term><term>Baelum</term><term>Biological problems</term><term>Bitewing</term><term>Blackwell publishing</term><term>Caries</term><term>Caries diagnosis</term><term>Caries lesion formation</term><term>Caries lesions</term><term>Caries management</term><term>Caries process</term><term>Caries scripts</term><term>Cavitated</term><term>Clinical decision</term><term>Clinical dentistry</term><term>Clinical examination</term><term>Clinical guidelines</term><term>Clinical practice</term><term>Clinician</term><term>Cochrane database syst</term><term>Community dent</term><term>Community dent health</term><term>Decision trees</term><term>Dent</term><term>Dent assoc</term><term>Dent educ</term><term>Dental</term><term>Dental care</term><term>Dental caries</term><term>Dental education</term><term>Dental practice</term><term>Dental practitioners</term><term>Dental profession</term><term>Dental schools</term><term>Dental services</term><term>Dental students</term><term>Dentistry</term><term>Educ</term><term>Epidemiol</term><term>Fejerskov</term><term>Guideline</term><term>Health care</term><term>Journal compilation</term><term>Lesion</term><term>Mjor</term><term>Ndings</term><term>Niederman</term><term>Nyvad</term><term>Operative dentistry</term><term>Oral health</term><term>Periodontal disease</term><term>Pivotal role</term><term>Practitioner</term><term>Publ health dent</term><term>Radiographic</term><term>Secondary caries</term><term>Sheiham</term><term>Shugars</term><term>Systematic review</term><term>Technical solutions</term><term>Treatment criteria</term><term>Treatment decisions</term><term>Treatment option</term><term>Treatment philosophies</term><term>Uoride</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Soins de santé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Summary Caries‐related clinical decision‐making remains a centrepiece of clinical dentistry. However, the oral disease patterns are rapidly changing towards the better among major sections of the populations, most notably in the high‐income countries. The caries decline is well documented among children and younger adults, and is gradually seen to trickle into middle and old age as well. Although it is tempting for the dental profession to take the credit for this development, the evidence points in a different direction. The major contribution of dentistry seems primarily related to changes in the treatment philosophies towards a less interventionist approach. This review aims to spur a further change in the diagnostic and treatment criteria used in the management of dental caries for the benefit of the oral health status of our patients. We must come to terms with the fact that our traditional core skills, our manual dexterity and technical competence, have less to offer to oral health than we have been accustomed to think. The dental schools and the professional dental organizations must carry the responsibility for promoting the necessary changes in the caries related clinical decision‐making strategies to allow practicing dentists to provide appropriate oral health care to our populations.</div></front></TEI><affiliations><list><country><li>Danemark</li></country></list><tree><country name="Danemark"><noRegion><name sortKey="Baelum, V" sort="Baelum, V" uniqKey="Baelum V" first="V." last="Baelum">V. Baelum</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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