Dental caries: A complete changeover (Part II)-Changeover in the diagnosis and prognosis
Identifieur interne : 002054 ( Pmc/Curation ); précédent : 002053; suivant : 002055Dental caries: A complete changeover (Part II)-Changeover in the diagnosis and prognosis
Auteurs : Usha Carounanidy [Inde] ; R. Sathyanarayanan [Inde]Source :
- Journal of Conservative Dentistry : JCD [ 0972-0707 ] ; 2009.
Abstract
Realization that dental caries is a reversible, dynamic biochemical event at a micron level has changed the way the profession recognizes the caries disease and the caries lesion. The diagnosis of dental caries poses challenges due to the complex interaction of multiple endogenous causal factors. The most appropriate diagnostic aid for this purpose is the risk model of caries risk assessment. The analyses of the biological determinants provide clues to the dominant causal factor. The detection of a carious lesion has undergone a rigorous revision and revolution in order to identify the earliest mineral change so that it can be controlled without resorting to invasive management options. Apart from detection, it became mandatory to assess the extent of the lesion (noncavitated/cavitated), assess the activity status of the lesion (active/arrested), monitor the lesion progress (progression/regression over a period of time), and finally to predict the prognosis of the lesion as well as the disease. The prognosis of the disease can be best assessed by analyzing the predictor factors in caries risk assessment. The ultimate objective of such a meticulous and methodical approach aids in devising a tailor-made treatment plan, using preventing measures precisely and restorative measures minimally. This ensures the best oral health outcome of the patient.
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DOI: 10.4103/0972-0707.57631
PubMed: 20543914
PubMed Central: 2879723
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Sathyanarayanan</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere, Karnataka</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20543914</idno><idno type="pmc">2879723</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2879723</idno><idno type="RBID">PMC:2879723</idno><idno type="doi">10.4103/0972-0707.57631</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">002054</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002054</idno><idno type="wicri:Area/Pmc/Curation">002054</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002054</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Dental caries: A complete changeover (Part II)-Changeover in the diagnosis and prognosis</title><author><name sortKey="Carounanidy, Usha" sort="Carounanidy, Usha" uniqKey="Carounanidy U" first="Usha" last="Carounanidy">Usha Carounanidy</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Dentistry, Pondicherry Institute of Medical Sciences, Pondicherry, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Dentistry, Pondicherry Institute of Medical Sciences, Pondicherry</wicri:regionArea></affiliation></author><author><name sortKey="Sathyanarayanan, R" sort="Sathyanarayanan, R" uniqKey="Sathyanarayanan R" first="R" last="Sathyanarayanan">R. Sathyanarayanan</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere, Karnataka</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Conservative Dentistry : JCD</title><idno type="ISSN">0972-0707</idno><idno type="eISSN">0974-5203</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Realization that dental caries is a reversible, dynamic biochemical event at a micron level has changed the way the profession recognizes the caries disease and the caries lesion. The diagnosis of dental caries poses challenges due to the complex interaction of multiple endogenous causal factors. The most appropriate diagnostic aid for this purpose is the risk model of caries risk assessment. The analyses of the biological determinants provide clues to the dominant causal factor. The detection of a carious lesion has undergone a rigorous revision and revolution in order to identify the earliest mineral change so that it can be controlled without resorting to invasive management options. Apart from detection, it became mandatory to assess the extent of the lesion (noncavitated/cavitated), assess the activity status of the lesion (active/arrested), monitor the lesion progress (progression/regression over a period of time), and finally to predict the prognosis of the lesion as well as the disease. The prognosis of the disease can be best assessed by analyzing the predictor factors in caries risk assessment. The ultimate objective of such a meticulous and methodical approach aids in devising a tailor-made treatment plan, using preventing measures precisely and restorative measures minimally. 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Shugars</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fejerskov, O" uniqKey="Fejerskov O">O Fejerskov</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fejerskov, O" uniqKey="Fejerskov O">O Fejerskov</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burke, Fj" uniqKey="Burke F">FJ Burke</name></author><author><name sortKey="Wilson, Nh" uniqKey="Wilson N">NH Wilson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baelum, V" uniqKey="Baelum V">V Baelum</name></author><author><name sortKey="Heidmann, J" uniqKey="Heidmann J">J Heidmann</name></author><author><name sortKey="Nyvad, B" uniqKey="Nyvad B">B Nyvad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baelum, V" uniqKey="Baelum V">V Baelum</name></author><author><name sortKey="Nyvad, B" uniqKey="Nyvad B">B Nyvad</name></author><author><name sortKey="Grondahl, Hg" uniqKey="Grondahl H">HG Grondahl</name></author><author><name sortKey="Fejerskov, O" uniqKey="Fejerskov O">O Fejerskov</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bratthal, D" uniqKey="Bratthal D">D Bratthal</name></author><author><name sortKey="Hansel Peterson, G" uniqKey="Hansel Peterson G">G Hansel Peterson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krasse, B" uniqKey="Krasse B">B Krasse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bratthall, D" uniqKey="Bratthall D">D Bratthall</name></author><author><name sortKey="Ericsson, D" uniqKey="Ericsson D">D Ericsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Twetman, S" uniqKey="Twetman S">S Twetman</name></author><author><name sortKey="Fontana, M" uniqKey="Fontana M">M Fontana</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kidd, Ea" uniqKey="Kidd E">EA Kidd</name></author><author><name sortKey="Pitts, Nb" uniqKey="Pitts N">NB Pitts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Axelsson, P" uniqKey="Axelsson P">P Axelsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kidd, Ea" uniqKey="Kidd E">EA Kidd</name></author><author><name sortKey="Joyston Bechal, S" uniqKey="Joyston Bechal S">S Joyston-Bechal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johansson, I" uniqKey="Johansson I">I Johansson</name></author><author><name sortKey="Birkhed, D" uniqKey="Birkhed D">D Birkhed</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kidd, Ea" uniqKey="Kidd E">EA Kidd</name></author><author><name sortKey="Joyston Bechal, S" uniqKey="Joyston Bechal S">S Joyston-Bechal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leone, Cw" uniqKey="Leone C">CW Leone</name></author><author><name sortKey="Oppenheim, Fg" uniqKey="Oppenheim F">FG Oppenheim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bardow, A" uniqKey="Bardow A">A Bardow</name></author><author><name sortKey="Ten, Cate" uniqKey="Ten C">Cate ten</name></author><author><name sortKey="Nauntofte, B" uniqKey="Nauntofte B">B Nauntofte</name></author><author><name sortKey="Nyvad, B" uniqKey="Nyvad B">B Nyvad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bardow, A" uniqKey="Bardow A">A Bardow</name></author><author><name sortKey="Lagerlof, F" uniqKey="Lagerlof F">F Lagerlof</name></author><author><name sortKey="Nauntofte, B" uniqKey="Nauntofte B">B Nauntofte</name></author><author><name sortKey="Tenvuo, J" uniqKey="Tenvuo J">J Tenvuo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ngo, H" uniqKey="Ngo H">H Ngo</name></author><author><name sortKey="Gaffney, S" uniqKey="Gaffney S">S Gaffney</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ricketts, D" uniqKey="Ricketts D">D Ricketts</name></author><author><name sortKey="Kidd, E" uniqKey="Kidd E">E Kidd</name></author><author><name sortKey="Weerheijm, K" uniqKey="Weerheijm K">K Weerheijm</name></author><author><name sortKey="De Soet, H" uniqKey="De Soet H">H de Soet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pitts, Nb" uniqKey="Pitts N">NB Pitts</name></author><author><name sortKey="Longbottom, C" uniqKey="Longbottom C">C Longbottom</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anusavice, Kj" uniqKey="Anusavice K">KJ Anusavice</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lussi, A" uniqKey="Lussi A">A Lussi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kuhnisch, J" uniqKey="Kuhnisch J">J Kuhnisch</name></author><author><name sortKey="Dietz, W" uniqKey="Dietz W">W Dietz</name></author><author><name sortKey="Stosser, L" uniqKey="Stosser L">L Stosser</name></author><author><name sortKey="Hickel, R" uniqKey="Hickel R">R Hickel</name></author><author><name sortKey="Heinrich Weltzien, R" uniqKey="Heinrich Weltzien R">R Heinrich-Weltzien</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Neuhas, Kw" uniqKey="Neuhas K">KW Neuhas</name></author><author><name sortKey="Ellwood, R" uniqKey="Ellwood R">R Ellwood</name></author><author><name sortKey="Lussi, A" uniqKey="Lussi A">A Lussi</name></author><author><name sortKey="Pitts, Nb" uniqKey="Pitts N">NB Pitts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Angmar Mansson, B" uniqKey="Angmar Mansson B">B Angmar-Mansson</name></author><author><name sortKey="Ten Bosch, Jj" uniqKey="Ten Bosch J">JJ Ten Bosch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yang, J" uniqKey="Yang J">J Yang</name></author><author><name sortKey="Dutra, V" uniqKey="Dutra V">V Dutra</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vaarkamp, Jj" uniqKey="Vaarkamp J">JJ Vaarkamp</name></author><author><name sortKey="Ten Bosch, Jj" uniqKey="Ten Bosch J">JJ Ten Bosch</name></author><author><name sortKey="Verdonschot, Eh" uniqKey="Verdonschot E">EH Verdonschot</name></author><author><name sortKey="Bronkhorst, Em" uniqKey="Bronkhorst E">EM Bronkhorst</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ismail, Ai" uniqKey="Ismail A">AI Ismail</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ismail, Ai" uniqKey="Ismail A">AI Ismail</name></author><author><name sortKey="Sohn, W" uniqKey="Sohn W">W Sohn</name></author><author><name sortKey="Tellez, M" uniqKey="Tellez M">M Tellez</name></author><author><name sortKey="Amaya, A" uniqKey="Amaya A">A Amaya</name></author><author><name sortKey="Sen, A" uniqKey="Sen A">A Sen</name></author><author><name sortKey="Hasson, H" uniqKey="Hasson H">H Hasson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Topping, Gv" uniqKey="Topping G">GV Topping</name></author><author><name sortKey="Pitts, Nb" uniqKey="Pitts N">NB Pitts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jablonski Momeni, A" uniqKey="Jablonski Momeni A">A Jablonski-Momeni</name></author><author><name sortKey="Stachniss, V" uniqKey="Stachniss V">V Stachniss</name></author><author><name sortKey="Ricketts, Dn" uniqKey="Ricketts D">DN Ricketts</name></author><author><name sortKey="Heinzel Gutenbrunner, M" uniqKey="Heinzel Gutenbrunner M">M Heinzel-Gutenbrunner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nyvad, B" uniqKey="Nyvad B">B Nyvad</name></author><author><name sortKey="Machiulskiene, V" uniqKey="Machiulskiene V">V Machiulskiene</name></author><author><name sortKey="Baelum, V" uniqKey="Baelum V">V Baelum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Haak, R" uniqKey="Haak R">R Haak</name></author><author><name sortKey="Wicht, Mj" uniqKey="Wicht M">MJ Wicht</name></author><author><name sortKey="Noack, Mj" uniqKey="Noack M">MJ Noack</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wenzel, A" uniqKey="Wenzel A">A Wenzel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zandona, Af" uniqKey="Zandona A">AF Zandona</name></author><author><name sortKey="Zero, Dt" uniqKey="Zero D">DT Zero</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hall, A" uniqKey="Hall A">A Hall</name></author><author><name sortKey="Girkin, Jm" uniqKey="Girkin J">JM Girkin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lussi, A" uniqKey="Lussi A">A Lussi</name></author><author><name sortKey="Angmar Mansson, B" uniqKey="Angmar Mansson B">B Angmar-Mansson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Neuhaus, Kw" uniqKey="Neuhaus K">KW Neuhaus</name></author><author><name sortKey="Longbottom, C" uniqKey="Longbottom C">C Longbottom</name></author><author><name sortKey="Ellwood, R" uniqKey="Ellwood R">R Ellwood</name></author><author><name sortKey="Lussi, A" uniqKey="Lussi A">A Lussi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bader, Jd" uniqKey="Bader J">JD Bader</name></author><author><name sortKey="Shugars, Da" uniqKey="Shugars D">DA Shugars</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lussi, A" uniqKey="Lussi A">A Lussi</name></author><author><name sortKey="Hilbst, R" uniqKey="Hilbst R">R Hilbst</name></author><author><name sortKey="Paulus, R" uniqKey="Paulus R">R Paulus</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Josselin De Jong, E" uniqKey="De Josselin De Jong E">E de Josselin de Jong</name></author><author><name sortKey="Sundstrom, F" uniqKey="Sundstrom F">F Sundstrom</name></author><author><name sortKey="Westerling, H" uniqKey="Westerling H">H Westerling</name></author><author><name sortKey="Tranaeus, S" uniqKey="Tranaeus S">S Tranaeus</name></author><author><name sortKey="Ten Bosch, Jj" uniqKey="Ten Bosch J">JJ ten Bosch</name></author><author><name sortKey="Angmar Mansson, B" uniqKey="Angmar Mansson B">B Angmar- Mansson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Khateeb, S" uniqKey="Al Khateeb S">S Al-Khateeb</name></author><author><name sortKey="Ten Cate, Jm" uniqKey="Ten Cate J">JM ten Cate</name></author><author><name sortKey="Angmar Mansson, B" uniqKey="Angmar Mansson B">B Angmar-Mansson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Longbottom, C" uniqKey="Longbottom C">C Longbottom</name></author><author><name sortKey="Huysmans, Mc" uniqKey="Huysmans M">MC Huysmans</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bader, Jd" uniqKey="Bader J">JD Bader</name></author><author><name sortKey="Shugars, Ad" uniqKey="Shugars A">AD Shugars</name></author><author><name sortKey="Bonito, Aj" uniqKey="Bonito A">AJ Bonito</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kidd, Ea" uniqKey="Kidd E">EA Kidd</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pitts, Nb" uniqKey="Pitts N">NB Pitts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pitts, Nb" uniqKey="Pitts N">NB Pitts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hausen, H" uniqKey="Hausen H">H Hausen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Peterson, Pe" uniqKey="Peterson P">PE Peterson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pitts, Nb" uniqKey="Pitts N">NB Pitts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Longbottom, C" uniqKey="Longbottom C">C Longbottom</name></author><author><name sortKey="Huysmans, Mc" uniqKey="Huysmans M">MC Huysmans</name></author><author><name sortKey="Pitts, Nb" uniqKey="Pitts N">NB Pitts</name></author><author><name sortKey="Fontana, M" uniqKey="Fontana M">M Fontana</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nyvad, B" uniqKey="Nyvad B">B Nyvad</name></author><author><name sortKey="Fejerskov, O" uniqKey="Fejerskov O">O Fejerskov</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ekstrand, Kr" uniqKey="Ekstrand K">KR Ekstrand</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ekstrand, Kr" uniqKey="Ekstrand K">KR Ekstrand</name></author><author><name sortKey="Zero, Dt" uniqKey="Zero D">DT Zero</name></author><author><name sortKey="Martignon, S" uniqKey="Martignon S">S Martignon</name></author><author><name sortKey="Pitts, Nb" uniqKey="Pitts N">NB Pitts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ekstrand, Kr" uniqKey="Ekstrand K">KR Ekstrand</name></author><author><name sortKey="Martignon, S" uniqKey="Martignon S">S Martignon</name></author><author><name sortKey="Ricketts, Dj" uniqKey="Ricketts D">DJ Ricketts</name></author><author><name sortKey="Quist, V" uniqKey="Quist V">V Quist</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stookey, Gk" uniqKey="Stookey G">GK Stookey</name></author><author><name sortKey="Gonzalez Cabezas, C" uniqKey="Gonzalez Cabezas C">C Gonzalez-Cabezas</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="other"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Conserv Dent</journal-id><journal-id journal-id-type="publisher-id">JCD</journal-id><journal-title-group><journal-title>Journal of Conservative Dentistry : JCD</journal-title></journal-title-group><issn pub-type="ppub">0972-0707</issn><issn pub-type="epub">0974-5203</issn><publisher><publisher-name>Medknow Publications</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20543914</article-id><article-id pub-id-type="pmc">2879723</article-id><article-id pub-id-type="publisher-id">JCD-12-87</article-id><article-id pub-id-type="doi">10.4103/0972-0707.57631</article-id><article-categories><subj-group subj-group-type="heading"><subject>Invited Review</subject></subj-group></article-categories><title-group><article-title>Dental caries: A complete changeover (Part II)-Changeover in the diagnosis and prognosis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Carounanidy</surname><given-names>Usha</given-names></name><xref ref-type="aff" rid="AF0001"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Sathyanarayanan</surname><given-names>R</given-names></name><xref ref-type="aff" rid="AF0002">1</xref></contrib></contrib-group><aff id="AF0001">Department of Dentistry, Pondicherry Institute of Medical Sciences, Pondicherry, India</aff><aff id="AF0002"><label>1</label>Department of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere, Karnataka, India</aff><author-notes><corresp id="cor1"><bold>Address for correspondence:</bold> Prof. Usha Carounanidy, 107, Perumal Koil Street, Pondicherry – 605 001, India. E-mail: <email xlink:href="usha.c.sathya@gmail.com">usha.c.sathya@gmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><season>Jul-Sep</season><year>2009</year></pub-date><volume>12</volume><issue>3</issue><fpage>87</fpage><lpage>100</lpage><history><date date-type="received"><day>14</day><month>10</month><year>2009</year></date><date date-type="accepted"><day>14</day><month>10</month><year>2009</year></date></history><permissions><copyright-statement>© Journal of Conservative Dentistry</copyright-statement><copyright-year>2009</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Realization that dental caries is a reversible, dynamic biochemical event at a micron level has changed the way the profession recognizes the caries disease and the caries lesion. The diagnosis of dental caries poses challenges due to the complex interaction of multiple endogenous causal factors. The most appropriate diagnostic aid for this purpose is the risk model of caries risk assessment. The analyses of the biological determinants provide clues to the dominant causal factor. The detection of a carious lesion has undergone a rigorous revision and revolution in order to identify the earliest mineral change so that it can be controlled without resorting to invasive management options. Apart from detection, it became mandatory to assess the extent of the lesion (noncavitated/cavitated), assess the activity status of the lesion (active/arrested), monitor the lesion progress (progression/regression over a period of time), and finally to predict the prognosis of the lesion as well as the disease. The prognosis of the disease can be best assessed by analyzing the predictor factors in caries risk assessment. The ultimate objective of such a meticulous and methodical approach aids in devising a tailor-made treatment plan, using preventing measures precisely and restorative measures minimally. This ensures the best oral health outcome of the patient.</p></abstract><kwd-group><kwd>Active caries</kwd><kwd>caries activity</kwd><kwd>cavitated caries</kwd><kwd>dental caries</kwd><kwd>detection</kwd><kwd>diagnosis</kwd><kwd>inactive caries</kwd><kwd>noncavitated caries</kwd><kwd>prediction</kwd><kwd>prognosis</kwd><kwd>risk assessment</kwd><kwd>sensitivity</kwd><kwd>specificity</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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