The implications of the new paradigm of dental caries.
Identifieur interne : 000305 ( Main/Exploration ); précédent : 000304; suivant : 000306The implications of the new paradigm of dental caries.
Auteurs : Edwina Kidd [Royaume-Uni]Source :
- Journal of dentistry [ 1879-176X ] ; 2011.
Descripteurs français
- KwdFr :
- Analyse coût-bénéfice (MeSH), Appréciation des risques (MeSH), Biofilms (MeSH), Brossage dentaire (MeSH), Caries dentaires (diagnostic), Caries dentaires (prévention et contrôle), Cariostatiques (usage thérapeutique), Fluorures (usage thérapeutique), Humains (MeSH), Plaque dentaire (prévention et contrôle), Pâtes dentifrices (usage thérapeutique), Restaurations dentaires permanentes (classification), Régime alimentaire (MeSH), Soins dentaires (économie), Susceptibilité à la carie dentaire (MeSH).
- MESH :
- diagnostic : Caries dentaires.
- prévention et contrôle : Caries dentaires, Plaque dentaire.
- usage thérapeutique : Cariostatiques, Fluorures, Pâtes dentifrices, Restaurations dentaires permanentes.
- économie : Soins dentaires.
- Analyse coût-bénéfice, Appréciation des risques, Biofilms, Brossage dentaire, Humains, Régime alimentaire, Susceptibilité à la carie dentaire.
English descriptors
- KwdEn :
- Biofilms (MeSH), Cariostatic Agents (therapeutic use), Cost-Benefit Analysis (MeSH), Dental Care (economics), Dental Caries (diagnosis), Dental Caries (prevention & control), Dental Caries Susceptibility (MeSH), Dental Plaque (prevention & control), Dental Restoration, Permanent (classification), Diet (MeSH), Fluorides (therapeutic use), Humans (MeSH), Risk Assessment (MeSH), Toothbrushing (MeSH), Toothpastes (therapeutic use).
- MESH :
- chemical , therapeutic use : Cariostatic Agents, Fluorides, Toothpastes.
- classification : Dental Restoration, Permanent.
- diagnosis : Dental Caries.
- economics : Dental Care.
- prevention & control : Dental Caries, Dental Plaque.
- Biofilms, Cost-Benefit Analysis, Dental Caries Susceptibility, Diet, Humans, Risk Assessment, Toothbrushing.
Abstract
The caries process is the ubiquitous, natural metabolism in the biofilm that causes numerous fluctuations in pH. The interaction of this biofilm with the dental tissues may result in a caries lesion. However, lesion formation and progression can be controlled, particularly by disturbing plaque regularly with a fluoride containing toothpaste. This paradigm implies that everyone with teeth is at risk to lesion development. Treatment of caries is principally non-operative, involving plaque control, fluoride and a sensible diet. Operative dentistry repairs un-cleansable cavities and is part of plaque control. A diagnosis is a mental resting place on the way to a treatment decision. The relevant diagnostic features with respect to caries are lesion activity (active lesions require active management) and un-cleansable cavities. When teaching undergraduates, it is important that they are credited for the non-operative treatment of caries as well as for operative dentistry. This is equally important in dental practice where an appropriate skills mix of the dental team is required to deliver dental health cost-effectively. Training more dentists may be an expensive mistake as far as disease control is concerned. It is ironic that dentists make most money from operative care and specialist treatment when disease control could be delivered relatively cheaply. The key to dental health is regular and effective plaque control with a fluoride containing toothpaste, from cradle to grave.
DOI: 10.1016/j.jdent.2011.11.004
PubMed: 22085623
Affiliations:
Links toward previous steps (curation, corpus...)
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dentaires (prévention et contrôle)</term><term>Cariostatiques (usage thérapeutique)</term><term>Fluorures (usage thérapeutique)</term><term>Humains (MeSH)</term><term>Plaque dentaire (prévention et contrôle)</term><term>Pâtes dentifrices (usage thérapeutique)</term><term>Restaurations dentaires permanentes (classification)</term><term>Régime alimentaire (MeSH)</term><term>Soins dentaires (économie)</term><term>Susceptibilité à la carie dentaire (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Cariostatic Agents</term><term>Fluorides</term><term>Toothpastes</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Dental Restoration, Permanent</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dental Caries</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Caries dentaires</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Dental Care</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Dental Caries</term><term>Dental Plaque</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Caries dentaires</term><term>Plaque dentaire</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Cariostatiques</term><term>Fluorures</term><term>Pâtes dentifrices</term><term>Restaurations dentaires permanentes</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Soins dentaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Biofilms</term><term>Cost-Benefit Analysis</term><term>Dental Caries Susceptibility</term><term>Diet</term><term>Humans</term><term>Risk Assessment</term><term>Toothbrushing</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Analyse coût-bénéfice</term><term>Appréciation des risques</term><term>Biofilms</term><term>Brossage dentaire</term><term>Humains</term><term>Régime alimentaire</term><term>Susceptibilité à la carie dentaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The caries process is the ubiquitous, natural metabolism in the biofilm that causes numerous fluctuations in pH. The interaction of this biofilm with the dental tissues may result in a caries lesion. However, lesion formation and progression can be controlled, particularly by disturbing plaque regularly with a fluoride containing toothpaste. This paradigm implies that everyone with teeth is at risk to lesion development. Treatment of caries is principally non-operative, involving plaque control, fluoride and a sensible diet. Operative dentistry repairs un-cleansable cavities and is part of plaque control. A diagnosis is a mental resting place on the way to a treatment decision. The relevant diagnostic features with respect to caries are lesion activity (active lesions require active management) and un-cleansable cavities. When teaching undergraduates, it is important that they are credited for the non-operative treatment of caries as well as for operative dentistry. This is equally important in dental practice where an appropriate skills mix of the dental team is required to deliver dental health cost-effectively. Training more dentists may be an expensive mistake as far as disease control is concerned. It is ironic that dentists make most money from operative care and specialist treatment when disease control could be delivered relatively cheaply. The key to dental health is regular and effective plaque control with a fluoride containing toothpaste, from cradle to grave.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22085623</PMID><DateCompleted><Year>2012</Year><Month>05</Month><Day>10</Day></DateCompleted><DateRevised><Year>2013</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-176X</ISSN><JournalIssue CitedMedium="Internet"><Volume>39 Suppl 2</Volume><PubDate><Year>2011</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of dentistry</Title><ISOAbbreviation>J Dent</ISOAbbreviation></Journal><ArticleTitle>The implications of the new paradigm of dental caries.</ArticleTitle><Pagination><MedlinePgn>S3-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jdent.2011.11.004</ELocationID><Abstract><AbstractText>The caries process is the ubiquitous, natural metabolism in the biofilm that causes numerous fluctuations in pH. The interaction of this biofilm with the dental tissues may result in a caries lesion. However, lesion formation and progression can be controlled, particularly by disturbing plaque regularly with a fluoride containing toothpaste. This paradigm implies that everyone with teeth is at risk to lesion development. Treatment of caries is principally non-operative, involving plaque control, fluoride and a sensible diet. Operative dentistry repairs un-cleansable cavities and is part of plaque control. A diagnosis is a mental resting place on the way to a treatment decision. The relevant diagnostic features with respect to caries are lesion activity (active lesions require active management) and un-cleansable cavities. When teaching undergraduates, it is important that they are credited for the non-operative treatment of caries as well as for operative dentistry. This is equally important in dental practice where an appropriate skills mix of the dental team is required to deliver dental health cost-effectively. Training more dentists may be an expensive mistake as far as disease control is concerned. It is ironic that dentists make most money from operative care and specialist treatment when disease control could be delivered relatively cheaply. The key to dental health is regular and effective plaque control with a fluoride containing toothpaste, from cradle to grave.</AbstractText><CopyrightInformation>Copyright © 2011 Elsevier Ltd. 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