Dental caries : the disease and its clinical management / edited by Ole Fejerskov and Edwina A.M. Kidd.

Format:

Book

Contributor:

Fejerskov, Ole.

Kidd, Edwina A. M.

Language:

English

Subjects (All):

Dental caries--Diagnosis.

Dental caries.

Dental caries--Treatment.

Dental Caries--diagnosis.

Dental Caries--therapy.

Dental Restoration, Permanent.

Medical Subjects:

Dental Caries--diagnosis.

Dental Caries--therapy.

Dental Restoration, Permanent.

Physical Description:

xviii, 350 pages, 20 unnumbered pages of plates : illustrations (some color) ; 28 cm

Place of Publication:

Oxford ; Malden, MA : Blackwell Munksgaard, 2003.

Summary:

Dental Caries: The Disease and its Clinical Management is a major new work on a subject of vital concern to all dentists. It builds on the work of two former books, Textbook of Clinical Cariology and Fluoride in Dentistry, to present a definitive resource on caries prevention and treatment. The management of dental caries is central to daily work in dental offices because caries is ubiquitous in all populations, lesion development continues lifelong and caries is the most common cause of tooth loss around the world. The book's logical structure consists of four parts, covering: The Disease; Diagnosis; Prevention, Non-Operative and Operative Treatment; and Prognosis. It provides a clear understanding of the disease process, be it at an individual or population level. The Editors are joined by 28 expert authors who have contributed a wealth of chapters, ranging from the role of fluorides to restoring the tooth. Careful balance between prophylaxis and surgical intervention guides the reader through the maze of treatment decisions, while the breadth of the book reflects diverse, and sometimes controversial, opinion on dental caries.

Contents:

Part I The Disease 1

Chapter 1 Clinical cariology and operative dentistry in the twenty-first century / O. Fejerskov, E.A.M. Kidd 3

Standing on the shoulders of giants 3

The caries situation by the middle of the twentieth century 4

Chapter 2 Secretion and composition of saliva / B. Nauntofte, J.O. Tenovuo, F. Lagerlof 7

The oral cavity and saliva 7

The salivary glands 7

Quantity of salivary secretion 13

Quality of saliva 18

Pellicle 24

Saliva and dental caries 25

Chapter 3 The oral microflora and biofilms on teeth / P.D. Marsh, B. Nyvad 29

Dental plaque: development, structure, composition and properties 31

Dental plaque and caries 42

Chapter 4 Chemical interactions between the tooth and oral fluids / J.M. ten Cate, M.J. Larsen, E.I.F. Pearce, O. Fejerskov 49

The importance of the mineral phase in enamel 50

Enamel mineral and oral fluids 52

Demineralization and remineralization of the dental hard tissues 56

Erosion 59

Remineralization 60

Dentin caries 60

Fluoride reactions in the oral environment 64

Dental calculus 68

Chapter 5 Clinical and histological manifestations of dental caries / O. Fejerskov, B. Nyvad, E.A.M. Kidd 71

Clinical appearances of caries lesions 72

Enamel reactions during eruption 72

Enamel changes during early caries lesion development 75

How rapidly may changes be recorded (microscopically and clinically) in enamel covered by dental plaque? 75

Why does mineral loss predominantly occur underneath the enamel surface? 77

How do such early lesions change when dental plaque is removed? 78

The approximal white-spot lesion 80

Progression of the enamel lesion 83

Arrest of caries lesions 83

Occlusal caries 86

Dentin reactions to caries progression 87

Pulpo-dentinal reactions before bacterial invasion into the dentin 88

Enamel destruction and bacterial invasion 90

Pulp reaction 92

Root-surface caries 92

Histopathological features of root caries lesions 93

Part II Diagnosis 99

Chapter 6 Caries diagnosis: 'a mental resting place on the way to intervention'? / V. Baelum, O. Fejerskov 101

Dental caries: a process 101

Dental caries, a multifactorial disease? 102

Three perspectives on dental caries 103

Dental caries: do health and disease form a dichotomy? 104

The purpose of diagnosis 105

The caries diagnostic process 106

Variation in clinical decisions 107

Outcomes of caries interventions 108

The decision nodes in clinical decision making 109

Chapter 7 Clinical and radiographic diagnosis / E.A.M. Kidd, I. Mejare, B. Nyvad 111

Why is diagnosis important? 115

Possible and 'appropriate' levels of diagnosis 115

Prerequisites for detection and diagnosis 116

Clinical criteria 117

Radiography 119

Chapter 8 Advanced methods of caries diagnosis and quantification / E.H. Verdonschot, B. Angmar-Mansson 129

Assessment of the performance of quantitative diagnostic methods 129

Diagnostic methods based on X-rays 130

Diagnostic methods based on visible light 132

Diagnostic systems based on electrical current 136

Diagnostic systems based on ultrasound measurements 137

Chapter 9 Caries epidemiology, with special emphasis on diagnostic standards / N.B. Pitts, O. Fejerskov, F.R. von der Fehr 141

Epidemiology: what is it and why do we need it? 141

Capturing relevant information about dental caries 144

Epidemiological results and their use 149

Part III Prevention, Non-operative and Operative Treatments 165

Chapter 10 Prevention of dental caries and the control of disease progression: concepts of preventive non-operative treatment / E.A.M. Kidd, O. Fejerskov 167

Can the caries process be prevented? 167

Controlling disease progression 168

Should disease control be considered as 'treatment' of the caries lesion? 168

Why use the term 'preventive non-operative treatment'? 169

Chapter 11 The role of oral hygiene / B. Nyvad 171

Some theoretical considerations 171

The biological effect of tooth cleaning 171

The clinical effect of tooth cleaning 172

The individual level 173

The population level 175

The effect of professional tooth cleaning 175

Chapter 12 The role of antimicrobials / A.Aa. Scheie 179

Is there a rationale for the use of chemical antiplaque agents in caries prophylaxis? 179

Biological activity of chemical antiplaque agents 179

Principal modes of action of an antiplaque agent 180

Administration of antiplaque agents: vehicles 181

Agents 182

Concluding remarks and future approaches 186

Chapter 13 Clinical use of fluoride / R. Ellwood, O. Fejerskov 189

How fluoride came into dentistry 189

Physiological and toxicological aspects of fluoride delivery 194

Current methods of fluoride delivery 203

Appropriate use of fluoride in caries control 217

Chapter 14 The role of dietary control / P. Moynihan, P. Lingstrom, A.J. Rugg-Gunn, D. Birkhed 223

Diet and dental caries in humans 223

Influence of different intake patterns 227

Influence of fluoride on the relationship between sugars and caries 228

Groups at increased risk of dental caries in relation to diet 229

The relative cariogenicity of different sugars 231

Novel carbohydrates and dental health 231

Protective factors in foods 237

Promoting good dietary habits for dental health 239

Chapter 15 The role of operative treatment / E.A.M. Kidd, J.P. van Amerongen 245

What is happening in your dental school? 245

The outcome of non-operative or preventive treatment 246

Initial lesions 246

Cavitated lesions 246

Free smooth surfaces 246

Does this approach always work? 246

Occlusal surfaces 247

Approximal surfaces 247

Recurrent caries 247

Chapter 16 The maze of treatment decisions / K. Anusavice 251

Variability in decision making 251

Elements of decision making 253

Identification of the main caries condition 259

Identification of treatment choices 259

Identification of possible treatment outcomes 260

Assigning values (utilities) to outcomes 260

Influences on treatment decisions 260

Benefits and risks of early caries lesion detection 260

Reducing the risk of inappropriate decisions 261

Influences on treatment decisions 261

Medical/dental history 261

Caries risk assessment 261

Treatment strategy 263

Chapter 17 Caries removal and the pulpo-dentinal complex / E.A.M. Kidd, O. Fejerskov, I.A. Mjor 267

Current practice of caries removal 267

Summary of caries lesion progression in dentin 267

The pulpo-dentinal complex and caries 268

The relevance of pulpo-dentinal reactions to operative management 270

The current operative tradition 270

The infected dentin concept and its clinical consequence 270

Preparation damage, filling toxicity and microleakage 272

Future prospects for operative treatment of the caries lesion: indirect pulp capping 272

Bacteria left in cavities 273

Conclusion on caries removal and the pulpo-dentinal complex 273

Chapter 18 Restoring the tooth: 'the seal is the deal' / J.P. van Amerongen, C.L. Davidson, N.J.M. Opdam, F.J.M. Roeters, E.A.M. Kidd 275

Materials 276

Treatment of pit and fissure caries 282

Treatment of approximal caries 286

Treatment of smooth-surface caries 289

Repair of restorations 290

Part IV Prognosis, Caries Control and Prediction 293

Chapter 19 Prognosis for caries and restorations / I. Mejare, I.A. Mjor 295

Trends in dental caries 295

The prognosis for caries lesions 295

Prognoses of restorations 300

Chapter 20 Caries control for the individual patient / E.A.M. Kidd, B. Nyvad 303

How are current caries activity and risk of future caries progression assessed? 303

How is the information used to categorize patients into risk groups? 305

What preventive, non-operative, treatments are available? 306

How is the individual helped to control disease progression? 309

When should the patient be recalled? 310

Chapter 21 Caries control for populations / A. Sheiham, O.

Fejerskov 313

The determinants of caries 313

Limits to current lifestyle-changing approaches 315

A priority scale of preventiveness 315

A common risk-factor approach to prevention 317

The case for health promotion 317

Strategy for oral health promotion: general principles 318

Population and high-risk strategies 318

Limitations of the high-risk approach 320

The scientific basis for the whole-population approach 321

Dental caries criteria for selecting an oral health strategy 322

Some working rules of caries attack patterns and prevalence 322

Policy selection 322

Selection of strategy based on caries levels and trends 322

Defining the caries situation 323

A settings approach for preventive programs 324

The role of dentists in oral health promotion 324

Chapter 22 Caries prediction / H. Hausen 327

Clinicians assess risk, researchers predict 328

The course of a typical prediction study 328

What level of accuracy would be sufficient in everyday practice? 335

What level of accuracy can be achieved? 335

How valuable are the proposed measures? 338.

Notes:

Includes bibliographical references and index.

ISBN:

1405107189

OCLC:

52091957