scholarly journals Dental caries management: A practical approach for your practice

2020 ◽  
Vol 80 (S2) ◽  
Author(s):  
Tess Bruner
Keyword(s):  
Dental Caries ◽  
Practical Approach ◽  
Caries Management

scholarly journals THE CARIES MANAGEMENT SYSTEM: UPDATING COST-EFFECTIVENESS WITH 4-YEAR POSTTRIAL DATA

2016 ◽  
Vol 32 (3) ◽  
pp. 107-115 ◽  
Author(s):  
Emma Warren ◽  
Bradley H. Curtis ◽  
Nan Jia ◽  
R. Wendell Evans
Keyword(s):  
Cost Effectiveness ◽  
Dental Caries ◽  
Management System ◽  
Controlled Trial ◽  
Lifetime Cost ◽  
Age Distribution ◽  
Real Life ◽  
Caries Management

Objectives: Long-term follow-up of the Caries Management System (CMS) protocol demonstrated that regular monitoring and noninvasive management of dental caries is effective in reducing the number of caries-related events over a 7-year period. This analysis complements the authors’ original economic evaluation of the CMS by re-evaluating the per-protocol cost-effectiveness of the CMS approach.Methods: An individual patient-simulation Markov model was developed previously, based on 3-year randomized-controlled trial (RCT) data, to simulate the incidence and progression of dental caries, and resultant interventions, and to evaluate the lifetime cost-effectiveness of the CMS versus standard dental care from the Australian private dental practitioner perspective (in which the baseline age distribution was similar to that of the Australian population). The 4-year posttrial follow-up data are used to re-evaluate the long-term cost-effectiveness of the CMS in a more real-life setting.Results: The reduction in caries risk was maintained among those practices within which the CMS protocols were adhered to. The per-protocol model appears to be reasonably accurate at predicting the risk of restorative events in the posttrial follow-up period. The per-protocol lifetime cost per restorative event avoided is AUD1,980 (USD1,409; 1 AUD = 0.71 USD).Conclusions: The current analysis confirms that the CMS approach is both effective, when the protocols are adhered to appropriately, and cost-effective compared with standard care in the Australian private practice setting.

The Interprofessional Role in Dental Caries Management

2019 ◽  
Vol 63 (4) ◽  
pp. 663-668
Author(s):  
Kristen Flick ◽  
Leonardo Marchini
Keyword(s):  
Dental Caries ◽  
Caries Management

scholarly journals Salivary sIgA and PRAP-1 Protein in Relation to Dental Caries: A Comparative Study

2020 ◽  
Vol 11 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Aseel Al-ani ◽  
Douglas A. MacDonald ◽  
Maha Ahmad
Keyword(s):  
Dental Caries ◽  
Secretory Iga ◽  
Enzyme Linked Immunosorbent Assay ◽  
Caries Risk ◽  
Confounding Variables ◽  
High Caries Risk ◽  
Caries Management ◽  
Assessment Guidelines ◽  
Unstimulated Saliva ◽  
The Relationship

Aim: Certain individuals are more prone to dental caries than others are. Caries risk may be related in the secretion of certain defensive salivary proteins including secretory IgA (sIgA) and proline-rich acidic protein (PRAP-1). In this study, we investigated the relationship between PRAP-1 and sIgA leading to the susceptibility of development of dental caries in adults and explored the differences in the levels of sIgA and PRAP-1 between men and women. Materials and Methods: Unstimulated saliva samples were collected from 28 patients with high caries risk and 32 control subjects with low caries risk according to caries management by risk assessment guidelines. sIgA and PRAP-1 levels in clarified saliva samples were measured using the enzyme-linked immunosorbent assay. Results: According to our results, sIgA and PRAP-1 levels did not demonstrate statistically significant differences as a function of caries risk or gender, even when potential confounding variables such as age and numbers of teeth were taken into consideration. Estimates of effect size, however, revealed small- to medium-sized effects and suggest that significant results may have been found if larger sample sizes were used. Conclusion: The results of this study indicate that caries risk and salivary levels of sIgA and PRAP-1 do not appear to be significantly associated. Statistically significant findings could emerge if the sample size was larger.

scholarly journals Non-Fluoridated Remineralising Agents - A Review of Literature

2021 ◽  
Vol 10 (9) ◽  
pp. 638-644
Author(s):  
Akriti Batra ◽  
Vabitha Shetty
Keyword(s):  
Dental Caries ◽  
Minimally Invasive ◽  
Medical Model ◽  
Acid Dissolution ◽  
Invasive Approach ◽  
Non Invasive ◽  
Minimally Invasive Dentistry ◽  
Phosphate Mineral ◽  
Modifiable Factors ◽  
Caries Management

Dental caries is not merely a continuous and one-way process of demineralisation of the mineral phase, but repeated episodes of demineralisations and remineralisation. The remineralisation process is a natural repair mechanism to restore the minerals again, in ionic forms, to the hydroxyapatite (HAP) crystal lattice. It occurs under nearneutral physiological pH conditions whereby calcium and phosphate mineral ions are redeposited within the caries lesion from saliva and plaque fluid resulting in the formation of newer HAP crystals, which are larger and more resistant to acid dissolution. An insight into the caries process’s multifactorial aetiopathogenesis has resulted in a paradigm shift towards minimally invasive dentistry. This era of personalised care using the medical model for caries management assimilates the signs of examining, diagnosing, intercepting, and managing dental caries at a microscopic level. Fluoride mediated salivary remineralisation system is considered the cornerstone of non-invasive approach for managing non-cavitated carious lesions. However, the effect of fluoride was found to be limited to the outer surface of the tooth, and it was observed that fluoride does not influence the modifiable factors in dental caries such as the biofilm. Hence, fluoride does not reduce the cariogenic challenge especially for high-risk individuals. Due to this gap in the conventional fluoride therapies, non-fluoridated remineralising systems have emerged, which interact with the tooth by delivering calcium and phosphorous ions, modifying the biofilm and neutralising the organic acids. This review re-examines the philosophy behind non-fluoridated remineralisation, their mode of action, availability in the market and evidence-based studies of the most promising advancements in remineralisation approaches. KEY WORDS Caries, Minimally Invasive Dentistry, Remineralisation, Non-Fluoridated Remineralising Systems

Dental Caries Management in Children and Adults

2016 ◽  
Vol 6 (9) ◽  
Author(s):  
Rebecca L. Slayton ◽  
◽  
Margherita Fontana ◽  
Douglas Young ◽  
Norman Tinanoff ◽  
...  
Keyword(s):  
Dental Caries ◽  
Caries Management
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