Cariology for the 21st Century: current caries management concepts for dental practice.

Margherita Fontana, Carlos Gonzalez Cabezas, Mark Fitzgerald

Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, USA.

The Journal of the Michigan Dental Association 2013 Apr

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The objective of this manuscript is to provide an overview of currently accepted, evidence-based and/or expert opinion recommendations for the prevention and management of dental caries in dental practice. Discussions are centered on current concepts for caries lesion detection (e.g., cavitated and non-cavitated lesions) and diagnosis (e.g., active vs. arrested lesions), including thresholds for non-surgical (e.g., fluorides, sealant) and surgical (i.e., restorative) interventions, risk assessment, and a review of caries management interventions for caries disease management. The goal is to prevent and manage the caries disease process using patient-centered, risk-based interventions supported by the best available evidence, taking into account the dentist's clinical expertise and the patient's treatment needs and preferences, in order to maintain or re-establish health and preserve tooth structure.

Citation

Margherita Fontana, Carlos Gonzalez Cabezas, Mark Fitzgerald. Cariology for the 21st Century: current caries management concepts for dental practice. The Journal of the Michigan Dental Association. 2013 Apr;95(4):32-40