Covering the science behind the diseasea comprehensive approach to modern caries management This systematic approach to modern caries management combines new, evidence-based treatment techniques with the scientific underpinnings of caries formationproviding an in-depth review for both clinicians in daily practice and students advancing in the field. Beginning with patho-anatomic changes in the dental hard tissues, Dental Caries: Science and Clinical Practice goes on to cover non-invasive, minimally invasive, and more aggressive interventions based on each stage of the disease. From microbiology and histology to visual, tactile and radiographic diagnosis, risk assessment, preventive measures, and tooth preservation and treatment strategies, the book is packed with valuable clinical information for all dental practitioners. Key Features: Succinctly covers the science behind the disease, with recommendations for treatments based on assessment starting at the microscopic level Written by a team of leading worldwide authorities on caries treatment and managementand utilizing the International Caries Detection and Assessment System (ICDAS) standard throughout Covers the newest treatment techniques, including adhesion technology, fissure sealing and infiltration, caries removal, tooth-colored restorations, and more Demonstrates step-by-step caries procedures in striking, full-color illustrations of adult and pediatric cases Offers the newest thinking on early prevention and behavioral changes in oral health promotion, including the role of diet and nutrition, biofilm management, fluoride use, population-based approaches, and more Shifting to the new paradigm of heal and seal rather than the more invasive drill and fill, this beautifully illustrated text puts scientific principles into clinical action for the best results. It is an essential resource for a complete, proactive approach to caries detection, assessment, treatment, management, and prevention in contemporary dental practice.

This issue of Dental Clinics of North America focuses on Caries Management and is edited by Drs. Sandra Guzmán-Armstrong, Margherita Fontana, Marcelle Matos Nascimento and Andrea G. Ferreira Zandona. Articles will include: Non-Surgical management of cavitated and non-cavitated lesions; Approaches to modulate biofilm ecology; Dietary implications in dental caries: A practical approach on nutritional counseling; Motivational communication in the dental practice: On the road to preventing oral disease; Personalized dental caries management in adults; Personalized dental caries management in geriatric and special needs populations; Clinical decision making in the management of dental caries; Surgical management of caries lesions: Selective removal of carious tissues; The interprofessional role in dental caries management: Perspectives from a nurse, physician, and social worker; Third party perspective of dental caries management; Less is more? The long-term health and cost consequences emanating from minimal invasive caries management; Performance of adhesives and restorative materials after selective removal of carious lesions: Restorative materials with anti-caries properties; Personalized dental caries management in children; and more!

The International Caries Detection and Assessment System (ICDAS) offers clinical criteria and codes, together with a framework to support and enable personalized comprehensive caries management for improved long-term health outcome. Based on the ICDAS, this publication provides an up-to-date synthesis of the fields of detection, assessment, diagnosis and monitoring of caries. The available evidence is reviewed, and a summary is given of the current international views on best practice of how the information collected can be collated and synthesized to inform the planning, delivery and clinical evaluation of patient-centred, comprehensive caries management. The book includes a unique glossary of key terms developed with a number of international groups and establishes new links between cariology in clinical practice, caries research, dental education and epidemiology, and dental public health. The book presents valuable information for practitioners and other dental health professionals with an interest in dental caries and its modern, evidence-based, clinical management as well as for all involved in the domains of dental public health, caries research or education.

Currently there is no reason, in most cases of cavitated caries lesions, to remove affected tissue. This book presents evidence-based research on the topic and provides assessments of diagnostic devices. It offers new insights into how a dentine carious cavity can be managed by either tissue removal or restoration. Methods for preserving dental tissue are presented and ample evidence highlights the need to seal with a quality restorative material. An update on how to conduct a randomized clinical trial is followed by a chapter on agreed upon terminology for supporting improved communication among oral health professionals around the world. This is a must-read for general practitioners, restorative specialists, dental students, and oral hygienists/therapists.

This book explains how to optimize clinical conditions for detection of the earliest visible signs of dental caries and how best to assess caries activity as a basis for effective management. The available evidence from the literature on detection criteria and methods is distilled and placed in a clinical context to facilitate implementation in clinical practice. Guidance is offered on removal of the dental biofilm and the potential impact of various factors on the performance of different caries detection devices. The histological changes that occur during the caries process and their effect on the clinical appearance of caries lesions are explained. In addition, several caries classification systems based on visual detection criteria and designed to allow staging are presented. Consideration is also given to currently marketed detection aids, including methods involving light fluorescence, transillumination, and radiography. In each case, a summary of the detection performance, based on available supporting evidence, is tabulated together with advice on appropriate clinical application. The reader will find the text to be clearly written and informative, with many supporting clinical images.

This book describes the challenges that deep carious lesions pose for dental practitioners, including the risk of endodontic complications and the difficulty of restorative treatment, and identifies options for overcoming these challenges on the basis of the best available evidence. The opening chapter sets the scene by discussing pathophysiology, histopathology, clinical symptomatology, and treatment thresholds. The various treatment options are then systematically presented and reviewed, covering non-selective, stepwise, and selective carious tissue removal and restoration, sealing of lesions using resin sealants or crowns, and non-restorative management approaches. In each case the current evidence with respect to the treatment is carefully evaluated. Advantages and disadvantages are explained and recommendations made on when to use the treatment in question. Illustrative clinical cases and treatment pathways for clinicians are included. This book will be of value for all practitioners who treat dental caries and carious lesions, whether in the permanent or the primary dentition. It will also be of interest to under- and postgraduate students in cariology and restorative, operative, preventive, and pediatric dentistry.

Combining the approaches of preventative and restorative dentistry, this is a revised and updated guide to the clinical techniques and procedures necessary for managing tooth disorders and disease. Introduces minimally invasive dentistry as a model to control dental disease and then restore the mouth to optimal form, function, and aesthetics Contains several student-friendly features, including a new layout, line drawings and clinical photographs to illustrate key concepts Covers fundamental topics, including the evolutionary biology of the human oral environment; caries management and risk assessment; remineralization; principles of cavity design; lifestyle factors; choices between restorative materials and restoration management Includes a companion website with self-assessment exercises for students and a downloadable image bank for instructors