Are we ready to move from operative to non-operative/preventive treatment of dental caries in clinical practice?

N. B. Pitts

    Research output: Contribution to journalArticle

    127 Citations (Scopus)

    Abstract

    This review focuses on the clinical interactions between patients and the dental team, not on caries prevention at a public health level. Many dentists no longer take a narrow surgical view seeking to apply interventive treatment as a one-off event at a certain trigger point of disease severity and the evidence that caries is an initially reversible, chronic disease with a known multi-factorial aetiology is being appreciated more widely. The caries process should be managed over time in an individualized way for each patient. Very few individuals can be considered to be truly ‘caries free’ when initial lesions as well as more advanced dentine lesions are considered. It is now very clear that, by itself, restorative treatment of the disease does not ‘cure’ caries. The caries process needs to be managed, in partnership with patients, over the changing challenges of a lifetime. The answer to the question posed in the title should be, in many cases, that we are ready to move to non-operative/preventive care(if we have not done so already). However, this should be for appropriate stages of lesion extent and in patients who respond to advice on recall frequency and preventive behaviours.
    Original languageEnglish
    Pages (from-to)294-304
    Number of pages11
    JournalCaries Research
    Volume38
    Issue number3
    DOIs
    Publication statusPublished - 2004

    Fingerprint

    Dental Caries
    Trigger Points
    Preventive Medicine
    Dentin
    Therapeutics
    Dentists
    Tooth
    Chronic Disease
    Public Health

    Keywords

    • Clinical management
    • Dental caries
    • Treatment planning
    • Treatment strategies

    Cite this

    @article{6c9566f7c95c45e3bfb9dd87fa26fbfe,
    title = "Are we ready to move from operative to non-operative/preventive treatment of dental caries in clinical practice?",
    abstract = "This review focuses on the clinical interactions between patients and the dental team, not on caries prevention at a public health level. Many dentists no longer take a narrow surgical view seeking to apply interventive treatment as a one-off event at a certain trigger point of disease severity and the evidence that caries is an initially reversible, chronic disease with a known multi-factorial aetiology is being appreciated more widely. The caries process should be managed over time in an individualized way for each patient. Very few individuals can be considered to be truly ‘caries free’ when initial lesions as well as more advanced dentine lesions are considered. It is now very clear that, by itself, restorative treatment of the disease does not ‘cure’ caries. The caries process needs to be managed, in partnership with patients, over the changing challenges of a lifetime. The answer to the question posed in the title should be, in many cases, that we are ready to move to non-operative/preventive care(if we have not done so already). However, this should be for appropriate stages of lesion extent and in patients who respond to advice on recall frequency and preventive behaviours.",
    keywords = "Clinical management, Dental caries, Treatment planning, Treatment strategies",
    author = "Pitts, {N. B.}",
    note = "dc.publisher: Karger This invited, peer reviewed paper was published in the European Organization for Caries Research’s Journal issue celebrating the Organization’s 50th Anniversary.",
    year = "2004",
    doi = "10.1159/000077769",
    language = "English",
    volume = "38",
    pages = "294--304",
    journal = "Caries Research",
    issn = "0008-6568",
    publisher = "Karger",
    number = "3",

    }

    Are we ready to move from operative to non-operative/preventive treatment of dental caries in clinical practice? / Pitts, N. B.

    In: Caries Research, Vol. 38, No. 3, 2004, p. 294-304.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Are we ready to move from operative to non-operative/preventive treatment of dental caries in clinical practice?

    AU - Pitts, N. B.

    N1 - dc.publisher: Karger This invited, peer reviewed paper was published in the European Organization for Caries Research’s Journal issue celebrating the Organization’s 50th Anniversary.

    PY - 2004

    Y1 - 2004

    N2 - This review focuses on the clinical interactions between patients and the dental team, not on caries prevention at a public health level. Many dentists no longer take a narrow surgical view seeking to apply interventive treatment as a one-off event at a certain trigger point of disease severity and the evidence that caries is an initially reversible, chronic disease with a known multi-factorial aetiology is being appreciated more widely. The caries process should be managed over time in an individualized way for each patient. Very few individuals can be considered to be truly ‘caries free’ when initial lesions as well as more advanced dentine lesions are considered. It is now very clear that, by itself, restorative treatment of the disease does not ‘cure’ caries. The caries process needs to be managed, in partnership with patients, over the changing challenges of a lifetime. The answer to the question posed in the title should be, in many cases, that we are ready to move to non-operative/preventive care(if we have not done so already). However, this should be for appropriate stages of lesion extent and in patients who respond to advice on recall frequency and preventive behaviours.

    AB - This review focuses on the clinical interactions between patients and the dental team, not on caries prevention at a public health level. Many dentists no longer take a narrow surgical view seeking to apply interventive treatment as a one-off event at a certain trigger point of disease severity and the evidence that caries is an initially reversible, chronic disease with a known multi-factorial aetiology is being appreciated more widely. The caries process should be managed over time in an individualized way for each patient. Very few individuals can be considered to be truly ‘caries free’ when initial lesions as well as more advanced dentine lesions are considered. It is now very clear that, by itself, restorative treatment of the disease does not ‘cure’ caries. The caries process needs to be managed, in partnership with patients, over the changing challenges of a lifetime. The answer to the question posed in the title should be, in many cases, that we are ready to move to non-operative/preventive care(if we have not done so already). However, this should be for appropriate stages of lesion extent and in patients who respond to advice on recall frequency and preventive behaviours.

    KW - Clinical management

    KW - Dental caries

    KW - Treatment planning

    KW - Treatment strategies

    U2 - 10.1159/000077769

    DO - 10.1159/000077769

    M3 - Article

    VL - 38

    SP - 294

    EP - 304

    JO - Caries Research

    JF - Caries Research

    SN - 0008-6568

    IS - 3

    ER -