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Article: Medical Model in Caries Management

TitleMedical Model in Caries Management
Authors
KeywordsCaries management
Caries risk
Medical model
Prevention
Remineralisation
Issue Date2019
PublisherMDPI AG. The Journal's web site is located at http://www.mdpi.com/journal/dentistry
Citation
Dentistry Journal, 2019, v. 7 n. 2, article no. 37 How to Cite?
AbstractThe current mode of dental caries management mainly operates through irreversible and symptomatic treatment by means of drilling and filling, while caries prevention is largely overlooked or omitted. Focus should be redirected through a medical model towards elimination of the disease through tackling its causes and risk factors to address current and future caries initiation. Caries is the demineralisation of dental hard tissues by bacterial acids when periodically exposed to fermentable carbohydrates. The medical model of caries management is a philosophy that steers sustainable caries management through controlling bacterial infection, a reduction of risk levels, remineralisation of teeth and long-term follow-up. Its goal is to prevent new and recurrent caries, arrest ongoing caries processes by alteration of the cariogenic environment, and support the healing of remineralisable enamel and dentine. The mechanism involves dietary counselling and plaque control, placement of dental sealants, administration of fluoride agents and chemotherapeutic medications and use of chewing gum. This paradigm shift from a surgical to a medical model aims to pursue the ultimate intention of maintaining a caries-free dentition and is anticipated to promote true oral health-related quality of life. The objective of this paper is to discuss the medical model of caries management.
Persistent Identifierhttp://hdl.handle.net/10722/272122
ISSN
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorYon, MJY-
dc.contributor.authorGao, SS-
dc.contributor.authorChen, KJ-
dc.contributor.authorDuangthip, D-
dc.contributor.authorLo, ECM-
dc.contributor.authorChu, CH-
dc.date.accessioned2019-07-20T10:36:06Z-
dc.date.available2019-07-20T10:36:06Z-
dc.date.issued2019-
dc.identifier.citationDentistry Journal, 2019, v. 7 n. 2, article no. 37-
dc.identifier.issn2304-6767-
dc.identifier.urihttp://hdl.handle.net/10722/272122-
dc.description.abstractThe current mode of dental caries management mainly operates through irreversible and symptomatic treatment by means of drilling and filling, while caries prevention is largely overlooked or omitted. Focus should be redirected through a medical model towards elimination of the disease through tackling its causes and risk factors to address current and future caries initiation. Caries is the demineralisation of dental hard tissues by bacterial acids when periodically exposed to fermentable carbohydrates. The medical model of caries management is a philosophy that steers sustainable caries management through controlling bacterial infection, a reduction of risk levels, remineralisation of teeth and long-term follow-up. Its goal is to prevent new and recurrent caries, arrest ongoing caries processes by alteration of the cariogenic environment, and support the healing of remineralisable enamel and dentine. The mechanism involves dietary counselling and plaque control, placement of dental sealants, administration of fluoride agents and chemotherapeutic medications and use of chewing gum. This paradigm shift from a surgical to a medical model aims to pursue the ultimate intention of maintaining a caries-free dentition and is anticipated to promote true oral health-related quality of life. The objective of this paper is to discuss the medical model of caries management.-
dc.languageeng-
dc.publisherMDPI AG. The Journal's web site is located at http://www.mdpi.com/journal/dentistry-
dc.relation.ispartofDentistry Journal-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectCaries management-
dc.subjectCaries risk-
dc.subjectMedical model-
dc.subjectPrevention-
dc.subjectRemineralisation-
dc.titleMedical Model in Caries Management-
dc.typeArticle-
dc.identifier.emailDuangthip, D: dduang@hku.hk-
dc.identifier.emailLo, ECM: edward-lo@hku.hk-
dc.identifier.emailChu, CH: chchu@hku.hk-
dc.identifier.authorityDuangthip, D=rp02457-
dc.identifier.authorityLo, ECM=rp00015-
dc.identifier.authorityChu, CH=rp00022-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.3390/dj7020037-
dc.identifier.pmid30939816-
dc.identifier.pmcidPMC6631812-
dc.identifier.scopuseid_2-s2.0-85067836511-
dc.identifier.hkuros298716-
dc.identifier.volume7-
dc.identifier.issue2-
dc.identifier.spagearticle no. 37-
dc.identifier.epagearticle no. 37-
dc.publisher.placeSwitzerland-

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