Caries Management Case Study

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CAMBRA- CURRENT STRATEGIES ON CARIES PREVENTION AND MANAGEMENT
Introduction:
Dental caries occurs through a complex interaction over time between acidogenic micro organisms and fermentable carbohydrate, and host factors including teeth and saliva.1 The caries process can be described as a imbalance between re and demineralization and when more minerals are lost than gained from the hard tissues over time, caries lesion occurs.2Dental caries, if allowed to progress will result in non cavitated caries lesions initially on tooth surfaces, and eventually can progress to cavitation. There has been a general trend in clinical practice that caries lesion management focus primarily on operative treatment rather than using preventive non invasive strategies. This will lead to several replacements over time with increasing restoration size and produces iatrogenic damage. It has been reported that 71% of all restorations are performed on previously restored teeth, with secondary carious lesions as a major cause.3 This shows that although the carious lesion was repaired, the dental caries was not adequately treated, since the actual cause and risk factors were not adequately resolved. Recently the concept for caries management has been changed and focused mainly on multifaceted nature of caries and biofilm involvement. Currently it has been shown that the success to caries prevention …show more content…

It is a dynamic and delicate balance, tipping either way several times a day. Progression or reversal of caries disease is determined by the imbalance between disease indicators and risk factors on one side and the competing protective factors on the

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