From the art of filling teeth to the science of dental caries prevention: a personal review.
The journey from the art of filling teeth to the science of prevention is reviewed. First, a private winding road is described that produced some new methods of value in risk assessment, treatment of the causes of dental caries, and prevention of the disease. The description illustrates the importance of monitoring the effects of different measures. Next, the new knowledge and methods that form the primary basis of prevention on a large scale are reviewed. They represent a golden era in caries research and form a solid ground for the prevention of dental caries and for the treatment of the causes of disease. The prevalence and incidence of dental caries has fallen not only among schoolchildren, but also among adults in developed countries. Improvement in dental health is due to the successful application of new knowledge-it has not happened by chance. New or improved opportunities for prevention could lead to a further reduction in dental caries. The problem is to find ways to stimulate both dentists and patients to use them. Finally, the next part of the journey is discussed. In some countries the journey probably will be an uphill struggle; in others, it could be fairly undulating, eventually leading to further declines in dental caries.
Krasse
B
B
Faculty of Odontology, Göteborg University, Sweden.
D000328:Adult; D000368:Aged; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage / Q000627:therapeutic use; D002327:Cariostatic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002648:Child; D002710:Chlorhexidine / Q000008:administration & dosage / Q000627:therapeutic use; D003731:Dental Caries / Q000209:etiology / Q000382:microbiology / Q000517:prevention & control* / Q000628:therapy; D003733:Dental Caries Susceptibility; D003793:Dental Restoration, Permanent; D019049:Developed Countries; D004037:Diet, Cariogenic; D004497:Education, Dental; D005459:Fluorides / Q000008:administration & dosage / Q000627:therapeutic use; D005460:Fluorides, Topical / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D015994:Incidence; D009909:Oral Health; D010353:Patient Education as Topic; D015995:Prevalence; D018570:Risk Assessment; D013295:Streptococcus mutans / Q000502:physiology
D000891:Anti-Infective Agents, Local; D002327:Cariostatic Agents; D005460:Fluorides, Topical; D005459:Fluorides; D002710:Chlorhexidine