Essentials of Dental Caries The Disease and Its Management

by Kidd, Edwina A. M.

• ISBN13: 9780198529781
• ISBN10: 0198529783
• Edition: 3rd
• Format: Paperback
• Copyright: 2005-06-30
• Publisher: Oxford University Press

Summary

Dental caries is a process which may take place on any tooth surface in the oral cavity where dental plaque is allowed to develop over a period of time. The new edition of this popular, clinically relevant book provides the biological background required by dentistry students in order to takethe science of cariology to the chairside in the management of patients. It describes the cause of caries and its progression in enamel and dentine. Methods of prevention including plaque control, use of fluoride and dietary control are described. The indications for operative management arecovered, as well as how to teach patients their essential role in caries control. Illustrated in full colour and written in an accessible style, this book will appeal to dental students as well as dental nurses, dental health educators, hygienists, and therapists. It will also be of use to scientists working in the field of clinical cariology and to qualified dentists who wishto update their knowledge.

Table of Contents

CHAPTER 1: INTRODUCTION
1.1 What is caries?	2	(1)
1.2 The carious process and the carious lesion	3	(1)
1.3 Dental plaque	3	(4)
1.4 The role of dietary carbohydrate	7	(1)
1.5 Environment of the tooth: saliva and fluoride	8	(1)
1.6 Classification of dental caries	8	(4)
1.7 Epidemiology of dental caries	12	(6)
1.8 Modifying the carious process	18	(4)
CHAPTER 2: CLINICAL AND HISTOLOGICAL FEATURES OF CARIOUS LESIONS
2.1 Introduction	22	(1)
2.2 Basic enamel and dentine structure	22	(1)
2.3 The first visible sign of caries on an enamel surface	22	(8)
2.4 Dentine reactions	30	(1)
2.5 Cavitation-an important moment clinically	31	(1)
2.6 Dentine changes in the cavitated lesion: destruction and defence	32	(1)
2.7 Inflammation of the pulp	33	(3)
2.8 The microbiology of dentine caries	36	(1)
2.9 Active and arrested lesions in dentine	36	(1)
2.10 Root caries	37	(1)
2.11 Secondary or recurrent caries	38	(1)
2.12 Residual caries	38	(1)
2.13 Why is dentine caries brown?	39	(3)
CHAPTER 3: CARIES DIAGNOSIS
3.1 Introduction	42	(1)
3.2 Why is diagnosis important?	42	(1)
3.3 Levels of disease and diagnosis	43	(1)
3.4 Prerequisites for detection and diagnosis	44	(2)
3.5 Detection and diagnosis on individual surfaces	46	(14)
3.6 Diagnosis of caries risk	60	(1)
3.7 Explaining an individual's caries experience	60	(4)
3.8 Categorizing caries activity status	64	(4)
CHAPTER 4: PREVENTION OF CARIES BY PLAQUE CONTROL
4.1 Introduction	68	(1)
4.2 Evidence of the importance of tooth cleaning	68	(3)
4.3 Mechanical removal of plaque	71	(11)
4.4 Chlorhexidine: a chemical agent for plaque control	82	(6)
CHAPTER 5: DIET AND CARIES
5.1 Acid production in dental plaque	88	(1)
5.2 Some evidence linking diet and caries	88	(3)
5.3 Frequency or amount of sugars	91	(1)
5.4 Has fluoride influenced the relationship between sugar and caries?	91	(2)
5.5 Classification of sugars for dental health purposes	93	(1)
5.6 Recommended and current levels of sugar intake	93	(1)
5.7 Starch, fruit, and fruit sugars	93	(1)
5.8 Cultural and social pressures	93	(1)
5.9 Groups at particular risk of caries in relation to diet	94	(1)
5.10 Diet analysis	94	(4)
5.11 Dietary advice	98	(8)
5.12 Dietary misconceptions	106	(1)
5.13 Does dietary advice work?	107	(3)
CHAPTER 6: FLUORIDE SUPPLEMENTATION
6.1 Introduction	110	(1)
6.2 Crystalline structure of enamel	110	(1)
6.3 Demineralization and remineralization of dental hard tissues	111	(1)
6.4 Fluorosis	112	(4)
6.5 Which fluoride supplement?	116	(7)
6.6 Toxicity	123	(5)
CHAPTER 7: SALIVA AND CARIES
7.1 Introduction	128	(1)
7.2 Saliva and dental health	128	(4)
7.3 Clinical management of 'dry mouth'	132	(3)
7.4 Saliva and caries	135	(7)
CHAPTER 8: PATIENT COMMUNICATION AND MOTIVATION
8.1 The essential role of the patient	142	(1)
8.2 Definition of motivation	143	(1)
8.3 Communication	143	(5)
8.4 Factors that enhance learning	148	(2)
8.5 Factors affecting motivation	150	(5)
8.6 Planning behaviour change	155	(1)
8.7 Reviewing progress and rectifying problems	156	(1)
8.8 Failure	156	(4)
CHAPTER 9: THE OPERATIVE MANAGEMENT OF CARIES
9.1 The role of operative treatment in caries management	160	(3)
9.2 Fissure sealing	163	(8)
9.3 Caries removal	171	(3)
9.4 Stablization of active disease with temporary dressings	174	(3)
Index	177