Medical Model in Caries Management
The 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 tackli...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-04-01
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| Series: | Dentistry Journal |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2304-6767/7/2/37 |
| _version_ | 1811300939281203200 |
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| author | Madeline Jun Yu Yon Sherry Shiqian Gao Kitty Jieyi Chen Duangporn Duangthip Edward Chin Man Lo Chun Hung Chu |
| author_facet | Madeline Jun Yu Yon Sherry Shiqian Gao Kitty Jieyi Chen Duangporn Duangthip Edward Chin Man Lo Chun Hung Chu |
| author_sort | Madeline Jun Yu Yon |
| collection | DOAJ |
| description | The 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. |
| first_indexed | 2024-04-13T06:59:55Z |
| format | Article |
| id | doaj.art-878ee4d6f9a84d7b8ca0ab6ae4f764e7 |
| institution | Directory Open Access Journal |
| issn | 2304-6767 |
| language | English |
| last_indexed | 2024-04-13T06:59:55Z |
| publishDate | 2019-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj.art-878ee4d6f9a84d7b8ca0ab6ae4f764e72022-12-22T02:57:09ZengMDPI AGDentistry Journal2304-67672019-04-01723710.3390/dj7020037dj7020037Medical Model in Caries ManagementMadeline Jun Yu Yon0Sherry Shiqian Gao1Kitty Jieyi Chen2Duangporn Duangthip3Edward Chin Man Lo4Chun Hung Chu5Faculty of Dentistry, The University of Hong Kong, Hong Kong, ChinaFaculty of Dentistry, The University of Hong Kong, Hong Kong, ChinaFaculty of Dentistry, The University of Hong Kong, Hong Kong, ChinaFaculty of Dentistry, The University of Hong Kong, Hong Kong, ChinaFaculty of Dentistry, The University of Hong Kong, Hong Kong, ChinaFaculty of Dentistry, The University of Hong Kong, Hong Kong, ChinaThe 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.https://www.mdpi.com/2304-6767/7/2/37medical modelcaries managementpreventioncaries riskremineralisation |
| spellingShingle | Madeline Jun Yu Yon Sherry Shiqian Gao Kitty Jieyi Chen Duangporn Duangthip Edward Chin Man Lo Chun Hung Chu Medical Model in Caries Management Dentistry Journal medical model caries management prevention caries risk remineralisation |
| title | Medical Model in Caries Management |
| title_full | Medical Model in Caries Management |
| title_fullStr | Medical Model in Caries Management |
| title_full_unstemmed | Medical Model in Caries Management |
| title_short | Medical Model in Caries Management |
| title_sort | medical model in caries management |
| topic | medical model caries management prevention caries risk remineralisation |
| url | https://www.mdpi.com/2304-6767/7/2/37 |
| work_keys_str_mv | AT madelinejunyuyon medicalmodelincariesmanagement AT sherryshiqiangao medicalmodelincariesmanagement AT kittyjieyichen medicalmodelincariesmanagement AT duangpornduangthip medicalmodelincariesmanagement AT edwardchinmanlo medicalmodelincariesmanagement AT chunhungchu medicalmodelincariesmanagement |