Prevention of Dental Caries
Classically three main approaches are possible:
1) Tooth strengthening or protection.
2) Reduction in the availability of microbial substrate.
3) Removal of plaque by physical or chemical means.
In practice this means dietary advice, fluoride, fissure sealing, and regular toothbrushing (which is also important in the prevention of periodontal disease). The relative value of these varies with the age of the individual.
Of equal importance with the prevention of new lesions is a preventive philosophy on the part of the dentist, so that early carious lesions are given the chance to arrest and a minimalistic approach is taken to the excision of caries where primary prevention has failed.
Diagram to show the factors involved in the development of caries.
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Category: Oral Pathology