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The Caries Lesion: Diagnosis, Decision-Making, and Recommendations for Lesion Management

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Contemporary Endodontics for Children and Adolescents

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Abstract

The word diagnosis (plural, diagnoses) is derived from the Greek words dia meaning “through” and gnosis meaning “knowledge.” Thus, “to diagnose” implies that it is only through knowledge about the disease that a diagnosis can be established. The assessment of etiologic factors, together with caries lesion detection and activity status evaluation, is essential for arriving at the caries disease diagnosis and the appropriate treatment decision. After a brief overview on caries disease development and control strategies, as well as accurate diagnosis, this chapter discusses and summarizes the literature on the recommendations for management of initial, moderate, and extensive caries lesions reaching the outer half of dentin in primary and permanent teeth. Recommendations are based on the principles of minimally invasive dentistry as follows: (1) noninvasive interventions that do not involve the removal of hard teeth tissue; (2) micro-invasive interventions, when mineral removal of teeth structure is involved; (3) invasive interventions that include mechanical removal of teeth tissue; and (4) mixed interventions, involving different approaches.

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Authors and Affiliations

  1. Department of Surgery and Orthopedics, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil

    Fernando Borba de Araujo, Cleber Paradzinski Cavalheiro & Tathiane Larissa Lenzi

  2. Preventive and Social Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil

    Marisa Maltz

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  1. Fernando Borba de Araujo
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  2. Marisa Maltz
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  3. Cleber Paradzinski Cavalheiro
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  4. Tathiane Larissa Lenzi
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Correspondence to Fernando Borba de Araujo .

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Editors and Affiliations

  1. Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel

    Anna B. Fuks

  2. Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel

    Moti Moskovitz

  3. The Goodman Faculty of Life Sciences, Bar Ilan University, Ramat Gan, Israel

    Nili Tickotsky

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de Araujo, F.B., Maltz, M., Cavalheiro, C.P., Lenzi, T.L. (2023). The Caries Lesion: Diagnosis, Decision-Making, and Recommendations for Lesion Management. In: Fuks, A.B., Moskovitz, M., Tickotsky, N. (eds) Contemporary Endodontics for Children and Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-031-23980-9_6

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