Abstract
This chapter, the first in the “Healthy Start” part, will emphasise the need to:
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Recognise and control caries to limit future CARS (caries associated with restorations)
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Identify clinical and patient factors associated with increased caries risk
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Identify patients for whom advanced tooth restoration poses too great a risk of failure—unless they respond to preventive advice
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Consider dry mouth a potent risk factor, determine its cause and where possible work with the patient’s medical team to modify xerostomia-related or sugar-containing medication
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Offer preventative counselling including dietary and oral hygiene advice and consider additional fluoride over and above regular fluoride toothpaste
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Advise patients with xerostomia including recommending a suitable salivary substitute.
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References
Fuller E, Steele J, Watt R, Nuttall N. 1: oral health and function—a report from the Adult Dental Health Survey 2009. NHS Digital. 2011 [cited March 2017]. Available from: http://tinyurl.com/k4lx24s.
Steele J, Treasure E, Fuller L, Morgan M. 4: complexity and maintenance—a report from the Adult Dental Health Survey 2009. NHS Digital. 2011 [cited March 2017]. Available from: http://tinyurl.com/mcjrlvb.
Graves RC, Beck JD, Disney JA, Drake CW. Root caries prevalence in black and white North Carolina adults over age 65. J Public Health Dent. 1992;52:94–101.
Hamasha AA, Warren JJ, Hand JS, Levy SM. Coronal and root caries in the older Iowans: 9- to 11-year incidence. Spec Care Dent. 2005;25:106–10.
NIH: National Institute of Dental and Craniofacial Research—dry mouth. 2016 [cited February 2017]. Available from: http://tinyurl.com/z8g7wrb.
Maguire A, Baqir W. Prevalence of long-term use of medicines with prolonged oral clearance in the elderly: a survey in north east England. Br Dent J. 2000;189:267–72.
Watt RG, McGlone P, Kay EJ. Prevention. Part 2: dietary advice in the dental surgery. Br Dent J. 2003;195:27–31.
MHRA Public Assessment Report: Fluoride 2800 toothpaste Fluoride 5000 toothpaste. 2015 [cited March 2017]. Available from: http://tinyurl.com/jey5oae.
NHS UKMi Saliva substitutes: choosing and prescribing the right product. 2015 [cited February 2017]. Available from: http://tinyurl.com/jf9vv86.
Public Health England. Delivering better oral health: an evidence-based toolkit for prevention—3rd edition. 2014 [cited March 2017]. Available from: http://tinyurl.com/lgoojrn.
NICE Dental checks: intervals between oral health reviews. Clinical guideline [CG19] [cited February 2017]. Available from: https://www.nice.org.uk/Guidance/CG19
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Bateman, H., Walls, A., Wassell, R. (2019). Caries Management. In: Wassell, R., Nohl, F., Steele, J., Walls, A. (eds) Extra-Coronal Restorations. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-319-79093-0_3
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DOI: https://doi.org/10.1007/978-3-319-79093-0_3
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