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1. |
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What are the best methods for detecting early–stage
and late-stage dental caries [validity and feasibility of traditional
methods; validity and feasibility of emerging methods]? |
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The application of multiple diagnostic tests
to the individual patient increases the overall efficacy of
caries diagnosis. |
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Studies were not strong. |
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Need for new validation studies. |
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The use of sharp explorers in the detection
of primary occlusal caries appears to add little diagnostic
information to other modalities and may be detrimental. |
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Radiographic diagnosis have acceptable diagnostic
efficacy, using ROC analyses, in detecting large cavitated lesions. |
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2. |
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What are the best indicators for an increased risk
of dental caries infection? |
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Most consistent predictor in children is past
caries experience. |
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Presence of caries in the mother or siblings
increases risk of the child. |
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Oral hygiene. |
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Fluoride. |
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Fermentable carbohydrate. |
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Medical conditions. |
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Mutans streptococci (weakly predictive). |
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Low SES. |
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3. |
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What are the best methods available for the primary
prevention of dental caries initiation throughout life? |
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APF applied 1-2 times per year. |
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Fluoride varnish (permanent teeth; evidence
is lacking for primary teeth). |
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Chlorhexidine gels. |
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Sealants. |
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Non-cariogenic sweeteners. |
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Combinations. |
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No comment on primary prevention of secondary
caries, root caries, or on primary prevention of either occlusal
or interproximal caries in adults. |
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4. |
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What are the best treatments available for reversing
and stopping the progression of early dental caries? |
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Fluoride (water, varnish, maybe rinses or
gels). |
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Chlorhexidine (varnish and gel). |
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Sealants. |
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Combinations. |
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Some support for behavioral modification. |
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