The caries control concept - How caries control was managed in the past

7 important questions on The caries control concept - How caries control was managed in the past

What reported Dr G.V. Black almost a century ago?

About his clinical successes in the prevention and treatment of smooth surface caries after recommending self-performed tooth-brushing

Why isn't it a surprise that Dr. Black his treatments were less effective at the cavitation stage?

It is much more difficult to clean a carious cavity with undermined enamel than a smooth tooth surface

What becomes clear in a experimental arrest to decades later of Anderson?

It is suggested that caries lesion progression can be arrested at any stage of lesion development, provided that clinically plaque-free conditions are obtained
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What is important to appreciate to fully understand the concept of lesion arrest?

The dynamic nature of caries lesion development and the dynamics of de-and remineralization processes

Why do clinicians may experience that caries lesions exhibit different pathways of lesion arrest?

Depending on the patient's ability to perform oral hygiene and control of risk factors

Why has the caries control concept/nonoperative caries treatment not been broadly adopted by dental practioners?


- Could be that the fee structure does not reimburse for this treatment
- And if it is accepted dentists are often reluctant to perform this treatment

Why are dentist often reluctant to perform the nonoperative treatment?

This may due to the fact that dentists feel insecure about how to monitor caries control, or this type of treatment does not fit with the dentist's perception of their professional role of 'drilling and filling' or simply that dentists do not think that the method works

The question on the page originate from the summary of the following study material:

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