Practical approach to evidence-based management of caries.

Douglas Benn, T. D. Clark, D. D. Dankel, S. H. Kostewicz

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

This paper discusses evidence-based management of dental caries with regard to: (1) need to adopt new office methods, (2) potential barriers to change, and (3) possible practical solutions to aid change. The need for classifying individual patients into low-, medium-, and high-risk caries groups is justified from a review of the epidemiological characteristics of caries. In addition, a deficiency is identified in traditional caries recording methods since they are unable to grade the severity and activity of individual lesions. The traditional basis of six-monthly recall examinations for all patients is shown from the literature to have no scientific support. It is suggested a three-twelve month recall interval be used, depending on a patient's risk group classification. Some barriers to change are identified as: (1) the collection of more comprehensive history and clinical caries data, (2) the complexity of evidence-based decision-making, and (3) dentists' difficulty in standardizing decision-making. A new pictorial classification for caries severity and activity is described. A demonstration decision-support system is presented in terms of assisting collection of data, automatic identification of risk factors, patient risk classification, and generation of a suggested treatment plan. Evidence-based management may result in change of professional manpower levels.

Original languageEnglish
Pages (from-to)27-35
Number of pages9
JournalThe Journal of the American College of Dentists
Volume66
Issue number1
StatePublished - 1999
Externally publishedYes

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Decision Making
Dental Caries
Dentists
History
Therapeutics

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Practical approach to evidence-based management of caries. / Benn, Douglas; Clark, T. D.; Dankel, D. D.; Kostewicz, S. H.

In: The Journal of the American College of Dentists, Vol. 66, No. 1, 1999, p. 27-35.

Research output: Contribution to journalArticle

Benn, D, Clark, TD, Dankel, DD & Kostewicz, SH 1999, 'Practical approach to evidence-based management of caries.', The Journal of the American College of Dentists, vol. 66, no. 1, pp. 27-35.
Benn, Douglas ; Clark, T. D. ; Dankel, D. D. ; Kostewicz, S. H. / Practical approach to evidence-based management of caries. In: The Journal of the American College of Dentists. 1999 ; Vol. 66, No. 1. pp. 27-35.
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