The biology, prevention, diagnosis and treatment of dental caries scientific advances in the United States

Domenick T. Zero, Margherita Fontana, Angeles E. Martínez-Mier, Andréa Ferreira-Zandoná, Masatoshi Ando, Carlos González-Cabezas, Stephen Bayne

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

Background. Scientific advances in cariology in the past 150 years have led to the understanding that dental caries is a chronic, dietomicrobial, site-specific disease caused by a shift from protective factors favoring tooth remineralization to destructive factors leading to demineralization. Epidemiologic data indicate that caries has changed in the last century; it now is distributed unequally in the U.S. population. People who are minorities, homeless, migrants, children with disabilities and of lower socioeconomic status suffer from the highest prevalence and severity of dental caries. Results. Scientific advances have led to improvements in the prevention, diagnosis and treatment of dental caries, but there is a need for new diagnostic tools and treatment methods. Conclusions and Clinical Implications. Future management of dental caries requires early detection and risk assessment if the profession is to achieve timely and cost-effective prevention and treatment for those who need it most. Dental professionals look forward to the day when people of all ages and backgrounds view dental caries as a disease of the past.

Original languageEnglish (US)
Pages (from-to)25S-34S
JournalJournal of the American Dental Association
Volume140
Issue numberSPECIAL SUPPL.
StatePublished - Sep 1 2009

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Dental Caries
Tooth Remineralization
Homeless Youth
Therapeutics
Disabled Children
Social Class
Tooth
Costs and Cost Analysis
Population

Keywords

  • Caries
  • Remineralization
  • Saliva

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

The biology, prevention, diagnosis and treatment of dental caries scientific advances in the United States. / Zero, Domenick T.; Fontana, Margherita; Martínez-Mier, Angeles E.; Ferreira-Zandoná, Andréa; Ando, Masatoshi; González-Cabezas, Carlos; Bayne, Stephen.

In: Journal of the American Dental Association, Vol. 140, No. SPECIAL SUPPL., 01.09.2009, p. 25S-34S.

Research output: Contribution to journalArticle

Zero, Domenick T. ; Fontana, Margherita ; Martínez-Mier, Angeles E. ; Ferreira-Zandoná, Andréa ; Ando, Masatoshi ; González-Cabezas, Carlos ; Bayne, Stephen. / The biology, prevention, diagnosis and treatment of dental caries scientific advances in the United States. In: Journal of the American Dental Association. 2009 ; Vol. 140, No. SPECIAL SUPPL. pp. 25S-34S.
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