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Dental caries in the second millennium.

A I Ismail1, H Hasson, W Sohn

  • 1Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor 48109-1078, USA. ismailai@umich.edu

Journal of Dental Education
|November 9, 2001
PubMed
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Dental caries diagnosis and management have evolved from observational practices to a scientific era, yet many contemporary questions remain debated since the 19th century. Further research is needed for evidence-based dental care.

Area of Science:

  • Dental Science
  • History of Medicine

Background:

  • Historical review of dental caries diagnosis and management from 1839-1965 and textbooks since the 19th century.
  • Disease understanding historically progressed from observational to scientific eras.

Observation:

  • Early dental treatments lacked biological and scientific principles, relying on unvalidated experimentation.
  • Dental practice is transitioning from the restorative to the preventive era, emphasizing early detection and biological markers.

Findings:

  • Most current dental caries diagnosis and management issues have been discussed since the mid-19th century.
  • Contemporary dental practice still grapples with issues debated for over a century.

Implications:

  • A comprehensive research program is essential for scientifically-based caries detection, diagnosis, and management.

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  • Future dental practice requires a shift towards evidence-based decision-making for improved patient outcomes.