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Updated: Jan 30, 2026

Evaluating the Effects of Different Polishing Methods on Color Stability of Dental Restorations in Pediatric Dentistry
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The Monitor Practice Program: implications for dentistry and dental education.

R W Evans1

  • 1Sydney Dental School, The University of Sydney, Sydney, New South Wales, Australia.

Australian Dental Journal
|January 11, 2019
PubMed
Summary
This summary is machine-generated.

The Caries Management System (CMS) protocol significantly reduces the need for dental restorative interventions, offering a cost-effective, non-invasive approach to managing caries risk.

Keywords:
Cariologycaries riskevidence-based carenon-invasive treatmentrestorative care

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Area of Science:

  • Dentistry
  • Public Health
  • Evidence-Based Practice

Background:

  • The traditional 'drilling and filling' restorative model for dental caries is increasingly questioned.
  • There is a need for evidence-based, non-surgical strategies to manage caries lesions.
  • The Monitor Practice Program (MPP) was established to evaluate a new protocol.

Purpose of the Study:

  • To test the hypothesis that the Caries Management System (CMS) protocol reduces dental caries experience.
  • To assess the impact of the CMS protocol on the need for restorative interventions.
  • To evaluate the cost-effectiveness and patient/practitioner satisfaction with non-surgical caries management.

Main Methods:

  • Implementation of the CMS protocol in intervention dental practices.
  • Comparison of caries experience and restorative intervention rates between intervention and control practices over 7 years.
  • Assessment of risk classification and cost-effectiveness.

Main Results:

  • Patients in intervention practices required 30%-50% fewer restorative interventions.
  • Significant reductions observed in first-time (55%) and repeat (32%) restorative interventions.
  • Intervention group patients were 77% less likely to be classified as high risk for caries.
  • The CMS protocol proved cost-effective and highly valued by patients and dentists.

Conclusions:

  • The CMS protocol offers a successful evidence-based, non-surgical approach to caries management.
  • Non-invasive caries management is beneficial for patients and provides professional satisfaction for dentists.
  • Widespread adoption of non-invasive caries management necessitates dental practice reform, including specialized training and public health advocacy.