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Caries prevention--a continuing need

I D Mandel1

  • 1Columbia University School of Dental and Oral Surgery, New York, New York 10032.

International Dental Journal
|February 1, 1993
PubMed
Summary
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Dental caries (tooth decay) is not disappearing as expected. Epidemiologic data show a changing pattern, with increased risk in children and the elderly. Control, not extinction, is the realistic goal for combating tooth decay.

Area of Science:

  • Dental Public Health
  • Epidemiology
  • Cariology

Background:

  • Optimistic projections of caries (tooth decay) eradication are not supported by current epidemiologic data.
  • Caries patterns are evolving, particularly in developed nations, necessitating a re-evaluation of control strategies.
  • Key demographic shifts, including an aging population and specific pediatric risk groups, influence caries prevalence.

Purpose of the Study:

  • To analyze current epidemiologic data on caries prevalence and patterns.
  • To challenge the notion of caries extinction and advocate for realistic control measures.
  • To highlight the need for enhanced and multifaceted anticaries strategies.

Main Methods:

  • Review and analysis of existing epidemiologic data on dental caries.

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  • Identification of trends in caries prevalence across different age groups.
  • Assessment of risk factors associated with changing caries patterns.

    • Main Results:

    • Caries prevalence is polarizing among children, with a small percentage experiencing a disproportionately high amount of decay.
    • The aging population presents an increasing risk for caries due to longer tooth retention and root surface exposure.
    • Current data do not support the optimistic view of caries demise.

    Conclusions:

    • A realistic approach to caries management involves control rather than complete eradication.
    • Enhancing existing methods for combating tooth decay is crucial.
    • More effective implementation of multiple anticaries strategies is required for better population oral health outcomes.