PREVENTION OF DENTAL CARIES Dr.Shahzadi Tayyaba Hashmi shahzadi@inaya.edu.sa

INTRODUCTION In spite of widespread awareness, dental caries is still the second most common disease of human civilization after common cold According to WHO Dental caries is a preventable disease of the mineralized tissues of the teeth with a multi-functional etiology related to the interactions over time between tooth substance & certain micro-organisms & dietary carbohydrates producing plaque acids.

LEVELS OF CARIES PREVENTION Primary prevention Secondary prevention Tertiary prevention

Prevention of disease progress Primary prevention Prevention of disease initiation Secondary prevention Prevention of disease progress and recurrence Tertiary prevention Prevention of loss of function

PRIMARY PREVENTION Primary prevention protects individuals against disease, often by placing barriers between the etiological agent and the host Primary prevention is about keeping children’s teeth free from dental caries

PRIMARY PREVENTION Preventive services Health promotion Specific protection Services provided by the individual Diet planning, Periodic visits to the dental office Appropriate use of fluorides, Ingestion of sufficient fluoridated water Use of fluoride dentifrices Oral hygiene practices Services provided by the community Dental health education programs, Promotion of research Community or school water fluoridation School fluoride mouth rinse Tablet and sealant programs Services provided by the dental professionals Patient education, Plaque control programs Diet counseling Dental caries activity test Topical application of fluorides Fluoride supplements and rinses Pits and fissure sealants

SECONDARY PREVENTION Secondary prevention aims to limit the progression and effect of a disease at as early a stage as possible after onset

SECONDARY PREVENTION Preventive services Early diagnosis and prompt treatment Services provided by the individual Self examination and referral Use of dental services Services provided by the community Periodic screening and referral Provision of dental services Services provided by the dental professionals Complete examination Prompt treatment of incipient lesions Preventive resin restoration Simple restorative dentistry Pulp capping

TERTIARY PREVENTION It employs measures necessary to replace lost tissues and to rehabilitate patients to the point that function is near normal as possible after the failure of secondary prevention

TERTIARY PREVENTION Preventive services Disability limitation rehabilitation Services provided by the individual Use of dental services Services provided by the community Provision of dental services Services provided by the dental professionals Complex restorative dentistry Pulpotomy Root canal therapy Extractions Removable and fixed prosthodontics Implants

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