Community interventions and strategies for caries control in Latin American and Caribbean countries

Filho, Antônio Pedro Ricomini; Chávez, Bertha Angélica; Giacaman, Rodrigo A.; Frazão, Paulo; Cury, Jaime Aparecido

doi:10.1590/1807-3107bor-2021.vol35.0054

Cited by 15 publications

(7 citation statements)

References 52 publications

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“…Regarding dental caries, public policy and community measures for caries prevention and control have focused on fluoridation programs and dental sealant applications [ 78 ]. Effective national programs, at the community level, should tackle the causative (sugars and the dental biofilm), instead of acting only on modulating factors.…”

Section: Comprehensive Management Of Dental Caries As a Ncd Beyond Th...mentioning

confidence: 99%

Understanding dental caries as a non-communicable and behavioral disease: Management implications

Giacaman

Fernández²,

Muñoz‐Sandoval³

et al. 2022

Front. Oral. Health

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New paradigms in caries conceptualization have emerged during the last decades, leading to intense debate and discussion on how to approach the disease, both from a preventive and a therapeutic perspective. Among many new ideas, research discoveries and technologies, one major concept can be highlighted that created a deep frontier between the old and the new paradigm in caries conceptualization; the non-communicable nature of the disease, firmly associated with behaviors and lifestyles. This article synthetizes the conceptual construction of dental caries as a non-communicable disease (NCD) based on the current evidence and discusses the appropriate management of the disease in this context. Dental caries has shifted from being considered transmissible and infectious to an ecological and non-communicable disease. Environmental factors such as frequent sugars intake, disrupt the symbiosis of the dental biofilm leading to a dysbiosis, which favors caries lesion initiation and progression. As an NCD, dental caries shares characteristics with other NCDs such as cardiovascular and chronic respiratory diseases, cancer and diabetes, including long duration and slow progression, not being transmissible from person-to-person, being strongly related to modifiable behavioral risk factors, and affecting preferentially disadvantaged populations with a strong inequality gradient. Given the high prevalence of dental caries, and its consequences on people's health and quality of life, a recognizable conceptual view of caries as a NCD is required to target an effective management. Current understanding of dental caries supports prevention through acting on the modifiable risk factors (behaviors) and involves management based on an interdisciplinary approach. Communicating these modern concepts among researchers, clinicians and policymakers is needed to decrease the global high burden of the disease.

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Section: Comprehensive Management Of Dental Caries As a Ncd Beyond Th...mentioning

confidence: 99%

Understanding dental caries as a non-communicable and behavioral disease: Management implications

Giacaman

Fernández²,

Muñoz‐Sandoval³

et al. 2022

Front. Oral. Health

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show abstract

“…Therefore, preventive strategies should take biological, behavioral, psychosocial, and environmental factors into consideration in order to avoid negatively affecting the oral environment. 14 Oral hygiene measures, dietary counseling, and other non-invasive strategies (such as the application of fluoride and chlorhexidine varnishes and the use of xylitol lozenges) have been shown to be effective in controlling active non-cavitated lesions in children. 15 Some of these strategies will be reviewed in the subsequent section to highlight the need for simultaneous management of the disease and lesion.…”

Section: Management Of Non-cavitated Lesions-non-invasive/micro-invasive Strategiesmentioning

confidence: 99%

“…Restorative treatments that focus on filling cavities only without controlling the disease are not beneficial. Individuals should always be motivated and encouraged to improve their oral hygiene and acquire healthy dietary habits 14. d. Restorative treatments allowing maximum preservation of tooth structure should be indicated whenever lesion progression cannot be arrested by non-invasive/micro-invasive interventions,11 such as in the case of active cavitated lesions that cannot be cleaned.…”

mentioning

confidence: 99%

Management of dental caries lesions in Latin American and Caribbean countries

Pozos‐Guillén

Molina

Soviero³

et al. 2021

Braz. oral res.

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Caries management at the lesion level is dependent on the lesion activity, the presence of a cavitation (either cleanable or non-cleanable), and lesion depth as evaluated via radiographic examination. A variety of non-invasive, micro-invasive, and minimally invasive treatment (with or without restoration) options are available for primary and permanent teeth. Non-invasive strategies include oral hygiene instructions, dietary counseling, and personal as well as professional use of fluoridated products that reduce demineralization and increase re-mineralization. Micro-invasive procedures include the use of occlusal resin sealants and resin infiltrants, while minimally invasive strategies comprise those related to selective removal of caries tissues and placement of restorations. Deep caries management includes indirect pulp capping, while exposed pulp may be treated using direct pulp capping and partial or complete pulpotomy. The aim of the present study was to review available evidence on recommended preventive and restorative strategies for caries lesions in Latin American/Caribbean countries, and subsequently develop evidence-based recommendations for treatment options that take into consideration material availability, emphasize ways to adapt available treatments to the local context, and suggest ways in which dentists and health systems can adopt these treatments.

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“…At the tooth (host) level, the application of fluorides and the use of sealants constituted one of the main strategies to increase the resistance of tooth structures to carious attack. 3 In line with these actions, the current trend in the treatment of carious lesions seeks to preserve tooth structures as much as possible and stimulate repair by activating biological responses from the tooth and surrounding environment, that is, minimally invasive treatments. 4 , 5 In addition, occasionally where an ultraconservative restorative intervention is needed, for example, removal of biofilm is impossible, this should be combined with the use of remineralising agents to enhance the life-span of a restoration, which also reduces the overall cost burden on the patient or public health programmes.…”

Section: Introductionmentioning

confidence: 99%

Nonrestorative Caries Treatment: A Systematic Review Update

Cabalén

Molina

Bono

et al. 2022

International Dental Journal

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Community interventions and strategies for caries control in Latin American and Caribbean countries

Abstract: Bertha Angélica CHÁVEZ (b) Rodrigo Andrés GIACAMAN (c) Paulo FRAZÃO (d) Jaime Aparecido CURY (a)

Cited by 15 publications

References 52 publications

Understanding dental caries as a non-communicable and behavioral disease: Management implications

Understanding dental caries as a non-communicable and behavioral disease: Management implications

Management of dental caries lesions in Latin American and Caribbean countries

Nonrestorative Caries Treatment: A Systematic Review Update

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