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Detection, Assessment, Diagnosis and Monitoring of Caries
 Downloaded from http://karger.com/books/book/chapter-pdf/2098562/000224209.pdf by guest on 10 April 2024
Monographs in Oral Science

Augusta, Ga.
G.M. Whitford
A. Lussi Bern
Series Editors
Vol. 21
Detection, Assessment,
Diagnosis and
Monitoring of Caries

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Volume Editor

Nigel Pitts Dundee

57 figures, 53 in color, and 25 tables, 2009

Basel · Freiburg · Paris · London · New York · Bangalore ·

Bangkok · Shanghai · Singapore · Tokyo · Sydney
Nigel Pitts
Dental Health Services and Research Unit
University of Dundee
Mackenzie Building, Kirsty Semple Way
Dundee DD2 4BF (UK)

This volume received generous financial support from Colgate Palmolive Europe.

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Library of Congress Cataloging-in-Publication Data

Detection, assessment, diagnosis, and monitoring of caries / volume editor,

Nigel Pitts.
p.; cm. -- (Monographs in oral science, ISSN 0077-0892 ; v. 21)
Includes bibliographical references and indexes.
ISBN 978-3-8055-9184-3 (hard cover : alk. paper)
1. Dental Caries. I. Pitts, Nigel.
[DNLM: 1. Dental Caries--diagnosis. 2. Dental Caries--prevention &
control. 3. Health Promotion. 4. Patient Compliance. W1 MO568E v.21 2009
/ WU 270 D479 2009]
RK331.D48 2009
617.6⬘7--dc22
2009016412

Bibliographic Indices. This publication is listed in bibliographic services, including Current Contents®
Disclaimer. The statements, opinions and data contained in this publication are solely those of the individual authors and
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endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the
editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products
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text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research,
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All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by
any means electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and
retrieval system, without permission in writing from the publisher.
© Copyright 2009 by S. Karger AG, P.O. Box, CH–4009 Basel (Switzerland)
www.karger.com
Printed in Switzerland on acid-free and non-aging paper (ISO 9706) by Reinhardt Druck, Basel
ISSN 0077–0892
ISBN 978–3–8055–9184–3
e-ISBN 978–3–8055–9185–0
Contents

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VII List of Contributors

1 Introduction. How the Detection, Assessment, Diagnosis and Monitoring of

Caries Integrate with Personalized Caries Management
Pitts, N.B. (Dundee)
15 Clinical Visual Caries Detection
Topping, G.V.A.; Pitts, N.B. (Dundee)
42 Traditional Lesion Detection Aids
Neuhaus, K.W. (Bern); Ellwood, R. (Manchester); Lussi, A. (Bern); Pitts, N.B. (Dundee)
52 Novel Lesion Detection Aids
Neuhaus, K.W. (Bern); Longbottom, C. (Dundee); Ellwood, R. (Manchester); Lussi, A. (Bern)
63 Lesion Activity Assessment
Ekstrand, K.R. (Copenhagen); Zero, D.T. (Indianapolis, Ind.); Martignon, S. (Bogotá);
Pitts, N.B. (Dundee)
91 Patient Caries Risk Assessment
Twetman, S. (Copenhagen); Fontana, M. (Indianapolis, Ind.)
102 Dentition and Lesion History
Eggertsson, H.; Ferreira-Zandona, A. (Indianapolis, Ind.)
113 Assessing Patients’ Health Behaviours. Essential Steps for Motivating Patients to
Adopt and Maintain Behaviours Conducive to Oral Health
Freeman, R. (Dundee); Ismail, A. (Philadelphia, Pa.)
128 Personalized Treatment Planning
Pitts, N.B. (Dundee); Richards, D. (Stirling)
144 Background Level Care
Pitts, N.B. (Dundee)
149 Traditional Preventive Treatment Options
Longbottom, C. (Dundee); Ekstrand, K.R. (Copenhagen); Zero, D.T. (Indianapolis, Ind.)

V
156 Novel Preventive Treatment Options
Longbottom, C. (Dundee); Ekstrand, K.R. (Copenhagen); Zero, D.T. (Indianapolis, Ind.);
Kambara, M. (Osaka)
164 Traditional Operative Treatment Options
Ricketts, D.N.J.; Pitts, N.B. (Dundee)
174 Novel Operative Treatment Options
Ricketts, D.N.J.; Pitts, N.B. (Dundee)
188 Recall, Reassessment and Monitoring
Clarkson, J.E. (Dundee); Amaechi, B.T. (San Antonio); Ngo, H. (Singapore);
Bonetti, D. (Dundee)
199 Implementation. Improving Caries Detection, Assessment, Diagnosis and
Monitoring

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Pitts, N.B. (Dundee)
209 Glossary of Key Terms
Longbottom, C. (Dundee); Huysmans, M.-C. (Nijmegen); Pitts, N.B. (Dundee);
Fontana, M. (Indianapolis, Ind.)

217 Author Index

218 Subject Index

VI Contents
List of Contributors
B.T. Amaechi
UTHSCSA Department of Community Dentistry
7703 Floyd Curl Drive MC 7917
San Antonio, Texas 78229–3900 (USA)
D. Bonetti
Dental Health Services and Research Unit
University of Dundee
Mackenzie Building, Kirsty Semple Way
Dundee DD2 4BF (UK)
J.E. Clarkson
Dental Health Services and Research Unit
University of Dundee
Mackenzie Building, Kirsty Semple Way
Dundee DD2 4BF (UK)
K.R. Ekstrand
University of Copenhagen
20 Nørre Allé
DK–2200 Copenhagen (Denmark)
H. Eggertsson
Department of Preventive and Community
Dentistry Oral Health Research Center,
Indiana University School of Dentistry
415 Lansing Street
Indianapolis, IN 46202 (USA)
R. Ellwood
Skelton House
Manchester Science Park
Manchester M15 6SH (UK)
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A. Ferreira-Zandona
Department of Preventive and Community
Dentistry Oral Health Research Center,
Indiana University School of Dentistry
415 Lansing Street
Indianapolis, IN 46202 (USA)
M. Fontana
Department of Preventive and Community
Dentistry
Indiana University School of Dentistry
Indianapolis, Ind. (USA)
R. Freeman
Dental Health Services and Research Unit
University of Dundee
Mackenzie Building, Kirsty Semple Way
Dundee DD2 4BF (UK)
M.- C. Huysmans
Department of Cardiology & Endodontology
TRIKON: Institute for Dental Clinical Research
University of Nijmegen, PO Box 9101
6500 HB Nijmegen (The Netherlands)
A. Ismail
Maurice H. Kornberg School of Dentistry
Temple University
Philadelphia, Pa. (USA)
M. Kambara
Department of Preventive and Community
Dentistry
Osaka Dental University
Osaka (Japan)
VII
C. Longbottom D. Richards
Dental Health Services and Research Unit Department of Public Health
University of Dundee NHS Forth Valley
Mackenzie Building, Kirsty Semple Way Carseview House
Dundee DD2 4BF (UK) Castle Business Park
Stirling (UK)
A. Lussi
Department of Preventive, Restorative and D. Ricketts
Pediatric Dentistry Dundee Dental Hospital and School
School of Dental Medicine Park Place
University of Bern Dundee DD1 4HR (UK)
Freiburgstrasse 7
CH–3010 Bern (Switzerland) G.V.A. Topping
Dental Health Services and Research Unit
S. Martignon University of Dundee

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Research Centre Mackenzie Building, Kirsty Semple Way
Dental Faculty Dundee DD2 4BF (UK)
Universidad El Bosque
Bogotá (Colombia) S. Twetman
Department of Cariology and Endodontics
K.W. Neuhaus Faculty of Health Sciences
Department of Preventive, Restorative and University of Copenhagen
Pediatric Dentistry Nørre Allé 20
School of Dental Medicine DK–2200 Copenhagen N (Denmark)
University of Bern
Freiburgstrasse 7 D.T. Zero
CH–3010 Bern (Switzerland) Indiana University School of Dentistry
Indianapolis, Ind. (USA)
H. Ngo
5 Lower Kent Ridge Road
Singapore 119074 (Singapore)

N.B. Pitts
Dental Health Services and Research Unit
University of Dundee
Mackenzie Building, Kirsty Semple Way
Dundee DD2 4BF (UK)

VIII List of Contributors