Bøker av Lokesh Sharma

Fluoride is still the corner stone of non-invasive dental caries management. It has been demonstrated most clearly that fluoride has to be ingested to be in cooperated into the tooth mineral during its development or it can be applied onto the tooth surfaces after the eruption of teeth into the oral cavity, to have acceptable mechanisms of action against dental caries. Owing to its high affinity to calcium, fluoride is mainly associated with calcified tissues. Its ability to inhibit, and even reverse, the initiation and progression of dental caries. The various mechanisms underline the prospective effects of fluoride on erupted teeth of children and adults require frequent exposure to fluoride throughout the life in order to achieve and maintain concentration of the fluoride ion in dental plaque and enamel. The earlier the children are exposed to the fluoridated water or dietary fluoride supplements, the greater the reduction in the dental caries in both the primary and permanent dentition. Thus, topical fluoride treatment plays a major role in remineralisation of the carious lesions.

Caries risk assessment is still in the developmental stage. No single model can be recommended for use in a clinical setting at this time. Nor is it likely that there will ever be a ¿one size fits ¿ all¿ caries risk assessment model. Some of the current models demonstrating acceptable accuracy are based on factors that are either difficult or expensive to collect. A caries risk assessment model should be appropriate from the age of the patient, the dentist¿s style of practice and the prevalence of caries in the population. A combination of aetiological factors, caries prevalence and incidence , external and internal modifying risk indicators, risk factors as well as preventive factors may use to assess individual caries risk as low risk or high risk. The Cariogram is an excellent way to find the caries risk and the causes of the disease. Both the patient and the dentist will have an advantage from doing a caries risk assessment.