Key Points
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Outlines risk factors for caries and periodontal diseases.
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Suggests modifying behaviours is the best method for prevention.
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Stresses the importance of a patient profile in recognising the 'at risk' patient.
Abstract
The long-term clinical management of caries and periodontal diseases requires a double approach, one that is concerned with both treatment and prevention. Dentists should recognise the risk factors and their likely triggers to be able to implement the right strategy as early as the diagnostic phase. This comprehensive assessment can easily be done in general practice. All it takes is to combine the patient's general information with the systemic and behavioural factors, and the clinical observations with the local factors. The resulting patient profile can thus effectively support treatment by providing the necessary explanations, advice or prescriptions in relation with the clinical procedures. The modifiable risk factors need to be monitored and the behaviours changed to stabilise or limit disease progression. The practitioner's active approach is meant to meet the patient's demand for preventive counselling.
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Acknowledgements
The authors would like to thank Claudie Damour-Terrasson, publishing director of the Groupe Information Dentaire, Paris, France, for the authorisation of translation and publication of the series in the BDJ and Pascale Eisenberger for her translation assistance.
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Lallam, C., Decup, F. Minimal intervention dentistry II: part 2. Management of caries and periodontal risks in general dental practice. Br Dent J 216, 179–185 (2014). https://doi.org/10.1038/sj.bdj.2014.143
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DOI: https://doi.org/10.1038/sj.bdj.2014.143
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