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Management of Dental Caries
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Management of Dental Caries

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: closed (20 August 2023) | Viewed by 7595

Special Issue Editor

Prof. Dr. José Manuel Almerich-Silla

E-Mail Website
Guest Editor
Stomatology Department, University of Valencia, 46010 Valencia, Spain
Interests: caries risk assessment; caries activity assessment; dental caries diagnosis; non-operative treatment; operative treatment; remineralization; pit and fissure sealants; bioactive materials

Special Issue Information

Dear Colleagues,

Dental caries continue to affect a large part of the world’s population at all ages of life, and dental caries management is a topical issue that has opened debates on the reform of cariology curricula in universities.

Caries risk assessment, advances in the diagnosis of lesions and the rate of progression of initial lesions are important elements to consider in its management and control. Clinicians must have more sensitive diagnostic procedures that allow monitoring the evolution of lesions in patients, and clinicians must recognize the most effective procedures that can be applied both in non-operative preventive treatments and in restorative operative treatments. The use of new biomaterials can improve the durability of restorations and reduce the removal of dental tissues.

The scope of this Special Issue is to provide an overview of recent advances in the field of dental caries management. Researchers in this field are, therefore, encouraged to submit an original article or systematic review to this Special Issue (case reports and short reviews will not be accepted).

Prof. Dr. José Manuel Almerich-Silla
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • caries risk assessment
  • caries activity assessment
  • dental caries diagnosis
  • non-operative treatment
  • operative treatment
  • remineralization
  • pit and fissure sealants
  • bioactive materials

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Published Papers (3 papers)

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Research

14 pages, 4132 KiB  
Article
Remineralization Potential of Three Restorative Glass Ionomer Cements: An In Vitro Study
by James Ghilotti, Icíar Fernández, José Luis Sanz, María Melo and Carmen Llena
J. Clin. Med. 2023, 12(6), 2434; https://doi.org/10.3390/jcm12062434 - 22 Mar 2023
Cited by 6 | Viewed by 2320
Abstract
The aim of this in vitro study was to evaluate the remineralizing ability of three glass ionomers on demineralized dentin with different thicknesses and time periods. Fifty third molars were obtained and were sectioned into 1-, 2-, and 3-mm thick slices (n = [...] Read more.
The aim of this in vitro study was to evaluate the remineralizing ability of three glass ionomers on demineralized dentin with different thicknesses and time periods. Fifty third molars were obtained and were sectioned into 1-, 2-, and 3-mm thick slices (n = 36 for each thickness). The specimens were demineralized with 18% EDTA for 2 h. From the glass ionomer cements (GICs) under study (Ketac Molar Aplicap, Equia Forte, or Riva Light Cure), 1 mm was placed over each slice, set, and preserved in PBS until observation after 1, 7, 14, and 28 days after placement. For each material, thickness, and time, three samples were prepared. Using Fourier Transform Infrared Spectrometry (FTIR), apatite formation was determined on the side opposite to that on which the material had been placed. By means of Energy Dispersive Spectroscopy (EDX), the changes in the Calcium/Phosphate (Ca/P) ratio were evaluated. These changes were compared between the different materials by means of a two-way ANOVA test, considering time and dentin thickness, for a significance level of p < 0.05. Results: FTIR showed a peak at 1420 cm−1, evidencing the presence of carbonated hydroxyapatite in all the materials after 14 days, which indicates that a remineralization process occurred. Riva Light Cure showed the most homogeneous results at all depths at 28 days. The Ca/P ratio was maximum at 7 days in 2 mm of dentin for Riva Light Cure and Equia Forte HT (3.16 and 3.07; respectively) and for Ketac Molar at 14 days in 1 mm (3.67). All materials induced remineralization. Equia Forte achieved the greatest effect at 2 mm and Ketac Molar at 1 mm, whereas Riva Light Cure showed similar results at all depths. In terms of Ca/P ratio, Equia Forte and Riva Light Cure remineralized best at 2 mm, whereas for Ketac Molar, it was 1 mm. Carbonate apatite formation was higher at 24 h and 7 days for Ketac Molar, whereas it decreased at 14 days for Ketac Molar and peaked in Riva Light Cure and Equia Forte. Full article
(This article belongs to the Special Issue Management of Dental Caries)
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10 pages, 803 KiB  
Article
Home Oral Care Domiciliary Protocol for the Management of Dental Erosion in Rugby Players: A Randomized Clinical Trial
by Andrea Butera, Simone Gallo, Maurizio Pascadopoli, Giuseppe Alessandro Scardina, Sofia Pezzullo and Andrea Scribante
J. Clin. Med. 2022, 11(16), 4893; https://doi.org/10.3390/jcm11164893 - 20 Aug 2022
Cited by 11 | Viewed by 1865
Abstract
People performing regular physical activity are at high risk of dental erosion especially in cases of high sport drinks intake. Biomimetic hydroxyapatite-based oral hygiene products, like toothpastes and mouthwashes, have been investigated in recent years for their remineralizing activity on the teeth. The [...] Read more.
People performing regular physical activity are at high risk of dental erosion especially in cases of high sport drinks intake. Biomimetic hydroxyapatite-based oral hygiene products, like toothpastes and mouthwashes, have been investigated in recent years for their remineralizing activity on the teeth. The aim of the present study was to evaluate the efficacy of two different oral hygiene protocols, respectively consisting of the combination of a hydroxyapatite-based toothpaste plus mouthwash (Trial group) or toothpaste alone (Control Group). At baseline (T0), as well as at 15 days (T1), 30 days (T2) and 90 days (T3), the following clinical indexes were assessed: Basic Erosive Wear Examination (BEWE), Schiff Air Index (SAI), Visual Analogue Scale (VAS), Plaque Index (PI) and Bleeding Index (BI). In general, for all the indexes assessed, a progressive intragroup reduction was noticed from the baseline to the subsequent timepoints, with no intergroup differences. Accordingly, the use of the hydroxyapatite-based toothpaste, alone or in combination with the mouthwash containing hydroxyapatite as well, is an effective method for the domiciliary management of dental erosion in physically active individuals like rugby players. Full article
(This article belongs to the Special Issue Management of Dental Caries)
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11 pages, 624 KiB  
Article
Diagnostic Validity in Occlusal Caries Detection of ICDAS II, DIAGNOdent, Radiography and a Combination of the Three Methods: An In Vitro Study
by Elena Minuesa-García, José Enrique Iranzo-Cortés, Teresa Almerich-Torres, Carlos Bellot-Arcís, José María Montiel-Company and José Manuel Almerich-Silla
J. Clin. Med. 2022, 11(10), 2937; https://doi.org/10.3390/jcm11102937 - 23 May 2022
Cited by 4 | Viewed by 2794
Abstract
In this study, we compare the efficacy and diagnostic concordance of the ICDAS, the radiographic criterion and the instrument known as the DIAGNOdent fluorescence laser pen on occlusal caries lesions using a histological section as the gold standard. Of 100 teeth that did [...] Read more.
In this study, we compare the efficacy and diagnostic concordance of the ICDAS, the radiographic criterion and the instrument known as the DIAGNOdent fluorescence laser pen on occlusal caries lesions using a histological section as the gold standard. Of 100 teeth that did not present cavitated occlusal lesions or occlusal fillings, 80 were chosen through a randomization program and examined by two previously trained and calibrated researchers. Subsequently, the teeth were sectioned with a diamond disk and observed under an optical microscope. The results were studied for caries with a limit established in enamel and caries with extension to dentin. The intra-examiner (0.821–0.933) and inter-examiner (0.817–0.924) reproducibility obtained for both ICDAS and DIAGNOdent for the diagnosis of borderline enamel caries was high. Similarly, intra-examiner (0.686–1.000) and inter-examiner (0.809–0.944) reproducibility for diagnosis of caries with dentin extension was also high for both methods. The sensitivity obtained was 0.76 (ICDAS), 0.87 (DIAGNOdent) and 0.58 (Rx), whereas the specificity obtained was 0.66 (ICDAS), 0.4 (DIAGNOdent) and 0.77 (Rx) for lesions limited to enamel. For lesions with extension to dentin, the sensitivity obtained was 0.73 (ICDAS), 0.82 (DIAGNOdent) and 0.09 (Rx), and the specificity obtained was 0.79 (ICDAS), 0.52 (DIAGNOdent) and 0.97 (Rx). Sensitivity increases in both cases by combining diagnostic methods. In conclusion, ICDAS and DIAGNOdent are better diagnostic methods than Rx for the detection of occlusal caries, and the combination of these methods helps to obtain a better diagnosis. Full article
(This article belongs to the Special Issue Management of Dental Caries)
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