Innovations in Preventive Dentistry

Prevention is better than healing ... or treatment. Thus, preventive dentistry is a cross-sectional challenge for all fields in dentistry, and one that has already achieved great success, as shown by the caries decline in many countries. The walls between prevention and treatment have recently fallen in caries and periodontal disease, as well as in orthodontics, where guidance of function and space maintenance are a combination of prevention and treatment.
This book discusses new developments and innovations in preventive dentistry, from primary "real" prevention to secondary prevention by inactivating initial lesions, and on to tertiary prevention to avoid subsequent progression andcomplications of manifest oral disease. This evidence base is then translated into clinical dental practice.
The book addresses everyone interested or involved in dentistry, including students, the whole dental practice team, educators, health scientists, and policy makers, who want to gain insight into these up-to-date clinical practices and future developments. It intends to make an impact on teaching and all fields of clinical dentistry - not by giving cookbook recipes, but by pointing out the rationale behind the changes in our routines.
Presented by an international group of recognized specialists in their fields, the topics include the new understanding and management of caries and periodontal disease, prevention of orthodontic problems, diagnostic approaches, the role of diet and according recommendations for oral health, routes to better oral hygiene, changes in oral disease patterns and their consequences, non- and minimally invasive caries treatment, current fluoride guidelines including the use of silver fluorides, risk management, a common risk-factor approach, facilitating behavior changes, sealants, and probiotics. This broad spectrum is elucidated for the most relevant dental problems from early childhood to seniors to implement preventively oriented dental practice.

Prof. Dr. Ch. H. Splieth studierte Zahnmedizin in Göttingen, Leeds/England und Minneapolis/USA. Nach 3-jähriger Tätigkeit in der Zahnarztpraxis beschäftigte er sich an der Universität Greifswald schwerpunktmäßig mit den Bereichen Kariologie, Prävention und Kinderzahnheilkunde. Die eigenen Arbeiten wurden durch ein Forschungsstipendium und Austauschprogramme mit Schweden, Dänemark und Finnland vertieft. Die Forschungsarbeiten zur Fissurenversiegelungen, Lokalfluoridierung, Dentalfluorose, dem Einsatz von flächenspezifischen Mutans Streptokokkentests und der mikrobiellen Besiedelung unter Füllungen, Nuckelflaschenkaries etc. wurden regelmäßig mit wissenschaftlichen Preisen ausgezeichnet. Er ist Herausgeber und Autor zahlreicher Bücher wie z. B. Professionelle Prävention: Zahnärztliche Prophylaxe für alle Altersgruppen, Kinderzahnheilkunde in der Praxis, Non- und Minimalinvasive Kariestherapie und Revolutions in Pediatric Dentistry. Im April 2004 erfolgte die Ernennung zum Professor für Kinderzahnheilkunde und Prävention an der Universität Kiel. Seit Dezember 2004 leitet er die Abteilung für Zahnmedizinische Prävention und Kinderzahnheilkunde der Universität Greifswald.

Chapter 01. Understanding caries Chapter 02. Understanding periodontitis Chapter 03. Fluoride: How much is needed? Chapter 04. Nutrition and caries: Sugar is the enemy, but what solutions are offered by preventive dentistry? Chapter 05. Healthy life, healthy mouth? Interdisciplinary and common risk factor interventions Chapter 06. Oral hygiene: The best route to a healthy mouth? Chapter 07. Interdental oral hygiene: To floss, or not to floss? Chapter 08. Tooth brushing: Myth and science Chapter 09. Guidance for healthy dental and oral behavior: Multilevel prevention of early childhood caries Chapter 10. Fissure sealing: Still to be recommended? Chapter 11. Prebiotics, probiotics, and synbiotics: A revolution in preventive dentistry? Chapter 12. Silver fluorides: The new magic bullet? Chapter 13. Self-assembling peptides: A perfectly engineered preventive and therapeutic tool? Chapter 14. Nonrestorative cavity control: Can nonoperative "preventive" treatment replace restorations? Chapter 15. Prevention and prophylaxis in orthodontics: Neglected opportunities for successful prevention Chapter 16. Prevention in elderly and medically compromised patients Chapter 17. Caries risk or activity: Which should we assess?