Tufts Dental Cariology Lecture Notes PDF

Cariology Craniofacial Biology INTRODUCTION TO DENTAL CARIES: Module 3 D’28 Shubha Nanda [email protected] November 2024 Lecture Roadmap and Objectives ⚫ Faculty Introduction ⚫ Module Goals an...

Cariology Craniofacial Biology INTRODUCTION TO DENTAL CARIES: Module 3 D’28 Shubha Nanda [email protected] November 2024 Lecture Roadmap and Objectives ⚫ Faculty Introduction ⚫ Module Goals and Expectations ⚫ Introduction to Cariology and the CariesCare 4-D Model ⚫ At the end of this lecture, you should be able to: – Understand and outline the paradigm of Dental Caries – Describe the CariesCare 4-D Model Shubha Nanda DMD 2 November 2024 Cariology Module Faculty Dr. Itallo Viana Dr. Mabi Singh Dr. Nadine Tassabehji Dr. Athena Papas Root Caries, NCCL, Erosion Physiopathology of Caries Role of Nutrition in Role of Saliva in Role of Biofilm in Dental caries Dental Caries Dental Caries Prof. Tiffany Bairos Dr. Marmar Mesgarzadeh Dr. Justin Cardarelli Caries Risk Assessment Caries Management 3 Caries Management 2 Shubha Nanda DMD 3 November 2024 Module 3: Goals For students to develop evidence-based critical thinking skills in Dental Caries: - Physiopathology and biologic determinants of dental caries - Risk assessment of dental caries - Detection and diagnosis of dental caries - Management of dental caries Shubha Nanda DMD 4 November 2024 Module 3: Outline and Expectations Module Outline Student expectations: In-Person sessions (Merritt), Attend all lectures, workshops, Preclin (848), or sim-clin. (1411) and case discussions Hands-on Caries Detection Review material prior to class workshop(s) and participate in case discussions Small group case discussion session Maintain a safe and respectful Faculty office hours class environment Shubha Nanda DMD 5 November 2024 Module 3: Schedule 9:00am-9:50am 50.Cariology: Introduction to Cariology Dr. Nanda 10:00am-10:50am 51. Cariology: Classification of Caries Dr. Nanda 11/13/24 Wednesday Merritt (DHS 700) 11:00am-11.50am 52.Cariology: Root Caries, Erosion, NCCL and Differential Dr. Viana Diagnosis 1:00pm-1:50pm 53. Cariology: Physiopathology of Caries Dr. Singh 11/14/24 Thursday 2:00pm-2:50pm 54 Cariology: Caries Activity Dr. Nanda Merritt (DHS 700) 3:00pm-3:50pm 55 Cariology: Role of Biofilm in Caries Dr Singh. 9:00am-9:50am 56. Cariology- Nutrition and Dental Caries Dr. Tassabehji 11/15/24 Friday 10:00am-10:50am 57. Cariology- Role of Saliva in Caries Dr. Papas Merritt (DHS 700) 11:00am-11.50am 58. Cariology- Caries Detection-lecture Dr. Nanda 9:00am-9:50am 58 A. Cariology- Caries Detection workshop (in sections) Dr. Nanda 11/18/24 Monday 10:00am-10:50am 58 A. Cariology- Caries Detection workshop (in sections) Dr. Nanda Sim. Lab (DHS 1411) 11:00am-11.50am 58 A. Cariology- Caries Detection workshop (in sections) Dr. Nanda 1:00pm-1:50pm 58 B Cariology- Caries Detection workshop (in sections) Dr. Nanda 11/20/24 Wednesday 2:00pm-2:50pm 58 B Cariology- Caries Detection workshop (in sections) Dr. Nanda Pre-Clin (DHS 848) 3:00pm-3:50pm 58 B Cariology- Caries Detection workshop (in sections) Dr. Nanda 11/22/24 Friday 9:00am-11:00am CFB Review #5 11/25/24 Monday 9:00am-10:30am CFB Exam #5 Merritt (DHS 700) 11/25/24 Monday 1:00pm-2:50pm 59. Cariology- Caries Risk Assessment with Case Discussions Prof. Bairos Merritt (DHS 700) 9:00am-9:50am 60. Cariology Caries Management 1 Dr. Nanda 11/26/24 Tuesday 10:00am-10:50am 61. Cariology Caries Management 2 Dr. Cardarelli Merrit (DHS 700)t 11:00am-11.50am 62.Cariology- Caries Management 3 Dr. Mesgarzadeh 9:00am-10:30am 63A Cariology- Caries Case Discussions (in groups) Dr. Nanda 12/2/24 Monday Merritt (DHS 700) 10:30am-12:00pm 63B.Cariology -Caries Case Discussions (in groups) Dr. Nanda 9:00am-10:30am 64 A. Cariology- Caries Identification workshop (in groups) Dr. Nanda 12/4/24 Wednesday Sim. Lab (DHS 1411) 10:30am-12:00pm 64 B. Cariology- Caries Identification workshop (in groups) Dr. Nanda 12/6/24 Friday 9:00am-11:00am CFB Review #6 Merritt (DHS 700) 12/9/24 Monday 9:00am-10:30am CFB Exam #6 Merritt (DHS 700) Shubha Nanda DMD 6 November 2024 What is Cariology? Cariology is the study of Dental Caries and Cariogenesis (mechanism of Caries Production). Shubha Nanda DMD 7 November 2024 History 1. 1) Tooth worm theory- -some claim 5000BC to 1700-early 1900s depending on the geographic location 2) Keyes Triad of Dental Caries 1963 3) Infectious and transmissible disease The treatment being chemicals or excision by drilling 4) Dental caries has shifted from being considered transmissible and infectious to CURRENT an ecological and non-communicable disease. Shubha Nanda DMD 8 November 2024 What is Dental Caries? Dental Caries is a biofilm mediated – diet modulated process that can lead to an imbalance in the cycle of demineralization and remineralization causing localized destruction of tooth structure Shubha Nanda DMD 9 November 2024 Dental Caries is… a biofilm mediated – diet modulated process that can lead to an imbalance in the cycle of demineralization and remineralization causing localized destruction of tooth structure Biofilms mediated: microscopic Diet modulated: in the presence of sugars, communities of bacteria and slimy the bacteria can produce acid thereby matrix lowering the pH Extended low pH = Microbiome in dysbiosis Shubha Nanda DMD 10 November 2024 Dental Caries is… a biofilm mediated – diet modulated process that can lead to an imbalance in the cycle of demineralization and remineralization causing localized destruction of tooth structure Shubha Nanda DMD 11 November 2024 Dental Caries is… a biofilm mediated – diet modulated process that can lead to an imbalance in the cycle of demineralization and remineralization causing localized destruction of tooth structure Shubha Nanda DMD 12 November 2024 Tooth Death Spiral Shubha Nanda DMD 13 November 2024 CariesCare 4D Cycle Shubha Nanda DMD 14 November 2024 CariesCare 4D Cycle – Aims and Guidelines AIMS 4 Ds To prevent new caries Determine To prevent caries progression Detect To preserve tooth structure Decide To manage caries risk Do Shubha Nanda DMD 15 November 2024 1st D: Determine Determine Patient Level Caries Risk Shubha Nanda DMD 16 November 2024 2nd D: Detect Detect and Assess the Caries Staging and Grading of Caries Shubha Nanda DMD 17 November 2024 3rd D: Decide Decide the Personalized Care Plan at Patient and Tooth Level Shubha Nanda DMD 18 November 2024 4th D: Do Prevention and Management of Cavitated and Non-cavitated Lesions Shubha Nanda DMD 19 November 2024 CariesCare 4D Cycle https://cariescareinternational.com/wp-content/uploads/2020/03/CCI-Practice-Guide.pdf Martignon S, et al. CariesCare practice guide: consensus on evidence into practice. Br Dent J. 2019 Sep;227(5) Shubha Nanda DMD 20 November 2024 Summary WHAT IS CARIES? Caries is a biofilm mediated – a diet modulated process that can lead to an imbalance in the cycle of demineralization and remineralization causing localized destruction of tooth structure CARIES 4-D CYCLE: 4Ds: Determine, Detect, Decide and Do Aims: – to prevent new caries; – to prevent the progression of caries; – to preserve healthy tooth structure; and – to manage caries risk factors Shubha Nanda DMD 21 November 2024 Readings https://cariescareinternational.com/wp-content/uploads/2020/03/CCI-Practice-Guide.pdf Shubha Nanda DMD 22 November 2024  Shubha Nanda DMD 23 November 2024