The factors that cause tooth wear are introduced along with diagnosis and preventive measures caries process and prevention strategies prevention this course introduces the student to the caries process and the multi factorial nature of the disease dental plaque is presented as a microbial biofilm ecosystem. Dental caries is one of the oldest and most common diseases found in humans with the recent shift from the surgical model which emphasized restorative treatment to a medical model of disease management newer strategies emphasize disease prevention and conservation of tooth structure. The new paradigm the above review suggests that the magnitude of the changes in the science understanding and clinical application of operative dentistry have already brought about a paradigm shift in the philosophy of this profession even though it has not really been acknowledged. The paradigm shift in the etiology prevention and management of dental caries its effect on the practice of clinical dentistry april 2003 journal of the california dental association 313247 51. In this section will use an example of a dental paradigm that has been around for over 30 years by clinically applying the conceptual framework of this paradigm by using the best technologies for dental caries prevention and control failure to address the high caries risk patient became apparent
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