RESUMO
This paper is part of a series of papers towards a European Core Curriculum in Cariology for undergraduate dental students. The European Core Curriculum in Cariology is the outcome of a joint workshop of the European Organization for Caries Research (ORCA) together with the Association for Dental Education in Europe (ADEE), which was held in Berlin from 27 to 30 June 2010. This paper presents a closer look at the knowledge base as presented in the European Core Curriculum in Cariology. It comprises not only traditional basic sciences, such as anatomy and histology, but also emerging sciences such as molecular biology and nanotechnology and also fields such as behavioural sciences and research methodology. The different supporting competences are elaborated and explained. The problems of implementing a curriculum that truly integrates this foundation knowledge into the clinical teaching are discussed.
Assuntos
Currículo , Cárie Dentária , Dentística Operatória/educação , Educação em Odontologia , União Europeia , Bases de Conhecimento , Educação Baseada em Competências , Cárie Dentária/diagnóstico , Cárie Dentária/prevenção & controle , Cárie Dentária/terapia , Europa (Continente) , HumanosRESUMO
This study aimed at comparing S.mutans in pairs of children within families; both children used a sweetened nursing bottle beyond the dietary need, while one child was affected with nursing bottle caries (NBC), the other not. Seven families were selected. The children of a pair showed no dissimilarities as regards dietary habits. Mean patient-age was 3.7 yrs, controls 5.7 yrs. Saliva and plaque were sampled for CFU-counting and clonal (DNA) type-screening of S.mutans. The NBC-patients harbored significantly more S.mutans than the controls (mean 5.8 CFU/ml vs. 2.9 CFU/ml). While the controls were colonized with 2-5 clonal types of S.mutans, in the patients only one type was observed. The results were not consistent for NBC-risk assessment by CFU-counting. An inverse relationship between the number of clonal S.mutans types and NBC is suggested.
Assuntos
Alimentação com Mamadeira , Cárie Dentária/microbiologia , Streptococcus mutans/isolamento & purificação , Alimentação com Mamadeira/efeitos adversos , Pré-Escolar , Contagem de Colônia Microbiana , Índice CPO , DNA Bacteriano/análise , Cárie Dentária/etiologia , Placa Dentária/microbiologia , Carboidratos da Dieta/administração & dosagem , Carboidratos da Dieta/efeitos adversos , Saúde da Família , Comportamento Alimentar , Feminino , Humanos , Masculino , Mães , Medição de Risco , Saliva/microbiologia , Streptococcus mutans/genética , Streptococcus mutans/crescimento & desenvolvimento , Língua/microbiologiaRESUMO
Hidden caries is a term used to describe occlusal dentine caries that is missed on a visual examination, but is large enough and demineralised enough to be detected radiographically. The detection rate of such lesions will depend upon the prevalence of caries in the population and the frequency with which bitewing radiographic examinations are performed. Whether 'hidden caries' is a distinct clinical entity, reflecting a particular anatomical fissure topography or a different bacterial aetiology, is unknown. It is possible that an improved visual examination, with careful cleaning and drying of teeth, may improve occlusal caries detection to the point where 'hidden caries' no longer exists. However, this possibility has yet to be tested clinically and until it is, practising dentists would be wise to examine bitewing radiographs carefully for occlusal demineralisation. The authors would treat such hidden lesions by removing soft caries and placing sealant restorations.
