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Professor of Cariology & Operative Dentistry, Hon Consultant in Restorative Dentistry, King's College London Dental Institute at Guy's Hospital, KCL, King's Health Partners, London, UK
Dental caries is one of the most common non-communicable diseases globally, and while entirely preventable, it still accounts for a huge economic burden in the form of operative management, which ranges from minimally invasive techniques to extensive direct and indirect restorations, root canal treatment and ultimately extraction. In this article, we look at the marked changes in caries epidemiology, detection, diagnosis, assessment and management that has taken place in the past five decades since Dental Update was first published, and reflect on how this has had an impact on the oral health of our patients today.
CPD/Clinical Relevance: Awareness of changes in caries understanding over the last five decades is of value to clinicians.
Article
When the first edition of Dental Update was published in 1973, the ages of the present authors were 11, 9 and 3 years old! In 1973, the oral health of children was quite different to that of today and could only be regarded as poor.1 Our individual dental health prospects as children back then appeared to be challenging and unknown to ourselves at the time, so were our career paths as dentists, specialists in paediatric and restorative dentistry and researchers in cariology. In this article, we look at disease trends and the challenges we have faced to date.
In 1973 coincidently, the first national survey of children’s dental health in England and Wales was carried out and has been done so every 10 years since, informing the government and profession about disease trends, and allowing planning for healthcare needs. In 1973, and for the ensuing three decennial surveys, all four constituent countries of the United Kingdom were involved in data collection. Since 2013, however, with devolved governments individual countries have reported separately, making analysis and reporting more complex, but not impossible – the thin edge of the devolution wedge!
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