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CPP White Paper: Summary for Microsite
The CPP White Paper on Dental Caries Prevention and Management responds to the dental profession’s ethical responsibility to use the best available evidence to deliver caries care. In 13 steps, it details the knowledge and tools needed to adopt an evidence-‐based, contemporary approach to dental caries prevention and management.
The first nine sections focus on clinical aspects, and how the dentist can deliver the best caries care to the patient. These include:
• Caries risk factors and related conditions. • The causes, development and measurement of caries. • Detecting caries in a patient and assessing the need for treatment. • Determining a patient’s risk of caries. • The prevention of caries, and the prevention of caries progression. • Preserving tooth tissue and minimally-‐invasive interventions. • A systematic approach to caries management – from determining risk to performing the right
intervention.
The next four sections of the White Paper look at issues beyond the clinic. The authors suggest ways in which financing of dental care, collaboration within the dental team, methods for advancing dental care and data collection can be improved.
Finally, the authors give a call to action for these effective caries prevention and management strategies to be put into practice. Necessary actions include:
• Support for caries prevention at both the individual and population levels. • A shift in clinical practice to focus on early detection of caries and evidence-‐based, tooth-‐
preserving preventive caries management. • Review of dental education to ensure it reflects up-‐to-‐date knowledge. • Integration of oral health within general health, and promotion of ‘good oral health as
everyone’s business’. • Re-‐thinking of the financing of dental care to incentivise preventive caries management. • Improvement of data collection to better measure prevention needs and successes.
These actions cover many different fields and will need the involvement of multiple-‐stakeholders, but the dental community has a role to play in driving all of them forward. As the authors note, evidence on adequate dental caries and management has accumulated in recent years, but translation to practice has been slow. Now is the time to move from restoration to prevention.
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