Publicado oct 29, 2020



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Gloria Cristina Moreno Abello

Laura Catalina Lara Hernández

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Resumen

Antecedentes: la caries dental ha sido estudiada desde múltiples enfoques, sin embargo, a pesar del conocimiento disponible, lograr medidas efectivas para prevenir su aparición en los individuos y las comunidades, aún parece lejano. Objetivo: integrar los cambios conceptuales actualmente aceptados para caries, con escenarios en la práctica clínica, para apoyar a los profesionales en las decisiones terapéuticas. Método:  en esta revisión integrativa se consultaron PubMed, Cochrane, Science Direct, SciELO, EBSCO utilizando como palabras claves: dental caries, model, prevention, ICDAS, risk factors, risk assessment. se verificó que el objetivo de cada fuente permitiera hacer el recorrido histórico del concepto de caries identificando aspectos centrales, relacionándolos con las limitaciones para que la teoría se evidencie en la práctica clínica. Resultados: la síntesis de la literatura se presenta organizada en: evolución de la definición de la caries dental a partir del papel de las bacterias y su impacto en las decisiones clínicas, acciones para abarcar la definición actual de caries dental y acciones ajustadas al modelo ICCMS para llevarlo a la práctica. Conclusión: los cambios conceptuales en caries dental se reflejan en los diagnósticos actuales y abordajes multivariados que aun requieren fortalecer el análisis y un control efectivo de los factores de riesgo, buscando un cuidado centrado en la persona, basado en la relación entre el comportamiento de los individuos a lo largo de la vida y la dinámica de la patología, que invitan al profesional a fortalecer un abordaje preventivo para controlar la enfermedad y evitar sus secuelas discapacitantes.  

Keywords

CariesCare, cariologia, dieta cariogênica, fatores de risco, odontologia, prevenção de doença, risco de cárie, Sistema Internacional de Detecção e Avaliação de Cárie (ICDAS), ICDAS, saúde bucal, terapia caries dental, CariesCare, cariología, dieta cariogénica, factores de riesgo, International Caries Detection and Assessment System (ICDAS), odontología, riesgo de caries, salud oral, terapia, ICDAS, prevención de la enfermedadCariesCare, cariogenic diet, cariology, dental caries, dentistry, International Caries Detection and Assessment System (ICDAS), ICDAS, oral health, disease prevention, risk assessment, risk factors, therapy

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Cómo citar
Moreno Abello, G. C., & Lara Hernández, L. C. (2020). Caries dental: de la placa ecológica a las decisiones clínicas. Universitas Odontologica, 39. https://doi.org/10.11144/Javeriana.uo39.cdpe
Sección
Dossier temático: Microbiología Oral y Salud Pública

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