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Preface

Preventive dentistry is a cross-sectional success story that has produced a 90% caries decline in children and adolescents, as well as caries reductions in adults in many countries. Periodontology and orthodontics also offer great opportunities for prevention … and prevention in all fields of dentistry has grown from primary prevention through maintaining a healthy state to new concepts of secondary prevention, where initial lesions or imbalances are corrected with minimal intervention. In addition, therapy has shifted from repair to tertiary prevention to regain physiologic and healthy balances that ensure long-lasting therapeutic success.

In order to introduce these new developments and innovations into preventive and clinical dentistry for all ages, a group of internationally recognized specialists presents new diagnostic methods and offers options for putting these into practice both for primary prevention and for non- and minimally invasive treatment. With the introduction of a systematic, evidence-based approach in dentistry, new standards for clinical care are being established in all fields of dentistry, stressing prevention-oriented routines. The understanding of caries and periodontal disease has shifted from a focus on invasive treatment to controlling disease activity, and in orthodontics from mechanics to achieving physiologic function. The various chapters highlight this shift, in addition to a clinical view, the overall concept, interaction with general health, and the common risk-factor approach. The authors offer perspectives for tackling dental and medical problems in the vulnerable populations that exhibit most of the dental and medical disease.

Preventive dentistry has changed for epidemiologic, social, and scientific reasons. Professionals should manage this development actively for the benefit of patients in all fields of dentistry and for all ages.

Christian H. Splieth