Archive 1 Archive 2

Unnecessary mass of references in the lead

We current have this one sentence "Caries are also associated with poverty, poor cleaning of the mouth, and receding gums resulting in exposure of the roots of the teeth." supported by 7 refs when all that was needed was two.


We do not need these 5

References

  1. ^ Silk, H (March 2014). "Diseases of the mouth". Primary care. 41 (1): 75–90. doi:10.1016/j.pop.2013.10.011. PMID 24439882.
  2. ^ Schwendicke, F; Dörfer, CE; Schlattmann, P; Page, LF; Thomson, WM; Paris, S (January 2015). "Socioeconomic Inequality and Caries: A Systematic Review and Meta-Analysis". Journal of dental research. 94 (1): 10–18. doi:10.1177/0022034514557546. PMID 25394849.
  3. ^ Watt RG, Listl S, Peres MA, Heilmann A, editors. Social inequalities in oral health: from evidence to action. London: International Centre for Oral Health Inequalities Research & Policy; www.icohirp.com
  4. ^ Do LG. Distribution of Caries in Children: Variations between and within Populations. J Dent Res 2012; 91(6):536-543.
  5. ^ Costa SM, Martins CC, Bonfim Mde L, Zina LG, Paiva SM, Pordeus IA, Abreu MH. 2012. A systematic review of socio-economic indicators and dental caries in adults. Int J Environ Res Public Health 9:3540-3574.
  6. ^ Jackson SL, Vann Jr WF, Kotch JB, Pahel BT, Lee JY. 2011. Impact of poor oral health on children’s school attendance and performance. Am J Public Health 101:1900-1906.
  7. ^ Bernabé E, Sheiham A, Sabbah W. 2009. Income, income inequality, dental caries and dental care levels: an ecological study in rich countries. Caries Res 43:294-301.

Doc James (talk · contribs · email) 12:05, 16 August 2015 (UTC)

Remineralization - reversal of dental caries.

In the intro, we currently say: "There is no known method to grow back large amounts of tooth." http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4226000/ however, says "They have developed a patented technology for the regeneration of enamel. The monomers of peptide p11-4 (curodont) forms a matrix [that] enables de novo enamel crystal formation from saliva in constant equilibrium with demineralization [19]. In vivo studies revealed that the peptides were shown to decrease demineralization and show a strong trend toward increasing remineralization [20]." (and mentions other progress on tooth regeneration) So while I doubt we have the MEDRS sources to put "There is a known method to grow back very significant amounts of tooth." in the intro, I do think the intro needs some editing in light of this development.

We should have a bit more data in Dec 2016 and Dec 2017. A very promising clinical safety trial is too preliminary.--Elvey(tc) 21:29, 4 December 2015 (UTC)


selective excavation

http://www.ncbi.nlm.nih.gov/pubmed/25511906 suggests selective excavation is best practice, so I think the first sentence of the following needs revision; it conflicts with the second one: "Before a restoration can be placed, all of the decay must be removed otherwise it will continue to progress underneath the filling. Sometimes a small amount of decay can be left if it is entombed and the there is a seal which isolates the bacteria from their substrate."--Elvey(tc) 21:29, 4 December 2015 (UTC)


Elvey agree should be mentioned if not already. the technique you refer to is called stepwise caries removal or indirect pulp cap. Pulp_capping#Indirect_pulp_cap (stepwise_caries_removal). Matthew Ferguson (talk) 04:01, 5 December 2015 (UTC)

Other prevention

@Johngorman101: thank you for adding the content about other types of prevention. @Doc James: thank you for adding the page number. I tweaked the reference to include both page 6-7 since the content is covered on both pages. Sydney Poore/FloNight♥♥♥♥ 15:29, 10 March 2016 (UTC)

Ah yes see it. Have adjusted the text to better match. Doc James (talk · contribs · email) 17:43, 10 March 2016 (UTC)

We need to know more about Resin Infiltration for Proximal Caries!

http://www.ncbi.nlm.nih.gov/pubmed/?term=proximal+caries+infiltration

http://www.ncbi.nlm.nih.gov/pubmed/26545080

88.192.242.201 (talk) 12:31, 3 April 2016 (UTC)

I don't disagree... Sofixit! Simply posting links to what you think are potentially useful and reliable sources isn't quite as good as adding them to the article and adjusting the text accordingly! Wikipedia is something anyone can edit, including you. Seize the day! KDS4444 (talk) 10:04, 26 October 2016 (UTC)

RfC about article's lead image

The following discussion is closed. Please do not modify it. Subsequent comments should be made on the appropriate discussion page. No further edits should be made to this discussion.


Should we use a photograph or a diagram for the article's lead image? KDS4444 (talk) 14:45, 3 November 2016 (UTC)

Alternative lead image
Current lead image

Background: the article currently has a photograph of a severely decayed tooth. There is no question as to this photo's accuracy-- nevertheless, it is a somewhat shocking visual. We also have an SVG diagram of a tooth suffering from decay which we might use as the lead image. The diagram conveys the same basic concept (tooth decay), has less shock value, and is also labeled with parts of the tooth and types of cavities. Either image is suitable, of course, but I feel the diagram has greater encyclopedic value; others disagree. Please share your comments. Thank you. KDS4444 (talk) 14:54, 3 November 2016 (UTC)

I think I've expressed a clear, and sufficiently explained, preference, above. - Ryk72 'c.s.n.s.' 23:35, 9 November 2016 (UTC)
Picture 2: What about this image?

My concerns with the first photo is that it may be slightly confusing to the lay person. What about this one I found on commons (picture 2)? Carl Fredrik 💌 📧 10:41, 7 November 2016 (UTC)

Having a tooth isolated is more clear IMO. Not completely opposed but not convinced that one is better. Doc James (talk · contribs · email) 10:44, 7 November 2016 (UTC)
I partially agree, but for someone like me it could just as well be necrosis of the scaphoid bone. Without the enamel's surface visible I'd have a hard time telling just off the picture at this angle… I might just be bad at teeth though… Carl Fredrik 💌 📧 11:07, 7 November 2016 (UTC)
This is not a very upsetting photo. It depicts the disease well IMO. We are not censored. Doc James (talk · contribs · email) 16:26, 7 November 2016 (UTC)
There's a great line from a Simpson's episode: the setting is a party at the Simpson's house. Barney Gumbal, the town drunk, is there, as is little Lisa. At one point Lisa tells Barney, "Mister Gumbal, You're scaring me." Barney responds by saying, "No, I am not!" The sense of shock/ fright is not for the person presenting it to determine in the mind of the person experiencing it. Like saying the image is not upsetting to view. That you may perhaps not be upset by it does not make it upsetting! Which was kind of my point. But that seems to be getting lost now. KDS4444 (talk) 07:52, 9 November 2016 (UTC)
Yes disease sucks and it is often upsetting. We are a knowledge source first and formost though. While one wants to use editorial judgement hidding an educational image because it can upset some people is not something I support. One can turn off pictures on the internet and just read text if they want. THe Simpson's is amazing :-) Doc James (talk · contribs · email) 11:51, 9 November 2016 (UTC)
Use the second photo. In view of CuriousMind01's statement that he did not recognise the original photo as a tooth, it is preferable to use the second photo. Axl ¤ [Talk] 12:20, 19 November 2016 (UTC)
Hi Tom, "caries" is not plural btw. Correction: "focuses well on what caries is". Matthew Ferguson (talk) 00:42, 17 November 2016 (UTC)

My ha'porth... JonRichfield (talk) 09:44, 20 November 2016 (UTC)

The discussion above is closed. Please do not modify it. Subsequent comments should be made on the appropriate discussion page. No further edits should be made to this discussion.

Timing of eating sugars

Quite early on, this article says that a diet high in sugar increases risk of dental caries. Should it not also clarify that if one eats sugars at lots of different times in a day, that will do teeth more damage than if one only eats, say, once, as when one eats sugar, thirty minutes damage to one's teeth begins (although, of course, this can be prevented if one brushes one's teeth after eating sugar)Vorbee (talk) 15:30, 20 July 2017 (UTC)

The frequency of sugar episodes per day is very important factor in tooth decay. However, teeth should not be brushed immediately after eating to reduce tooth wear.[1] Matthew Ferguson (talk) 20:01, 20 July 2017 (UTC)

Should this be renamed tooth decay since that is what most people know it as?

Should this be reamed tooth decay since that is what most people know it as? Tremello (talk) 18:26, 18 November 2016 (UTC)

I would be supportive. Doc James (talk · contribs · email) 21:29, 18 November 2016 (UTC)
Me too. --Anthonyhcole (talk · contribs · email) 11:16, 19 November 2016 (UTC)
Yes. If you mean rename the article. Per my understanding tooth decay is the process that results in a tooth cavity/dental cavity, also known as a dental caries. I think Tooth decay is a better and more comprehensive name to describe the process, cause and effect(the cavity) for this article.CuriousMind01 (talk) 04:06, 20 November 2016 (UTC)
I'll rename it, but I'm open to having a fuller discussion if others would want. NW (Talk) 01:53, 1 January 2017 (UTC)
Thank you, NW, and may all your wishes be fulfilled in 2017. --Anthonyhcole (talk · contribs · email) 13:07, 2 January 2017 (UTC)

Dietary sugars section

The definition of cariogenicity in this article is at odds with the one in the ref below, which states that cariogenicity is the strength of the caries-producing effect of a food, not the effect of sugars on caries. the latter is not a medrs, but the section generally seems a bit muddled; it's also based on a non-medical ref from 2006 and a ref from 1983.

Kearns, Cristin E.; Glantz, Stanton A.; Schmidt, Laura A. (2015-03-10). "Sugar Industry Influence on the Scientific Agenda of the National Institute of Dental Research's 1971 National Caries Program: A Historical Analysis of Internal Documents". PLOS Medicine. 12 (3). Simon Capewell (ed.): –1001798. doi:10.1371/journal.pmed.1001798. ISSN 1549-1676. Retrieved 2018-03-21.((cite journal)): CS1 maint: unflagged free DOI (link)

HLHJ (talk) 22:48, 25 March 2018 (UTC)