PMC:7546139 / 14415-15767
Annnotations
{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7546139","sourcedb":"PMC","sourceid":"7546139","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7546139","text":"NRCC consists of three concurrent stages:Working with the patient to make plaque control more successful (improving oral hygiene procedure/habits). The patient has to be ready to change behaviours that led to development of the disease in the first place. Success depends on the clinician's ability to change the patient's (or in the case of a child, the parent's) behaviour towards taking responsibility. So, 'prevention' becomes very much more than simply providing instruction of what to do (knowledge) and how to do it (skills), but has to involve an aspect of refocusing the patient to feeling empowered to make a difference to their own oral health (attitude). Daily removal or disruption of the biofilm by brushing with a fluoridated toothpaste will slow down the carious process and can even halt it\nCreating a cavity shape where the carious biofilm/dentine is accessible to a toothbrush (lesion exposure). In some cases, overhanging enamel has to be removed. To avoid use of rotary instruments, hand instruments can be used to gain access to the lesion (see ART)\nTreatment with 38% SDF and/or a 5% NaF varnish therapy to reduce carious activity and promote remineralisation.33 These additional measures can support success of the NRCC approach if the carious lesion is active or there is increased risk that carious lesion activity will 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