Everything You Need to Know About Dental Caries – An Update

Presented by: Dr. John Maggio

RCDSO Expiry Date: September 30, 2027

To qualify as a Core Category 1 course, the course certificate must be issued no later than this date.

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  • Dr. John Maggio DDS

    Dr. John Maggio is assistant professor at the University of Buffalo Dental School, where he teaches in the undergraduate dental clinic. He is course director of the third year Cariology & Direct Restorations lecture courses. He is also course director of the Ethics & Law in Practice Management lecture course. He teaches fast-paced, evidence-based continuing education courses in restorative dentistry and caries management to dentists and their teams. Dr. Maggio is a 1989 graduate of the State University of New York at Buffalo School of Dental Medicine. He lives with his wife and daughter in Amherst, New York. He has a private general practice in Tonawanda, New York.

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This course will equip practitioners with the latest evidence-based protocols in caries management. When should you open a caries lesion, and when should you not? Do radiographs alone dictate the treatment of your patient? Cavitation is the most important factor when deciding to enter a lesion. Treatment of shadows under the enamel surface will also be discussed.

The International Caries Detection and Assessment System (ICDAS) is not as well known in North America as it is all over the rest of the world. This system is very helpful in diagnosing caries lesions, and helping dentists decide how to treat a lesion, by category and tooth surface. Examples of lesions will be shown, to bring you up to speed.

Deep caries lesions will be addressed in detail. There is a growing body of evidence that aggressive caries removal should be avoided. Maintaining a healthy pulp can avoid a lot of problems down the road. Differentiating between the necrotic layer of the caries lesion and the vital, healthy layer of the lesion will be discussed. Root caries and sandwich restorations will be included. Repairing failing restorations, as opposed to removing the entire restoration, will be explored, including step-by-step guidelines.

The caries process will be explored, and preventive measures will be discussed. Caries Risk Assessment will be addressed, using many actual cases. Confounding factors will be illustrated. Preventive measures, including plaque removal, fluoride, silver diamine fluoride, sugar alternatives, sealant materials, and non-invasive remineralization options will all be discussed. Engaging your patients in diet analysis will also be highlighted.

This fast-paced, entertaining course will send you back to your practice with a new kick in your step!