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J R Soc Med. 1985; 78(Suppl 7): 37–42.
PMCID: PMC1289502

Diagnosis and treatment of dental caries: the clinicians' dilemma. From cure to prevention--a case study in professional reorientation.


This paper describes an exercise in professional reorientation which took place in the late 1970s amongst the dental officers of the then Hampshire Area Health Authority's community dental service. The community dental service was and still is primarily child orientated. The fall in dental caries described elsewhere in this symposium, combined with the rise in dental manpower in general, released time which was traditionally devoted to 'drilling and filling'. This provided the opportunity to reorientate away from secondary to primary prevention.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bristow PD. Notes on a fluoride mouth-rinsing scheme in Portsmouth. Br Dent J. 1975 Oct 21;139(8):329–330. [PubMed]
  • Le Bell Y, Forsten L. Sealing of preventively enlarged fissures. Acta Odontol Scand. 1980;38(2):101–104. [PubMed]
  • Hunt RJ, Kohout FJ, Beck JD. The use of pit and fissure sealants in private dental practices. ASDC J Dent Child. 1984 Jan-Feb;51(1):29–33. [PubMed]
  • Lennon MA, O'Mullane DM, Taylor GO. A pragmatic clinical trial of fissure sealants in a community dental service programme for 6-10-year-old children. Community Dent Health. 1984 Jul;1(2):101–109. [PubMed]
  • McLean JW, Wilson AD. Fissure sealing and filling with an adhesive glass-ionomer cement. Br Dent J. 1974 Apr 2;136(7):269–276. [PubMed]
  • Palmer JD. Dental health in children--an improving picture? Br Dent J. 1980 Jul 15;149(2):48–50. [PubMed]
  • Silverstone LM. The use of pit and fissure sealants in dentistry, present status and future developments. Pediatr Dent. 1982 Mar;4(1):16–21. [PubMed]
  • Simonsen RJ. Preventive resin restorations: three-year results. J Am Dent Assoc. 1980 Apr;100(4):535–539. [PubMed]

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