Evidence map›Paper›PMID 36092137›Full record

ReviewFrontiers in oral health2022

Understanding dental caries as a non-communicable and behavioral disease: Management implications.

Rodrigo A Giacaman, Constanza E Fernández, Cecilia Muñoz-Sandoval, Soraya León, Natalia García-Manríquez, Constanza Echeverría, Sebastián Valdés, Ramiro J Castro, Karla Gambetta-Tessini

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in oral health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 pooled it
15.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.

  1. Pooled it
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  3. [Efficacy and cost analysis of two fluoride varnishes in community-based interventions for early childhood caries].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026
    Trial
  4. Parental oral health knowledge and sociodemographic influences in children aged 2-12 years: a cross-sectional study in Valencia, Spain.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
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  11. Streptococcus dentisani and Streptococcus mutans in dental biofilm of preschoolers with and without early childhood caries: a cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Article
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Rodrigo A GiacamanCariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile.
Constanza E FernándezCariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile.
Cecilia Muñoz-SandovalCariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile.
Soraya LeónCariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile.
Natalia García-ManríquezCariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile.
Constanza EcheverríaCariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile.
Sebastián ValdésCariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile.
Ramiro J CastroCariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile.
Karla Gambetta-TessiniCariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile.
University of Talca · CLCenter for Climate and Resilience Research · CLUniversity of Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

New paradigms in caries conceptualization have emerged during the last decades, leading to intense debate and discussion on how to approach the disease, both from a preventive and a therapeutic perspective. Among many new ideas, research discoveries and technologies, one major concept can be highlighted that created a deep frontier between the old and the new paradigm in caries conceptualization; the non-communicable nature of the disease, firmly associated with behaviors and lifestyles. This article synthetizes the conceptual construction of dental caries as a non-communicable disease (NCD) based on the current evidence and discusses the appropriate management of the disease in this context. Dental caries has shifted from being considered transmissible and infectious to an ecological and non-communicable disease. Environmental factors such as frequent sugars intake, disrupt the symbiosis of the dental biofilm leading to a dysbiosis, which favors caries lesion initiation and progression. As an NCD, dental caries shares characteristics with other NCDs such as cardiovascular and chronic respiratory diseases, cancer and diabetes, including long duration and slow progression, not being transmissible from person-to-person, being strongly related to modifiable behavioral risk factors, and affecting preferentially disadvantaged populations with a strong inequality gradient. Given the high prevalence of dental caries, and its consequences on people's health and quality of life, a recognizable conceptual view of caries as a NCD is required to target an effective management. Current understanding of dental caries supports prevention through acting on the modifiable risk factors (behaviors) and involves management based on an interdisciplinary approach. Communicating these modern concepts among researchers, clinicians and policymakers is needed to decrease the global high burden of the disease.

Indexed as

caries managementdental cariesdysbiosisinterdisciplinarynon-communicable chronic disease (NCD)sugars

Identifiers

PMID36092137
PMCPMC9448953
OpenAlexW4292858847

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.