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4 Paradigm Shift in Cariology
Sebastian Paris, Hendrik Meyer-Lueckel
How Paradigms Influence Our Clinical Approach
The Specific Plaque Hypothesis
The Ecological Plaque Hypothesis
The previous chapters have addressed the etiology, pathogenesis, and clinical appearance of caries. This brief chapter will discuss the effects of scientific caries models and paradigms as well as approaches to treat the disease. Furthermore, pathogenesis will be illustrated in a model that will allow us to categorize the various options for intervention in Chapter 9. This chapter addresses the following topics:
• The influence of scientific paradigms on dentists’ approaches to treat caries
• The specific and ecological plaque hypotheses
• A current model of the pathogenesis of caries
Scientific Paradigms
Paradigms are understood to be the generally accepted scientific concepts and the worldview in a