Document Detail

Minimal intervention dentistry: part 7. Minimally invasive operative caries management: rationale and techniques.
MedLine Citation:
PMID:  23392023     Owner:  NLM     Status:  In-Data-Review    
When patients present with cavities causing pain, poor aesthetics and/or functional problems restorations will need to be placed. Minimally invasive caries excavation strategies can be deployed depending on the patient's caries risk, lesion-pulp proximity and vitality, the extent of remaining supra-gingival tooth structure and clinical factors (for example, moisture control, access). Excavation instruments, including burs/handpieces, hand excavators, chemo-mechanical agents and/or air-abrasives limiting caries removal selectively to the more superficial caries-infected dentine and partial removal of caries-affected dentine when required, help create smaller cavities with healthy enamel/dentine margins. Using adhesive restorative materials the operator can, if handling with care, optimise the histological substrate coupled with the applied chemistry of the material so helping to form a durable peripheral seal and bond to aid retention of the restoration as well as arresting the carious process within the remaining tooth structure. Achieving a smooth tooth-restoration interface clinically to aid the cooperative, motivated patient in biofilm removal is an essential pre-requisite to prevent further secondary caries.
A Banerjee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British dental journal     Volume:  214     ISSN:  1476-5373     ISO Abbreviation:  Br Dent J     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-02-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7513219     Medline TA:  Br Dent J     Country:  England    
Other Details:
Languages:  eng     Pagination:  107-11     Citation Subset:  D; IM    
King's College London Dental Institute, Guy's Dental Hospital, London Bridge, London, SE1 9RT.
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