Minimally-invasive dentistry via dual-function novel bioactive low-shrinkage-stress flowable nanocomposites

The preservation of healthy human body and function for every patient should be the goal of all health practitioners. Dentistry is not an exception to this philosophy. In past few decades, the improvements of scientific method and technology has led to a better understanding of oral microflora and dental materials resulted in the shifting of caries management method from G. V. Black’s “extension for prevention” to the modern “minimally invasive” approach in dentistry. The minimally invasive approach to dental caries establishes a proper doctor-patient relationship, thus empowering and educating the patient to take responsibility for their own dental health. The proper sequence of caries management should be the introduction of preventive strategies such as oral hygiene instructions, reminialization regiments, and risk assessments followed by minimal surgical interventions. Using the laser technology in the aspect of surgical intervention has many clinical advantages. Some of the clinical benefits include its selectivity for carious tissue, reduction of needs for local anesthesia, decontamination effect of preparation surfaces, minimal thermal stimulus to pulp chamber, increase in surface adhesion for composite materials, and other soft tissue applications. The combination of caries prevention program, disease control, risk assessment, and laser technology application on the surgical intervention significantly reduces the long-term restorative needs and thus preserves more healthy natural tooth structures, which complement the concept of minimally invasive dentistry. In cosmetic surgery, the same rules apply. The same laser types are used as well.

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Remineralizing Nanomaterials for Minimally Invasive Dentistry

Nanotechnology in Endodontics ◽

10.1007/978-3-319-13575-5_9 ◽

2015 ◽

pp. 173-193 ◽

Cited By ~ 1

Author(s):

Xu Zhang ◽

Xuliang Deng ◽

Yi Wu

Keyword(s):

Minimally Invasive ◽

Minimally Invasive Dentistry

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Awareness Regarding Minimally Invasive Dentistry among Dentists of Karachi

Journal of Bahria University Medical and Dental College ◽

10.51985/jbumdc2018131 ◽

2019 ◽

Vol 09 (04) ◽

pp. 294-298

Author(s):

Sara Ikram Khan ◽

Shama Asghar ◽

Adeena Abid ◽

Farwah Aftab

Keyword(s):

Minimally Invasive ◽

Clinical Training ◽

Daily Practice ◽

Cross Sectional Study ◽

Detection Methods ◽

Caries Detection ◽

Cross Sectional ◽

Minimally Invasive Dentistry ◽

Activity Assessment ◽

Dental Practitioners

The objective of this study was to assess awareness of dental practitioners of Karachi regarding minimally invasive dentistry. Study design and Setting: It was a cross sectional study based on questionnaire, conducted in 6 different dental hospitals of Karachi. The sample included dentists who were actively practicing clinical dentistry in Karachi. Specialists were excluded from the study Methodology: A study questionnaire was distributed to the participants which comprised of demographic details, professional data and Likert-Scale based questions to asses respondent’s agreement level related to caries activity, assessment, detection and treatment. Results: Out of the 151 questionnaires distributed, 119 were analysed with an overall response rate of 78.8%. From the total 67.2% dentists were received training in MID through some means in which 36% received training in MID by lectures and clinical training both while 32.8% had no training in MID. MID techniques like ART and sandwich technique was found to be effective by 65% and 50.4% respectively. The 58.8% participants were agreed that caries risk assessment (CRA) should be done in every patient and 55.5% dentists were agreed that restoration should be planned according to patient’s assessment Conclusion: General Dental Practioners were not completely aware of the concepts and application of minimally invasive procedures and had little knowledge regarding caries detection methods and lacked in implementation of MID techniques in their daily practice

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Minimally Invasive Dentistry: Parent/Carer Perspectives on Atraumatic Restorative Treatments and Dental General Anaesthesia to the Management of Early Childhood Caries

Frontiers in Oral Health ◽

10.3389/froh.2021.656530 ◽

2021 ◽

Vol 2 ◽

Author(s):

Peter Arrow ◽

Helen Forrest ◽

Susan Piggott

Keyword(s):

Early Childhood ◽

Minimally Invasive ◽

General Anaesthesia ◽

Early Childhood Caries ◽

Cost Of Care ◽

Atraumatic Restorative Treatment ◽

Treatment Needs ◽

Minimally Invasive Dentistry ◽

Dental General Anaesthesia ◽

Childhood Caries

Introduction: Parents of children treated under dental general anaesthesia (DGA) have reported feelings of concern and anxiety. This study elicited the views of parents/carers (P/C) of children with early childhood caries (ECC) who participated in a randomised trial (core study) which tested the effectiveness of care under DGA or care using alternative minimally invasive Atraumatic Restorative Treatment and the Hall Technique approaches (ART/HT).Methods: P/C of children treated using the ART/HT (test) approach or care under a DGA (control) were interviewed. Focus group semi-structured interviews with P/C were undertaken in community facilities. The transcripts were read and inductively coded into domains to identify emergent themes. The codes were entered into NVivo software to assist data management and were further refined into broad themes.Results: Seven grouped interviews with 14 participants were conducted and one test participant provided a written response. Four groups with eight test participants; two groups with four control participants; and one combined group with one test and one control participant were interviewed. Five broad themes emerged after thematic analysis: (1) Impacts on the child and the family; (2) Child-/family-centred care; (3) Timeliness of care; (4) Affordable care; (5) Accessible care. Impacts were related to that of the effects of the disease, and of the care for the disease. Child-centred/family-centred care (CCC) was a source of appreciation by P/C of both groups when it was experienced. Frustration at the lack of timely care of their child's treatment needs, coupled with the perceived expensiveness of care and difficulties in physically getting to the location for a specialist consultation was expressed by P/Cs in the study.Discussion: The use of the ART/HT enabled the establishment of a relationship between the clinical team and the child and P/C which was central to the delivery of CCC. P/Cs in the DGA arm of the study expressed dissatisfaction more often with the issues of timely care, cost of care and accessibility of care. P/C of both groups were equally satisfied with the treatment, where treatment had been received in a timely, child-centred manner.Conclusion: The findings suggest that minimally invasive approaches which facilitated CCC are acceptable alternative options to the DGA and should be considered for the management of ECC.Australian New Zealand Clinical Trials Registry: ACTRN12616001124426.

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Non-Fluoridated Remineralising Agents - A Review of Literature

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/136 ◽

2021 ◽

Vol 10 (9) ◽

pp. 638-644

Author(s):

Akriti Batra ◽

Vabitha Shetty

Keyword(s):

Dental Caries ◽

Minimally Invasive ◽

Medical Model ◽

Acid Dissolution ◽

Invasive Approach ◽

Non Invasive ◽

Minimally Invasive Dentistry ◽

Phosphate Mineral ◽

Modifiable Factors ◽

Caries Management

Dental caries is not merely a continuous and one-way process of demineralisation of the mineral phase, but repeated episodes of demineralisations and remineralisation. The remineralisation process is a natural repair mechanism to restore the minerals again, in ionic forms, to the hydroxyapatite (HAP) crystal lattice. It occurs under nearneutral physiological pH conditions whereby calcium and phosphate mineral ions are redeposited within the caries lesion from saliva and plaque fluid resulting in the formation of newer HAP crystals, which are larger and more resistant to acid dissolution. An insight into the caries process’s multifactorial aetiopathogenesis has resulted in a paradigm shift towards minimally invasive dentistry. This era of personalised care using the medical model for caries management assimilates the signs of examining, diagnosing, intercepting, and managing dental caries at a microscopic level. Fluoride mediated salivary remineralisation system is considered the cornerstone of non-invasive approach for managing non-cavitated carious lesions. However, the effect of fluoride was found to be limited to the outer surface of the tooth, and it was observed that fluoride does not influence the modifiable factors in dental caries such as the biofilm. Hence, fluoride does not reduce the cariogenic challenge especially for high-risk individuals. Due to this gap in the conventional fluoride therapies, non-fluoridated remineralising systems have emerged, which interact with the tooth by delivering calcium and phosphorous ions, modifying the biofilm and neutralising the organic acids. This review re-examines the philosophy behind non-fluoridated remineralisation, their mode of action, availability in the market and evidence-based studies of the most promising advancements in remineralisation approaches. KEY WORDS Caries, Minimally Invasive Dentistry, Remineralisation, Non-Fluoridated Remineralising Systems

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