Minimal intervention dentistry: part 7. Minimally invasive operative caries management: rationale and techniques

BDJ ◽  
2013 ◽  
Vol 214 (3) ◽  
pp. 107-111 ◽  
Author(s):  
A. Banerjee
Keyword(s):  
Minimally Invasive ◽  
Minimal Intervention ◽  
Caries Management

Achieving Aesthetic Results by Using Laser in Minimally Invasive Dentistry Approach

2017 ◽  
Vol 34 (3) ◽  
pp. 123-128
Author(s):  
Natalia Elson ◽  
Irene Brandes
Keyword(s):  
Minimally Invasive ◽  
Cosmetic Surgery ◽  
Surgical Intervention ◽  
Thermal Stimulus ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Technology Application ◽  
Laser Technology ◽  
Minimally Invasive Dentistry ◽  
Caries Management

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.

scholarly journals Non-Fluoridated Remineralising Agents - A Review of Literature

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

Minimally invasive caries management in children: when to use what treatment

2021 ◽  
Vol 128 (7/8) ◽  
pp. 359-364
Author(s):  
A.C.C. Hollanders ◽  
N.G. Blanksma ◽  
D.J. Manton
Keyword(s):  
Minimally Invasive ◽  
Caries Management

Minimally Invasive Techniques Used for Caries Management in Dentistry. A Review

2021 ◽  
Vol 45 (4) ◽  
pp. 224-232
Author(s):  
Paul J Torres ◽  
Hanthao T. Phan ◽  
Ana K. Bojorquez ◽  
Franklin Garcia-Godoy ◽  
Lilliam M Pinzon
Keyword(s):  
Minimally Invasive ◽  
Glass Ionomer Cement ◽  
Minimally Invasive Techniques ◽  
Glass Ionomer ◽  
High Concentration ◽  
Posterior Teeth ◽  
Caries Management ◽  
Invasive Techniques ◽  
Silver Compounds ◽  
Ionomer Cement

Objective: Minimally invasive techniques that use silver compounds and glass ionomer cement are suggested for caries management due to their effectiveness, simplicity, and low cost. The aim of this review is to examine the evidence supporting the use of silver compounds and glass ionomer cement in dentistry. Study design: Literature was searched using PubMed, Elsevier, EBSCO, Google scholar, AAPD and UABC’s database from 1958 to 2018 with the keywords: “Silver nitrate”, “silver diamine fluoride”, and “glass ionomer cement”. The selected studies were then fully read to prove their relevance for this review. Results: The use of glass ionomer cement and silver compounds were shown to be effective in arresting caries. These compounds reduce cariogenic microorganisms. Their chemical properties inhibit bacterial growth while promoting remineralization. They are simpler and less time consuming than conventional restorations. They also cause less discomfort and anxiety to patients. Silver compounds were shown to stain teeth and may burn the cornea if used in high concentration. These disadvantages limit the use of silver compounds to posterior teeth and require caution when handling. Conclusions: Minimally invasive therapies are easy to apply, non-invasive and affordable. Further studies should be done to provide more evidence of these techniques for caries management.

scholarly journals Biomineralization and Biomaterial Considerations in Dentin Remineralization

2016 ◽  
Vol 1 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Xu Zhang ◽  
Zuohui Xiao ◽  
Haorong Wang ◽  
Anil Kishen
Keyword(s):  
Minimally Invasive ◽  
Type I Collagen ◽  
Organic Matrix ◽  
Type I ◽  
Hard Tissue ◽  
The Past ◽  
Organic Matrices ◽  
Caries Management ◽  
Inorganic Matrix ◽  
Demineralized Dentin

ABSTRACT Dentin is a composite hard tissue, comprising of inorganic and organic matrices, and regulated by many proteins during development. The demineralization of dentin results from the loss of inorganic matrix [mainly hydroxyapatite (HAP)], but the organic matrix (mainly type I collagen) will sustain for a period of time after demineralization. Over the past decade, there has been a growing interest on the remineralization of demineralized dentin, primarily in connection with minimally invasive caries management. More and more biomaterials and methods are currently being evaluated to achieve newer approaches for the remineralization of demineralized dentin. These strategies are mostly based on biomimetic approaches and aim to achieve the characteristics of natural hard tissue. This article will present a complete review on the basic compositions and properties of dentin, which formed the basis for the biomimetic remineralization of demineralized dentin. How to cite this article Zhang X, Xiao Z, Wang H, Kishen A. Biomineralization and Biomaterial Considerations in Dentin Remineralization. J Oper Dent Endod 2016;1(1):7-12.

scholarly journals Air Abrasion: Truly Minimally Invasive Technique

2011 ◽  
Vol 1 (2) ◽  
pp. 105-107 ◽  
Author(s):  
Imran Farooq ◽  
Zonera Imran ◽  
Umer Farooq
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Air Abrasion ◽  
Minimal Intervention ◽  
Novel Materials ◽  
Minimally Invasive Dentistry ◽  
Dental Procedures ◽  
Made In

ABSTRACT Minimally invasive dentistry concept is now an essential part of dental procedures. Many novel materials and techniques have now been developed that are in line with the MI (minimal intervention) philosophy. One such technique is air abrasion. An attempt has been made in this article to cover all the aspects of air abrasion and to remove the misconceptions present about this technique.

scholarly journals State of the Art Enamel Remineralization Systems: The Next Frontier in Caries Management

2018 ◽  
Vol 53 (3) ◽  
pp. 284-295 ◽  
Author(s):  
Nebu Philip
Keyword(s):  
Minimally Invasive ◽  
Mechanism Of Action ◽  
State Of The Art ◽  
Oral Care ◽  
Enamel Caries ◽  
Minimally Invasive Dentistry ◽  
Caries Management ◽  
High Fluoride ◽  
Potential Risks ◽  
Caries Lesions

The principles of minimally invasive dentistry clearly dictate the need for clinically effective measures to remineralize early enamel caries lesions. While fluoride-mediated remineralization is the cornerstone of current caries management philosophies, a number of new remineralization strategies have been commercialized or are under development that claim to promote deeper remineralization of lesions, reduce the potential risks associated with high-fluoride oral care products, and facilitate caries control over a lifetime. These non-fluoride remineralizing systems can be broadly categorized into biomimetic enamel regenerative technologies and the approaches that repair caries lesions by enhancing fluoride efficacy. This paper discusses the rationale for non-fluoride remineralization and the mechanism of action, challenges, and evidence behind some of the most promising advances in enamel remineralization therapies.

Minimal intervention dentistry and older patients part 2: minimally invasive operative interventions

Dental Update ◽  
2014 ◽  
Vol 41 (6) ◽  
pp. 500-505 ◽  
Author(s):  
Martina Hayes ◽  
Edith Allen ◽  
Cristiane da Mata ◽  
Gerald McKenna ◽  
Francis Burke
Keyword(s):  
Minimally Invasive ◽  
Older Patients ◽  
Minimal Intervention

The Past, Present and Future of Facial Plastic and Reconstructive Surgery: Facelift

2019 ◽  
Vol 35 (04) ◽  
pp. 353-357 ◽  
Author(s):  
Elizabeth Floyd ◽  
Stephen W. Perkins
Keyword(s):  
Minimally Invasive ◽  
Reconstructive Surgery ◽  
Surgical Procedure ◽  
Surgical Intervention ◽  
Facial Rejuvenation ◽  
Minimal Intervention ◽  
Plastic And Reconstructive Surgery ◽  
The Past ◽  
The Future ◽  
Facial Plastic

AbstractFacelift or rhytidectomy has been performed in some form for over 100 years. This article seeks to explore the evolution of this surgical procedure, focusing on the advances of the most recent 40 years. From minimal intervention to aggressive techniques and back to the minimally invasive again, the authors follow the journey of surgical intervention for facial rejuvenation and discuss some thoughts for the future.

scholarly journals Silver diamine fluoride - Magic alternative in caries management: A review

2021 ◽  
Vol 8 (2) ◽  
pp. 47-51
Author(s):  
Pallavi Anand ◽  
Pulkit Jhingan ◽  
Manvi Malik ◽  
Shivani Mathur ◽  
Vinod Sachdev
Keyword(s):  
Minimally Invasive ◽  
Potassium Iodide ◽  
Age Groups ◽  
Caries Prevention ◽  
Silver Diamine Fluoride ◽  
Form And Function ◽  
Commercial Use ◽  
Caries Management ◽  
And Function ◽  
Dentinal Hypersensitivity

Silver diamine fluoride (SDF) is a clear and odorless liquid used for dentinal hypersensitivity and arresting caries unless there’s no pulpal involvement for all age groups across all countries. Discoveries let us change old paradigms with the new ones. SDF being cleared for commercial use now can help in achieving the all-time goal of caries prevention. Various studies have established that options like potassium iodide and different restorations can help mask the staining problem of SDF. This can restore form and function as well for the teeth. With the unimaginable COVID 19 situation, dentistry has realized the importance of minimally invasive interventions than ever before. SDF is a blessing in such challenging times and it may be the magical alternative to caries management in the future.

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