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.

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

scholarly journals Incipient caries lesions: from concept to actual treatment approaches

2014 ◽  
Vol 2 (5) ◽  
pp. 418
Author(s):  
Diana Araújo ◽  
Marina Alencar ◽  
Maria Cristina Freitas ◽  
Larissa Azevedo ◽  
Maria Atta ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Early Diagnosis ◽  
Minimally Invasive ◽  
Assessment System ◽  
Treatment Approaches ◽  
Actual Treatment ◽  
Clinical Procedures ◽  
Minimally Invasive Dentistry ◽  
Incipient Caries ◽  
Caries Lesions

The concepts introduced by the Minimally Invasive Dentistry (MID) allowed the rising of new conservative treatment and assessment system for caries lesions’ classification.  In this context, the approaches of the incipient caries lesions surpass the use of only traditional restorative techniques. The aim of this study was to review the new caries classifications criteria (ICDAS and CAST), the importance of the early diagnosis of caries lesions and the clinical procedures for treatment in MID.

scholarly journals Cetylpyridinium Chloride: Mechanism of Action, Antimicrobial Efficacy in Biofilms, and Potential Risks of Resistance

2020 ◽  
Vol 64 (8) ◽  
Author(s):  
Xiaojun Mao ◽  
David L. Auer ◽  
Wolfgang Buchalla ◽  
Karl-Anton Hiller ◽  
Tim Maisch ◽  
...  
Keyword(s):  
Mechanism Of Action ◽  
Cetylpyridinium Chloride ◽  
Oral Care ◽  
Public Health Care ◽  
Antimicrobial Efficacy ◽  
Ammonium Compound ◽  
Over The Counter ◽  
Wide Range ◽  
Potential Risks ◽  
Underlying Mechanisms

ABSTRACT Antimicrobial resistance is a serious issue for public health care all over the world. While resistance toward antibiotics has attracted strong interest among researchers and the general public over the last 2 decades, the directly related problem of resistance toward antiseptics and biocides has been somewhat left untended. In the field of dentistry, antiseptics are routinely used in professional care, but they are also included in lots of oral care products such as mouthwashes or dentifrices, which are easily available for consumers over-the-counter. Despite this fact, there is little awareness among the dental community about potential risks of the widespread, unreflected, and potentially even needless use of antiseptics in oral care. Cetylpyridinium chloride (CPC), a quaternary ammonium compound, which was first described in 1939, is one of the most commonly used antiseptics in oral care products and included in a wide range of over-the-counter products such as mouthwashes and dentifrices. The aim of the present review is to summarize the current literature on CPC, particularly focusing on its mechanism of action, its antimicrobial efficacy toward biofilms, and on potential risks of resistance toward this antiseptic as well as underlying mechanisms. Furthermore, this work aims to raise awareness among the dental community about the risk of resistance toward antiseptics in general.

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

2021 ◽  
Author(s):  
Ebtehal G. Albeshir ◽  
Abdulrahman A. Balhaddad ◽  
Heba Mitwalli ◽  
Xiaohong Wang ◽  
Jirun Sun ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Shrinkage Stress ◽  
Dual Function ◽  
Minimally Invasive Dentistry

scholarly journals Minimally Invasive Technologies for Treatment of HTS and Keloids: Fractional Laser

2020 ◽  
pp. 279-285
Author(s):  
M. Tretti Clementoni ◽  
E. Azzopardi
Keyword(s):  
Minimally Invasive ◽  
Burn Injury ◽  
State Of The Art ◽  
Skin Grafting ◽  
Complex Problem ◽  
Fractional Laser ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting ◽  
Insight Into

AbstractThis chapter presents a state-of-the-art insight into the use of fractional laser for the management of this complex problem. In particular, we focus on the management of complex scars such as those occurring post-burn injury and split-thickness skin grafting.

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