When first introduced, the term Minimal Intervention Dentistry (MID) referred to use of smaller and more conservative cavity preparations. Today, concept is much broader, being a philosophy of care related to risk assessment of individual patients, early detection of oral disease, targeted preventively orientated strategies and limited surgical intervention appropriate to level of disease1-3. “Extension for prevention” which was previously taught has been changed to “Prevention of extension”.
Though concept of MID has been stressed upon for more than a decade, but its uptake has not been global. MID should be the standard of care in modern dentistry, as it avoids over-zealous restorative interventions as well as supervised neglect. As dental profession worldwide grapples with challenges of dealing with high rates of dental diseases in socially disadvantaged and medically compromised patients, it is even more important to incorporate these concepts into practice to deal with challenge of management of oral diseases. This review focuses on the concept and techniques of minimal invasive dentistry as an emerging trend in paediatric dentistry.
Keywords: paediatric dentistry, MID
The deletion of chromosome 22q11.2 is described as Velocardiofacial Syndrome orDi George Syndrome. CATCH 22 stands for cardiac defect, abnormal faces, thymichypoplasia, cleft palate, hypocalcaemia.Other defects seen are velopharyngeal insufficiency with or without cleft palate,immune problems, feeding difficulties, hypocalcaemia, learning disabilities,behavioral abnormalities and lastly characteristic facial features.A high prevalence ofdental caries, abnormalities of tooth shape, eruption and number, and enamel defectssuch as hypomineralisation and hypoplasia are also seen in these patients.A case of 7year old child with Veligocardiofacial syndrome is discussed in thisarticle. Facial dysmorphism and common dental manifestations is typically noticeablein patients with this syndrome. Enamel aberrations related to hypocalcemia mayresult in a higher frequency of dental caries. The dentists need to be aware of thedental features of this condition in order to refer them to the adequate specialists.
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