Minimal intervention dentistry — a review

Tyas, Martin J.; Anusavice, Kenneth J.; Frencken, Jo E.; Mount, Graham J.

doi:10.1111/j.1875-595x.2000.tb00540.x

Cited by 520 publications

(364 citation statements)

References 54 publications

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“…The results of the survey should also be seen in the context of the changing care philosophies for dental caries which have seen both national and international moves away from an exclusively 'restorative' focus towards a more 'preventive' focus. 3,5,11,13 The developments made in recent years by the International Caries Detection and Assessment System (ICDAS) Group 7 will hopefully, in the future, provide an evidence-based framework to link the fields of epidemiology and clinical practice more closely, as well as facilitating future systematic reviews and knowledge transfer.…”

Section: Dental Caries Estimates In Surveys Related To Findings In CLmentioning

confidence: 99%

The dentinal caries experience of children in the United Kingdom, 2003

Pitts

Chestnutt

Evans³

et al. 2006

Br Dent J

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BackgroundThe 2003 Children's Dental Health Survey is the fourth in a series of decennial national children's dental health surveys. Aims This paper reports the survey-derived estimates of dentinal caries experience of children aged five, eight, 12 and 15 years, considering the trends over recent decades and the position in 2003 following changes in disease presentation and the use of additional criteria. Methodology A representative UK sample of children in the four specified age groups were invited to participate in a clinical dental examination in school. A total of 12,698 children were sampled and 10,381 were examined (82%). Examinations were undertaken in school by trained and calibrated examining teams using reclining chairs and portable lights, the criteria were visual, limited to dentine caries and no diagnostic aids were employed. In order to compare trend data with 1993 and earlier surveys the criteria allowed the reclassification of the full 2003a results (those including cavities and visual dentine caries -D 3cv MFT/d 3cv mft) according to the previous criteria to produce results labelled 2003b (those restricted to dentinal cavities -D 3c MFT/d 3c mft). Results and conclusionsThe experience of obvious dentinal caries in children within the UK has continued to change over the last decade and patterns are different for the two dentitions. While continuing overall improvements are evident for permanent teeth across the UK (D 3c for 15-year-old children falling from 42% in 1983, via 30% in 1993 to 13% in 2003 for example), trends amongst those experiencing dentinal caries are more concerning and there have been no statistically significant improvements for primary teeth (the mean number of teeth with obvious dentine decay (d 3c ) at age five years being 1.3 in 1983 and 1.4 in both 1993 and 2003). The inclusion in the criteria of visual dentinal caries resulted in higher estimates of mean caries and mean caries experience in the permanent dentition (at age 15 years D 3 increasing from 0.2 to 0.8, D 3 MFT increasing from 1.6 to 2.0 for example) but not the primary dentition (where the estimates for % d 3 mft at age five years were identical at 43%). Geographic variations also persist across the UK (% with D 3cv MFT at 12 years being 41% for England, 54% Wales, 73% Northern Ireland and 43% for the UK; % with d 3cv mft at age 5 years: 41% for England, 52% Wales, 61% Northern Ireland and 43% for the UK). These survey results have implications for planning and for daily practice, but must be interpreted carefully acknowledging the specific survey conditions and diagnostic criteria employed.

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Section: Dental Caries Estimates In Surveys Related To Findings In CLmentioning

confidence: 99%

The dentinal caries experience of children in the United Kingdom, 2003

Pitts

Chestnutt

Evans³

et al. 2006

Br Dent J

View full text Add to dashboard Cite

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“…It is based on conservative principles such as remineralization of early lesions, reduction in cariogenic bacteria, repair of defective restorations, disease control and minimum surgical intervention (MSI) [55]. In this regard a number of MSI restorative techniques such as preventive resin restorations [14,36,51,59], preventive glass-ionomer restorations [21,38,50], ART restorations [7,8], tunnel restorations [17,19] and posterior approximal miniboxes and microchips [18] have been proposed for the treatment of decayed teeth.…”

Section: Introductionmentioning

confidence: 99%

Proximal direct composite restorations and chairside CAD/CAM inlays: Marginal adaptation of a two-step self-etch adhesive with and without selective enamel conditioning

2006

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The aim of this study was to evaluate the marginal adaptation of CEREC ceramic inlays, CEREC composite inlays and direct composite restorations in unbeveled proximal slot cavities under artificial aging conditions. Two groups of each restoration type were prepared (n=6), one group with a self-etch adhesive, the other group with H 3 PO 4 enamel etching before the self-etch adhesive application. Replicas were generated before and after long-term thermo-mechanical loading under dentinal fluid simulation and margins were evaluated at ×200 magnification in the scanning electron miscroscope (SEM). Statistically, significant differences were found before and after loading with respect to the percentages of "continuous margins", the direct composite filling with H 3 PO 4 enamel etching giving the lowest percentages of "continuous margins" after loading (p<0.05). The highest percentage of "continuous margin" was attained by composite inlays without H 3 PO 4 enamel etching. However, these results were not significantly different from ceramic inlays after stressing. Polymerization shrinkage is still one critical property of composite restorative materials. The marginal adaptation of indirect adhesive proximal slot restorations without enamel bevels both fabricated out of composite and ceramic is better than that of directly placed composite restorations.

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“…In addition, microleakage caused by the shrinkage of composite resin during curing has always occurred between resin-dentinal interfaces, and allows bacteria to invade deeply, frequently resulting in postoperative complications, including recurrent caries, postoperative sensitivity, marginal discoloration, and pulp inflammation (2). Recently, the concept of minimal intervention dentistry (MI) is being more widely accepted by clinicians (3), so that conservation of the infected tooth structure has become more important. However, this increases the likelihood that some active bacteria will remain in the cavity.…”

Section: Introductionmentioning

confidence: 99%

Antibacterial effects of three experimental quaternary ammonium salt (QAS) monomers on bacteria associated with oral infections

et al. 2008

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The aim of this study was to test the antibacterial effects of three experimental quaternary ammonium salt monomers in order to evaluate their potential applications as dental materials. In vitro susceptibility testing of the monomers was performed by the broth dilution method on bacteria associated with oral infections: Streptococcus mutans ATCC 25175, Actinomyces viscosus ATCC 15987, Staphylococcus aureus ATCC 29213 and Lactobacillus casei ATCC 393. The time-kill kinetics of the monomer with relatively higher antibacterial activity against S. mutans were also investigated. It was found that all the tested bacteria strains were susceptible to the three monomers, among which methacryloxylethyl cetyl ammonium chloride (DMAE-CB) exhibited the lowest minimal inhibitory concentrations, ranging from 1.2 to 4.8 µg/ml. The time-kill curve showed that DMAE-CB achieved 99.44% killing at 19.2 µg/ml (4 times the minimal bactericidal concentration) against S. mutans after 1 min and 100% killing within 10 min of contact. This result indicates that the quaternary ammonium salt monomer DMAE-CB may be a candidate antibacterial agent for incorporation into dental restorative materials. (J. Oral Sci. 50, [323][324][325][326][327] 2008) Keywords: quaternary ammonium salt; antibacterial effect; oral pathogenic bacteria; monomer; dental material.

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Minimal intervention dentistry — a review

Cited by 520 publications

References 54 publications

The dentinal caries experience of children in the United Kingdom, 2003

The dentinal caries experience of children in the United Kingdom, 2003

Proximal direct composite restorations and chairside CAD/CAM inlays: Marginal adaptation of a two-step self-etch adhesive with and without selective enamel conditioning

Antibacterial effects of three experimental quaternary ammonium salt (QAS) monomers on bacteria associated with oral infections

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