Minimally Invasive Therapies for the Management of Dental Caries—A Literature Review

Desai, Hetal; Stewart, Cameron A.; Finer, Yoav

doi:10.3390/dj9120147

Cited by 40 publications

(47 citation statements)

References 182 publications

(273 reference statements)

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“…It is known that demineralized but non-cavitated enamel lesions can be remineralized [29]. Recent studies suggested that demineralized but structurally intact dentin can be remineralized as well [3]. Nonetheless, the traditional use of the probe has been recommended also in a recent monograph [30].…”

Section: Dental Cariesmentioning

confidence: 99%

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Dentistry in Russia: Past and Presence

Jargin¹

2022

J Oral Biol

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Objectives:The aim of this review was to analyze the development of dentistry in Russia since the 1970s with special reference to the diagnosis and treatment of caries. In this connection, the concept of minimally invasive dentistry is discussed.Study Design: This is a narrative review based on the Russian and international literature.Methods: The search of international literature was performed using PubMed. Russian-language publications were searched in the Internet, in libraries and the electronic database eLibrary.ru. Results:The motto of the Soviet healthcare was priority of prophylaxis, realized by medical checkups (so-called dispensarizations) at schools, factories and institutions. Initial and sometimes questionable caries was treated by dry cutting. The necessity to spare dental tissues has been undervalued. Early start of the restoration cycle, together with suboptimal quality of filling materials, caused enlargement of cavities and eventually led to fractures and extractions. Consent for the treatment was not always asked especially from children and adolescents or their parents. The overtreatment tendency of dental caries has been preserved until today. Besides, treatments potentially contributing to gingival recession are discussed. The large-scale privatization of dentistry since 1990 created new problems. Some practitioners avoid conservative treatment of advanced lesions in favor of prosthetics. Conclusion:Economical re-routing of dental practices is necessary, so that they could survive using preventive and minimallyinvasive methods more extensively. Improvements in ethical standards of healthcare providers and use of foreign expertise are needed.

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Section: Dental Cariesmentioning

confidence: 99%

“…In this connection, minimally invasive dentistry (MID) is discussed. The concept of MID applied for the caries treatment includes modified methods of tooth preparation based, as far as possible, on individual evaluation of the caries progression rate [1][2][3][4][5]. This concept is applicable also to periodontal conditions [6,7].…”

Section: Introductionmentioning

confidence: 99%

Dentistry in Russia: Past and Presence

Jargin¹

2022

J Oral Biol

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“…Fluoride has a long-term relationship with dental practice and preventive dentistry; documents older than 200 years refer to the probable link between fluoride and carious activity [5]. Future research seems to aim for improving the antimicrobial and anti-degradative properties of current restoration materials [6], associated with the modification of their composition in order to reduce microbial attachment and biofilm formation [7].…”

Section: Introductionmentioning

confidence: 99%

Review of Professionally Applied Fluorides for Preventing Dental Caries in Children and Adolescents

et al. 2022

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This review aims to evaluate the effectiveness of professional topical fluoride application on the prevention of dental caries in primary and permanent dentition. A web search was conducted for English papers published from 2000 to 2020, using various digital resources (Pubmed, Google Scholar, Cochrane Library, and ResearchGate). The keywords were “professionally applied fluoride”, “fluoride gel”, “fluoride varnish”, “fluoride foam”, “fluoride mouthrinses”, and “non-cavitated caries lesions”. Inclusion criteria: (a) participants: children and adolescents, treated in a dental care setting; (b) intervention: professionally applied fluorides (gel, varnish, foam, mouthrinse); (c) comparator: no professional treatment or other preventive treatments; (d) outcomes: clinical effectiveness (e.g., caries reduction, tooth remineralization); (e) study design: randomized controlled trials, systematic reviews, meta-analyses; (f) publication period: 1 January 2000–31 December 2021. Clinical studies about home-use fluoride products, discussion papers, in-vitro studies, case reports, non-English articles, and studies with unclear methodology were excluded. Topical fluoride applications are indicated for patients with active smooth surface caries and for patients in high caries risk groups. Both APF gel and fluoride varnish are effective and can be recommended for caries prevention in primary and permanent teeth. For children under the age of 6, only 2.26% fluoride varnish is recommended.

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“…As técnicas restauradoras convencionais utilizadas no tratamento da cárie envolvem a remoção de grandes quantidades da estrutura dentária para eliminar tecidos contaminados por bactérias cariogênicas, resistir às forças oclusais e remover a dentina desmineralizada (Li et al, 2018;Schwendick et al, 2021). No entanto, podem resultar em exposição pulpar, enfraquecimento da estrutura dentária e perda de vitalidade, o que implica na necessidade de tratamentos restauradores ainda mais complexos, que conduzem o dente à um ciclo restaurador repetitivo, referido como o "espiral da morte da restauração" (Barros et al, 2020;Desai;Li et al, 2018). Contudo, a chegada de materiais dentários adesivos e bioativos tornaram desnecessária a remoção extensa da estrutura dentária para retenção da restauração (Desai;.…”

Section: Introductionunclassified

Tratamento restaurador atraumático em dentes permanentes: uma revisão integrativa da literatura

Novais

Pinchemel²,

Mania³

2022

RSD

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Introdução: A Odontologia de Mínima Intervenção (MI) é uma filosofia de tratamento que considera o manuseio de lesões cariosas com técnicas conservadoras. Entre elas o Tratamento Restaurador Atraumático (ART). Esta pesquisa buscou revisar a literatura acerca da longevidade do ART com cimento de ionômero de vidro de alta viscosidade. Metodologia: Trata-se de um estudo de revisão integrativa da literatura em que os dados foram coletados a partir de estudos primários, por meio de análise sistemática qualitativa, seguindo os parâmetros do PRISMA. A partir da pergunta norteadora: “Qual é a longevidade das restaurações atraumáticas em dentes permanentes?” por meio dos critérios PICO, utilizando a base de dados PubMed. Resultados: Coleta de artigos, extração de dados. Foram selecionados 12 artigos entre os anos de 2005 e 2020 que se enquadraram ao tema. Países como Brasil e China foram os mais participativos. Foram encontrados resultados favoráveis quanto a utilização da técnica ART, em que o CIVAV apresentou resultados comparáveis à RC e superiores aos CIVs convencionais num período de acompanhamento de 1-5 anos. As marcas mais utilizadas nos estudos foram Maxion, Fuji II, Vitremer e Filtek. Uma das principais causas de falha foram perda do material/desgaste. Conclusão: foi possível concluir que apesar da heterogeneidade (quanto à melhor técnica e melhor material a ser utilizado), a ART possui bons resultados comparados a técnica convencional, não apresentando grandes diferenças significativas, e o CIVAV se equipara em sobrevida e sucesso à RC. Entretanto, a substituição pelos CIVs convencionais não assegura os mesmos resultados.

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Minimally Invasive Therapies for the Management of Dental Caries—A Literature Review

Cited by 40 publications

References 182 publications

Dentistry in Russia: Past and Presence

Dentistry in Russia: Past and Presence

Review of Professionally Applied Fluorides for Preventing Dental Caries in Children and Adolescents

Tratamento restaurador atraumático em dentes permanentes: uma revisão integrativa da literatura

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