Minimally Invasive Dentistry--concepts and techniques in cariology.

The concept 'Minimally Invasive Dentistry' can be defined as maximal preservation of healthy dental structures. Within cariology, this concept includes the use of all available information and techniques ranging from accurate diagnosis of caries, caries risk assessment and prevention, to technical procedures in repairing restorations. Dentists are currently spending more than half their time replacing old restorations. The main reasons for restoration failures are secondary caries and fractures, factors that are generally not addressed in the technical process of replacing a restoration. Prevailing concepts on minimally invasive dentistry seem to be 'product or technique-motivated', challenging one technique or product with another, rather than focusing on a general concept. New knowledge of caries progression rates has also led to substantial modification of restorative intervention thresholds and further handling of the disease. New diagnostic tools for caries lesion detection, caries risk assessment and focused preventive treatments have decreased the need for early restorative interventions. In parallel to this, new techniques for cutting teeth and removing decay have evolved. This paper focuses on describing minimally invasive dentistry in cariology from a conceptual perspective, relating to clinical caries diagnosis, restorative intervention thresholds and operative procedures, with special reference to survival of tunnel and slot restorations and to repair vs. replacement of defective restorations.

[1]  R. Barter.  Histomorphology of Minimally‐Invasive Cervical Squamous Cancer * , 1966, The Australian & New Zealand journal of obstetrics & gynaecology.

[2]  R. D. Cowan,et al.  Conservative amalgam restorations. , 1973, The Journal of prosthetic dentistry.

[3]  R. Simonsen.  Preventive resin restorations: three-year results. , 1980, Journal of the American Dental Association.

[4]  W. Loesche,et al.  Effect of improved Dycal and IRM on bacteria in deep carious lesions. , 1980, Journal of the American Dental Association.

[5]  A. Caputo,et al.  Antibacterial and mechanical properties of restorative materials combined with chlorhexidines. , 1983, Journal of oral rehabilitation.

[6]  N. Nuttall,et al.  Variation among dentists in planning treatment , 2022, British Dental Journal.

[7]  P. R. Hunt.  A modified Class II cavity preparation for glass ionomer restorative materials. , 1984, Quintessence international, dental digest.

[8]  I. Mjor.  Frequency of secondary caries at various anatomical locations. , 1985, Operative dentistry.

[9]  Current status of release of fluoride ions and other bioactive agents from dental materials: prospects for controlled release. , 1985, Critical reviews in therapeutic drug carrier systems.

[10]  Mjör Ia.  Frequency of secondary caries at various anatomical locations. , 1985 .

[11]  R. Simonsen.  The preventive resin restoration: a minimally invasive, nonmetallic restoration. , 1987, Compendium.

[12]  Caring for the dentate elderly. , 1989, International dental journal.

[13]  H. Staehle,et al.  The alkalizing properties of calcium hydroxide compounds. , 1989, Endodontics & dental traumatology.

[14]  M. Iwaku,et al.  Bactericidal efficacy of metronidazole against bacteria of human carious dentin in vivo. , 1989, Caries research.

[15]  Changing perceptions of the requirements of cavity preparations' , 1990, British Dental Journal.

[16]  Deterioration of Restorative Materials and the Risk for Secondary Caries , 1990, Advances in dental research.

[17]  W. Scherer,et al.  Antimicrobial properties of dental dentin-enamel adhesives. , 1990, Journal of esthetic dentistry.

[18]  P Axelsson,et al.  On the prevention of caries and periodontal disease. Results of a 15-year longitudinal study in adults. , 1991, Journal of clinical periodontology.

[19]  V. Qvist,et al.  Progression of Approximal Caries in Relation to Iatrogenic Preparation Damage , 1992, Journal of dental research.

[20]  V. Flack,et al.  Radiographic Secondary Caries Prevalence in Teeth with Clinically Defective Restorations , 1993, Journal of dental research.

[21]  D. Pashley,et al.  Antibacterial effectiveness of dentin bonding systems. , 1993, Dental materials : official publication of the Academy of Dental Materials.

[22]  J. Frencken,et al.  An atraumatic restorative treatment (ART) technique: evaluation after one year. , 1994, International dental journal.

[23]  Á. Della Bona,et al.  The strength of Class II composite resin restorations as affected by preparation design. , 1994, Quintessence international.

[24]  M. Torii,et al.  Incorporation of Bacterial Inhibitor into Resin Composite , 1994, Journal of dental research.

[25]  M. Wilson,et al.  Effect of dentine and collagen on the lethal photosensitization of Streptococcus mutans. , 1995, Caries research.

[26]  G. Eide,et al.  Cavity design and dimensions of tunnel preparations versus composite resin Class-II preparations. , 1995, Acta odontologica Scandinavica.

[27]  E. Kidd,et al.  Marginal Ditching and Staining as a Predictor of Secondary Caries Around Amalgam Restorations: A Clinical and Microbiological Study , 1995, Journal of dental research.

[28]  J. Bader,et al.  Variation in dentists' clinical decisions. , 1995, Journal of public health dentistry.

[29]  F. J. Fisher,et al.  Tunnel restorations: a long-term pilot study over a minimum of five years. , 1995, Journal of dentistry.

[30]  D. Locker,et al.  Is dental health education effective? A systematic review of current evidence. , 1996, Community dentistry and oral epidemiology.

[31]  D. Beighton,et al.  Criteria for caries removal at the enamel-dentine junction: a clinical and microbiological study , 1996, British Dental Journal.

[32]  E. Kay,et al.  Dentists' variability in restorative decisions, microscopic and radiographic caries depth. , 1996, Community dentistry and oral epidemiology.

[33]  M. Torii,et al.  Incorporation of Antibacterial Monomer MDPB into Dentin Primer , 1997, Journal of dental research.

[34]  I. Mjör,et al.  Marginal failures of amalgam and composite restorations. , 1997, Journal of dentistry.

[35]  P. Marsh,et al.  Physiological Approaches to the Control of Oral Biofilms , 1997, Advances in dental research.

[36]  M. Tyas,et al.  Determinants of quality in operative dentistry. , 1998, Critical reviews in oral biology and medicine : an official publication of the American Association of Oral Biologists.

[37]  F. R. von der Fehr,et al.  Saucer-shaped cavity preparations for posterior approximal resin composite restorations: observations up to 10 years. , 1998, Quintessence international.

[38]  L. Samaranayake,et al.  Caries removal techniques and instrumentation: a review , 1998, Clinical Oral Investigations.

[39]  VERGLEICH VERSCHIEDENER PRAPARATIONS- TECHNIKEN UND KAVITATENGESTALTUNGEN ZUR APPROXIMALEN ERSTVERSORGUNG , 1998 .

[40]  J. Frencken,et al.  Three-Year Survival of One-Surface ART Restorations and Glass-Ionomer Sealants in a School Oral Health Programme in Zimbabwe , 1998, Caries Research.

[41]  L. Hasselrot.  Tunnel restorations in permanent teeth. A 7 year follow up study. , 1998, Swedish dental journal.

[42]  L. Baratieri,et al.  The effect of finishing and polishing on the decision to replace existing amalgam restorations. , 1999, Quintessence international.

[43]  H. Stenlund,et al.  Incidence and Progression of Approximal Caries from 11 to 22 Years of Age in Sweden: A Prospective Radiographic Study , 1999, Caries Research.

[44]  C. Kreulen,et al.  Bacterial Counts in Carious Dentine under Restorations: 2–Year in vivo Effects , 1999, Caries Research.

[45]  E. C. Herrmann,et al.  Pronase Digestion of Carious Dentin , 1999, Caries Research.

[46]  D. Ericson,et al.  Clinical Evaluation of Efficacy and Safety of a New Method for Chemo–Mechanical Removal of Caries , 1999, Caries Research.

[47]  J. V. van Dijken,et al.  Durability of tunnel restorations in general practice: a three-year multicenter study. , 1999, Acta odontologica Scandinavica.

[48]  J. Frencken,et al.  How effective is ART in the management of dental caries? , 1998, Community dentistry and oral epidemiology.

[49]  I. Mjör,et al.  A review of atraumatic restorative treatment (ART). , 1999, International dental journal.

[50]  F Toffenetti,et al.  Secondary caries: a literature review with case reports. , 2000, Quintessence international.

[51]  J E Moorhead,et al.  Age of restorations at replacement in permanent teeth in general dental practice , 2000, Acta odontologica Scandinavica.

[52]  N. Lunder,et al.  Performance of tunnel restorations at 3-6 years. , 2000, Journal of dentistry.

[53]  E. Lynch,et al.  Antimicrobial Effect of a Novel Ozone– Generating Device on Micro–Organisms Associated with Primary Root Carious Lesions in vitro , 2000, Caries Research.

[54]  D. Birkhed,et al.  Evaluation of Carisolv™ for the Chemo–Mechanical Removal of Primary Root Caries in vivo , 2000, Caries Research.

[55]  M. Noack,et al.  Does chemomechanical caries removal affect dentine adhesion? , 2000, European journal of oral sciences.

[56]  T. Watson,et al.  Dentine caries excavation: a review of current clinical techniques , 2000 .

[57]  A. Tveit,et al.  Swedish dentists' decisions on preparation techniques and restorative materials , 2000, Acta odontologica Scandinavica.

[58]  G J Mount,et al.  Minimal intervention dentistry--a review. FDI Commission Project 1-97. , 2000, International dental journal.

[59]  T. Watson,et al.  In vitro Evaluation of Five Alternative Methods of Carious Dentine Excavation , 2000, Caries Research.

[60]  M. Peters,et al.  Minimally invasive operative care. I. Minimal intervention and concepts for minimally invasive cavity preparations. , 2001, The journal of adhesive dentistry.

[61]  I. Mjör,et al.  Current teaching of cariology in North American dental schools. , 2001, Operative dentistry.

[62]  D. McComb.  Systematic review of conservative operative caries management strategies. , 2001, Journal of dental education.

[63]  S. Rosenstiel.  Clinical diagnosis of dental caries: a North American perspective. , 2001, Journal of dental education.

[64]  D. Ericson,et al.  Development of a tissue-preserving agent for caries removal , 2001 .

[65]  R. Hickel,et al.  Longevity of restorations in posterior teeth and reasons for failure. , 2001, The journal of adhesive dentistry.

[66]  J. Bader,et al.  A systematic review of selected caries prevention and management methods. , 2001, Community dentistry and oral epidemiology.

[67]  Bo Krasse.  The Vipeholm Dental Caries Study: Recollections and Reflections 50 Years Later , 2001, Journal of dental research.

[68]  G. Truin,et al.  Effectiveness of Three Minimal Intervention Approaches for Managing Dental Caries: Survival of Restorations after 2 Years , 2001, Caries Research.

[69]  J. Beeley,et al.  [Chemo-mechanical caries removal: a review of the techniques and latest developments]. , 2001, Nederlands tijdschrift voor tandheelkunde.

[70]  N B Pitts,et al.  Clinical diagnosis of dental caries: a European perspective. , 2001, Journal of dental education.

[71]  I. Mejàre,et al.  Restorative treatment decisions on occlusal caries in Scandinavia , 2001, Acta odontologica Scandinavica.

[72]  G. Stookey,et al.  Emerging methods of caries diagnosis. , 2001, Journal of dental education.

[73]  V. Gordan,et al.  Replacement of resin-based composite: evaluation of cavity design, cavity depth, and shade matching. , 2002, Quintessence international.

[74]  I. Mjör,et al.  Failure, repair, refurbishing and longevity of restorations. , 2002, Operative dentistry.

[75]  S. Twetman,et al.  Evaluation of a Computer Program for Caries Risk Assessment in Schoolchildren , 2002, Caries Research.

[76]  M. Morgan,et al.  Caries, bitewings, and treatment decisions. , 2002, Australian dental journal.

[77]  S. Griffin,et al.  Reviews of evidence on interventions to prevent dental caries, oral and pharyngeal cancers, and sports-related craniofacial injuries. , 2002, American journal of preventive medicine.

[78]  N. Tinanoff,et al.  Clinical decision making for caries management in children. , 2002, Pediatric dentistry.

[79]  N. Pitts,et al.  The fate of 1,587 unrestored carious deciduous teeth: a retrospective general dental practice based study from northern England , 2002, British Dental Journal.

[80]  M. Noack,et al.  Primary preparation of class II cavities with oscillating systems. , 2002, American journal of dentistry.

[81]  D. McComb,et al.  A clinical comparison of glass ionomer, resin-modified glass ionomer and resin composite restorations in the treatment of cervical caries in xerostomic head and neck radiation patients. , 2002, Operative dentistry.

[82]  O. Fejerskov,et al.  What Constitutes Dental Caries? Histopathology of Carious Enamel and Dentin Related to the Action of Cariogenic Biofilms , 2004, Journal of dental research.