The management of dental caries has undergone significant evolution in recent years. Contemporary practical strategies now emphasize early detection and prevention, along with diagnostic assessments based on risk indicators and factors.The latest management approaches prioritize the preservation of healthy tooth structure, aligningwith the principles of minimally invasive dentistry. These approaches aim to fulfill multiple objectives, including fostering a preventive mindset, tailoring risk assessments to individual patients, promptly identifying carious lesions, and promoting remineralization of non-cavitated lesions.Recognizing that restorative procedures can compromise tooth structure and potentially perpetuate a cycle of restoration and re-restoration, there's a growing emphasis on employing minimally invasive techniques when intervention is necessary. This involves strategies such as repair, refurbishment, or polishing rather than outright replacement of defective restorations.Moreover, when caries exposes the pulp, there's a shift towards more conservative management options,favoring vital pulp treatments (VPT) like partial or complete pulpotomy over pulpectomy.Despite advancements, many dentists still default to invasive procedures for managing dental caries and pulp conditions. However, transitioning to non-invasive and minimally invasive approaches in routine clinical practice will undoubtedly require time and concerted effort.This article provides an overview of minimally invasive dental caries control and explores various procedures employed in minimally invasive dentistry based on the extent of carious lesions. By presenting this information, readers will be better equipped to detect, diagnose, and treat dental caries in its early stages, as well as when it progresses to dentin, utilizing minimally invasive treatment modalities
The management of dental caries has undergone significant evolution in recent years. Contemporary practical strategies now emphasize early detection and prevention, along with diagnostic assessments based on risk indicators and factors.The latest management approaches prioritize the preservation of healthy tooth structure, aligningwith the principles of minimally invasive dentistry. These approaches aim to fulfill multiple objectives, including fostering a preventive mindset, tailoring risk assessments to individual patients, promptly identifying carious lesions, and promoting remineralization of non-cavitated lesions.Recognizing that restorative procedures can compromise tooth structure and potentially perpetuate a cycle of restoration and re-restoration, there's a growing emphasis on employing minimally invasive techniques when intervention is necessary. This involves strategies such as repair, refurbishment, or polishing rather than outright replacement of defective restorations.Moreover, when caries exposes the pulp, there's a shift towards more conservative management options,favoring vital pulp treatments (VPT) like partial or complete pulpotomy over pulpectomy.Despite advancements, many dentists still default to invasive procedures for managing dental caries and pulp conditions. However, transitioning to non-invasive and minimally invasive approaches in routine clinical practice will undoubtedly require time and concerted effort.This article provides an overview of minimally invasive dental caries control and explores various procedures employed in minimally invasive dentistry based on the extent of carious lesions. By presenting this information, readers will be better equipped to detect, diagnose, and treat dental caries in its early stages, as well as when it progresses to dentin, utilizing minimally invasive treatment modalities
| № | Имя автора | Должность | Наименование организации | 
|---|---|---|---|
| 1 | Kadirova Z.T. | Assistant | Alfraganus university | 
| № | Название ссылки | 
|---|---|
| 1 | 
                                                    1.European  Society  of  Endodontology  (Ese),  Duncan  H.  F.,  Galler  K.  M.,  et  al.  European Society  of  Endodontology  position  statement:  management  of  deep  caries  and  the  exposed pulp.International  Endodontic  Journal.2019;52:923–934. doi:10.1111/iej.13080.[PubMed] [CrossRef][Google Scholar]2.Lennon S., Duncan H. F. Minimally invasive endodontics –pulp fact or pulp fiction?Journal of the Irish Dental Association.2020;66:135–138. doi:10.1038/s41415-022-5316-1.[CrossRef][Google Scholar]3.Barrett  B.,  O’Sullivan  M.  Management  of  the  deep  carious  lesion:  a  literature review.Journal of the Irish Dental Association.2021;67:36–42.[Google Scholar]4.Deery C. Caries detection and diagnosis, sealants and management of the possibly carious fissure.British Dental Journal.2013;214(11):551–557. doi:10.1038/sj.bdj.2013.525.[PubMed] [CrossRef][Google Scholar]5.Innes N. P. T., Frencken J. E., Bjørndal L., et al. Managing cariouslesions:  consensus recommendations on terminology.Advances in Dental Research.2016;28(2):49–57. doi:10.1177/0022034516639276.[PubMed] [CrossRef][Google Scholar]6.Kidd E., Fejerskov O., Nyvad B. Infected dentine revisited.Dental Update.2015;42(9):802–809. doi:10.12968/denu.2015.42.9.802.[PubMed] [CrossRef][Google Scholar]7.Schwendicke F., Walsh T., Lamont T., et al. Interventions for treating cavitated or dentine carious lesions.Cochrane Database of Systematic Reviews.2021;7doi:10.1002/14651858.CD013039.pub2.CD013039[PMC free article][PubMed] [CrossRef][Google Scholar]8.Simon  S.,  Perard  M.,  Zanini  M.,  etal.  Should  pulp  chamber  pulpotomy  be  seen  as  a permanent treatment? Some preliminary thoughts.International Endodontic Journal.2013;46(1):79–87. doi:10.1111/j.1365-2591.2012.02113.x.[PubMed] [CrossRef][Google Scholar]9.Giacaman R. A., Muñoz-Sandoval C., Neuhaus K. W., Fontana M., Chalas R. Evidence-based strategies    for    the    minimally    invasive    treatment    of    carious    lesions:    review    of    the literature.Advances in Clinical and Experimental Medicine.2018;27(7):1009–1016. doi:10.17219/acem/77022.[PubMed] [CrossRef][Google Scholar]10.Labib  M.  E.,  Hassanein  O.  E.,  Moussa  M.,  Yassen  A.,  Schwendicke  F.  Selective  versus stepwise  removal  of  deep  carious  lesions  in  permanent  teeth:  a  randomised  controlled  trial from Egypt-aninterim analysis.BMJ Open.2019;9doi:10.1136/bmjopen-2019-030957.e030957[PMC free article][PubMed] [CrossRef][Google Scholar]11.Dorri M., Dunne S. M., Walsh T., Schwendicke F. Micro-invasive interventions for managing proximal  dental  decay  in  primary  and  permanent  teeth.Cochrane  Database  of  Systematic Reviews.2015;2015(11) doi:10.1002/14651858.CD010431.pub2.CD010431[PMC free article][PubMed] [CrossRef][Google Scholar]12.Schwendicke F., Splieth C. H., Bottenberg P., et al. How to intervene in the caries process in  adults:  proximal  and  secondary  caries?  An  EFCD-ORCA-DGZ  expert  Delphi consensus statement.Clinical   Oral   Investigations.2020;24(9):3315–3321.   doi:10.1007/s00784-020-03431-0.[PubMed] [CrossRef][Google Scholar]13.https://www.nlm.nih.gov/medline/medline_overview.html.14.Urquhart O., Tampi M. P., Pilcher L., et al. Nonrestorative treatments for caries: systematic review     and     network     meta-analysis.Journal     of     Dental     Research.2019;98(1):14–26. doi:10.1177/0022034518800014.[PMC free article][PubMed] [CrossRef][Google Scholar]15.Featherstone  J.  D.  B.,  Doméjean  S.  Minimal  intervention  dentistry:  part  1.  From ‘compulsive’  restorative  dentistry  to  rational  therapeutic  strategies.British    Dental Journal.2012;213(9):441–445.  doi:10.1038/sj.bdj.2012.1007.[PubMed]  [CrossRef][Google Scholar]16.Nyvad B., Crielaard W., Mira A., Takahashi N., Beighton D. Dental caries from a molecular microbiological perspective.Caries Research.2013;47(2):89–102. doi:10.1159/000345367.[PubMed] [CrossRef][Google Scholar]17.Frencken  J.  E.,  Peters  M.  C.,  Manton  D.  J.,  Leal  S.  C.,  Gordan  V.  V.,  Eden  E.  Minimal intervention   dentistry   for   managing   dental   caries -a   review:   report   of   a   FDI   task group.International  Dental  Journal.2012;62(5):223–243.  doi:10.1111/idj.12007.[PMC  free article][PubMed] [CrossRef][Google Scholar]18.Makhija  S.  K.,  Bader  J.  D.,  Shugars  D.  A.,  et  al.  Influence  of  2  caries-detecting  devices  on clinical  decision  making  and  lesion  depth  for  suspicious  occlusal  lesions:  a  randomized  trial from  the  National  Dental  Practice-Based  Research  Network.Journal  of  The  American  Dental Association.2018;149(4):299–307.e1. doi:10.1016/j.adaj.2017.11.001.[PMC free article][PubMed] [CrossRef][Google Scholar]19.Brouwer  F.,  Askar  H.,  Paris  S., Schwendicke  F.  Detecting  secondary  caries  lesions:  a systematic   review   and   meta-analysis.Journal   of   Dental   Research.2016;95(2):143–151. doi:10.1177/0022034515611041.[PubMed] [CrossRef][Google Scholar]20.Kocak N., Cengiz-Yanardag E. Clinical performance of clinical-visual examination, digital bitewing   radiography,   laser   fluorescence,   and   near-infrared   light   transillumination   for detection    of    non-cavitated    proximal    enamel    and    dentin    caries.Lasers    in    Medical Science.2020;35(7):1621–1628. doi:10.1007/s10103-020-03021-2.[PubMed] [CrossRef][Google Scholar]21.Gomez     J.     Detection     and     diagnosis of     the early     caries     lesion.BMC     Oral Health.2015;15(1):p.   S3.   doi:10.1186/1472-6831-15-s1-s3.[PMC   free   article][PubMed] [CrossRef][Google Scholar]22.Momoi  Y.,  Hayashi  M.,  Fujitani  M.,  et  al.  Clinical  guidelines  for  treating  caries  in  adults following  a  minimal  intervention  policy--evidence  and  consensus  based  report.Journal  of Dentistry.2012;40(2):95–105. doi:10.1016/j.jdent.2011.10.011.[PubMed] [CrossRef][Google Scholar]23.Young D. A., Nový B. B., Zeller G. G., et al. The American dental association caries classification  system  for  clinical  practice:  a  report  of  the  American  dental  association  council on    scientific    affairs.Journal    of    The    American    Dental    Association.2015;146(2):79–86. doi:10.1016/j.adaj.2014.11.018.[PubMed] [CrossRef][Google Scholar]24.Dikmen B. Icdas II criteria (international caries detection and assessment system)Journal of Istanbul University Faculty of Dentistry.2015;49(3):63–72. doi:10.17096/jiufd.38691.[PMC free article][PubMed] [CrossRef][Google Scholar]25.Kuhnisch J., Dietz W., Stosser L., Hickel R., Heinrich-Weltzien R. Effects of dental probing on occlusal surfaces--a scanning electron microscopy evaluation.Caries Research.2007;41(1):43–48. doi:10.1159/000096104.[PubMed] [CrossRef][Google Scholar]26.Alammar R., Sadaf D.  Accurate detection of non-cavitated proximal caries in posterior permanent teeth: an in vivo study  |