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Minimal intervention dentistry--a review. FDI Commission Project 1-97.
M J Tyas1, K J Anusavice, J E Frencken
1School of Dental Science, University of Melbourne, Australia.
International Dental Journal
|August 17, 2000
Summary
Minimal intervention dentistry, informed by caries process understanding and new materials, emphasizes healing demineralized teeth over surgical removal. This approach re-evaluates traditional caries treatment methods.
Area of Science:
- Dental science
- Caries research
- Restorative dentistry
Background:
- The understanding of the caries process has advanced significantly.
- Development of novel adhesive restorative materials has occurred.
- Traditional caries treatment concepts, such as 'extension for prevention', are being re-evaluated.
Purpose of the Study:
- To provide an overview of minimal intervention dentistry concepts.
- To describe minimally invasive operative techniques.
- To review existing clinical studies on minimal intervention dentistry.
Main Methods:
- Literature review of minimal intervention dentistry.
- Overview of the caries process.
- Description of minimally invasive operative techniques.
- Review of clinical studies.
Main Results:
- Demineralised but non-cavitated enamel and dentine can be healed.
- The traditional surgical approach to caries is no longer considered tenable.
- Minimal intervention dentistry offers an alternative to conventional treatment.
Conclusions:
- Minimal intervention dentistry represents a paradigm shift in caries management.
- Minimally invasive techniques are supported by clinical evidence.
- Further research and clinical application of minimal intervention dentistry are warranted.