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[Must caries be completely removed?].

P R Hotz1

  • 1Klinik für Zahnerhaltung, Universität Bern. peter.hotz@zmk.unibe.ch

Schweizer Monatsschrift Fur Zahnmedizin = Revue Mensuelle Suisse D'Odonto-Stomatologie = Rivista Mensile Svizzera Di Odontologia E Stomatologia
|April 24, 2003
PubMed
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Conservative cavity preparations are evolving with new materials, but complete removal of infected dentin remains essential for effective caries management, despite potential remineralization benefits.

Area of Science:

  • Restorative Dentistry
  • Cariology
  • Dental Materials Science

Context:

  • Advancements in restorative techniques and materials enable more conservative cavity preparations.
  • This shift raises critical questions regarding the consequences of incomplete caries removal and adhesive bond strengths to demineralized tooth structure.

Purpose:

  • To evaluate the implications of incomplete caries removal in conservative preparations.
  • To assess the bond strength of dental adhesives to demineralized enamel and dentin.
  • To compare non-invasive caries management with conventional restorations.

Summary:

  • Non-invasive management of carious lesions, promoting remineralization, presents a promising alternative to traditional restorations.
  • Adhesive bond strengths to demineralized enamel appear comparable to those on healthy enamel.

Related Experiment Videos

  • Modern restorative technologies cannot guarantee caries arrest; complete removal of infected dentin is still crucial.

    • Impact:

    • Highlights the necessity of complete infected dentin removal, regardless of restorative material choice.
    • Informs clinical decisions regarding conservative cavity preparations and caries management strategies.
    • Underscores the limitations of current technologies in definitively arresting the carious process.