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A new paradigm for operative dentistry.

G J Mount¹

¹Restorative Dentistry, The University of Adelaide, South Australia. gjmount@ozemail.com.au

Australian Dental Journal

|February 13, 2008

Summary

The dental profession should adopt a new paradigm for treating dental caries, recognizing it as a bacterial disease. This involves prioritizing bacterial identification and elimination, preserving tooth structure, and utilizing preventive strategies and minimally invasive techniques.

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Area of Science:

Operative Dentistry
Dental Public Health

Background:

GV Black established the dominant paradigm for operative dentistry over a century ago, focusing on the caries process.
Significant advancements in scientific methodology and understanding of oral diseases have occurred over the last 50 years.

Observation:

The traditional paradigm, while influential, may no longer be optimal given modern scientific knowledge.
A shift is needed to incorporate contemporary understanding of dental caries as a bacterial disease.

Findings:

A new paradigm for operative dentistry is proposed, emphasizing the bacterial nature of dental caries.
This approach prioritizes disease identification and elimination before restorative intervention.
Preservation of natural tooth structure, preventive strategies like remineralization, and minimally invasive techniques are central.

Implications:

Adopting this new paradigm necessitates a fundamental shift in dental education and practice.
It promotes a more conservative and biologically based approach to managing dental caries.
This evolution in operative dentistry aims for better long-term oral health outcomes.

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