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Current strategies in dentin remineralization.

Marcela Hernández1, Deborah Cobb, Edward J Swift

  • 1Department of Family Dentistry, College of Dentistry, The University of Iowa, Iowa City, IA, USA.

Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [Et Al.]
|March 12, 2014
PubMed
Summary

Partial caries removal aims to preserve tooth structure by removing infected dentin and sealing affected dentin to promote remineralization. New bioactive materials offer advanced strategies for dentin repair and biomimetic remineralization.

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Area of Science:

  • Dentistry
  • Biomaterials Science

Background:

  • Partial caries removal conserves tooth structure and prevents pulp damage.
  • Caries-infected dentin is removed, while affected dentin is preserved and sealed.
  • Fluoride-releasing glass ionomers are common for remineralization.

Purpose of the Study:

  • To summarize current literature on dentin remineralization.
  • To clarify the understanding of dentin remineralization processes.
  • To describe current strategies for dentin repair and remineralization.

Main Methods:

  • Literature review and critical appraisal.
  • Analysis of current clinical practices in partial caries removal.
  • Evaluation of bioactive materials and remineralization strategies.

Main Results:

  • Bioactive cements and adhesives show potential for dentin repair.
  • Strategies include calcium-phosphate (Ca-P) ion release and biomimetic remineralization.
  • Biomimetic remineralization is effective for acid-etched dentin with incomplete adhesive infiltration.

Conclusions:

  • Partial caries removal is a valuable clinical approach.
  • Bioactive materials offer promising avenues for enhanced dentin remineralization.
  • Understanding remineralization mechanisms is key to improving dental restorative procedures.