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Related Experiment Video

Updated: Mar 24, 2026

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Minimally Invasive Long-Term Management of Direct Restorations: the '5 Rs'.

David Green, Louis Mackenzie, Avijit Banerjee

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    Minimally invasive (MI) dentistry offers a conservative approach to managing failing dental restorations. This strategy focuses on preserving tooth structure and endodontic health through techniques like reviewing, resealing, refurbishing, repairing, or replacing restorations.

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    Area of Science:

    • Conservative Dentistry
    • Restorative Dentistry
    • Dental Materials

    Background:

    • Direct restorations are complex and controversial in conservative dentistry.
    • Managing deteriorating or failed restorations is a significant part of general dental practice.
    • Current management strategies often involve invasive procedures, leading to loss of tooth structure.

    Purpose of the Study:

    • To discuss the practical application of minimally invasive (MI) techniques for direct coronal restorations.
    • To provide an update on contemporary MI clinical procedures for managing failing restorations.
    • To highlight the benefits of MI approaches in preserving natural tooth structure and endodontic health.

    Main Methods:

    • Review of current literature on minimally invasive dentistry.
    • Discussion of the '5 Rs' (reviewing, resealing, refurbishing, repairing, replacing) for direct restorations.
    • Analysis of contemporary clinical procedures for MI restorative dentistry.

    Main Results:

    • Minimally invasive (MI) techniques can be practically applied to the management of failing direct restorations.
    • The '5 Rs' framework provides a structured approach to MI management.
    • Contemporary MI procedures aim to preserve tooth structure and endodontic health.

    Conclusions:

    • Minimally invasive dentistry is a viable and beneficial approach for the long-term management of direct restorations.
    • Adopting MI techniques can help preserve natural tooth structure and prolong the life of restorations.
    • This approach aligns with conservative principles and can reduce the need for more invasive treatments.