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Minimum intervention dentistry in the US: an update from a cariology perspective
Constanza E Fernández1, Carlos González-Cabezas2, Margherita Fontana3
1Cariology Unit, Department of Oral Rehabilitation, Faculty of Health Sciences, University of Talca, Talca, Chile.
British Dental Journal
|October 10, 2020
Summary
The US dental field is shifting towards evidence-based minimum intervention dentistry (MID) for caries management. Educational reforms and clinical guidelines aim to bridge the gap between research and practice, promoting less invasive dental procedures.
Area of Science:
- Dental Science
- Cariology
- Evidence-Based Dentistry
Background:
- A significant gap exists between evidence supporting non-invasive caries management and current US dental practices.
- US dentistry remains heavily reliant on invasive procedures, despite strong scientific evidence for alternatives.
Purpose of the Study:
- To describe recent US efforts in education and clinical practice to promote evidence-based cariology and a minimum intervention dentistry (MID) philosophy.
- To highlight strategies aimed at integrating minimally invasive dental procedures into routine practice.
Main Methods:
- Development and dissemination of a competency-based core cariology curriculum framework.
- Ongoing initiatives by organized dentistry, educators, researchers, and practitioners.
- Development of evidence-based clinical practice guidelines by the American Dental Association.
Main Results:
- Educational reforms are underway, with potential changes to national accreditation standards for caries management.
- Collaborative efforts are actively promoting cariology concepts and MID strategies among dental professionals.
- Evidence-based clinical practice guidelines are being developed to support best practices in caries management.
Conclusions:
- Despite challenges, ongoing strategies offer opportunities to expand the implementation of minimum intervention dentistry in the US.
- These efforts foster optimism for future improvements in dental caries management through evidence-based, minimally invasive approaches.
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