The revolutionary evolution in carious lesion management.

Area of Science:

• Dentistry
• Oral Health
• Caries Management

Background:

• Traditional dental caries management relied on operative, invasive techniques.
• Contemporary paradigms emphasize biological approaches to disease and lesion treatment.

Purpose of the Study:

• To review the evolution of caries management from invasive to biological approaches.
• To explain the rationale and principles of biological caries management.
• To detail evidence-based biological lesion management strategies.

Main Methods:

• Narrative review of the evolution of caries management.
• Analysis of current biological approaches and their evidence base.
• Collating clinical pathways based on practice guidelines.

Main Results:

• Dental caries management has evolved towards minimally invasive biological strategies.
• Five core principles underpin modern biological caries management.
• Current evidence supports various biological approaches for lesion management.

Conclusions:

• The biological rationale and evidence support a shift to modern caries management.
• Clinicians can utilize presented pathways for informed decision-making.
• Adoption of biological approaches is encouraged for dental practitioners.