Minimally invasive dentistry

Our Minimally invasive dentistry (MID) philosophy look for addressing dental decay through minimally invasive technique and the preservation of tooth. This is based on the assessment of a patient’s caries risk and the application of the current therapies to prevent, control and treat the disease.

This is how we do it!

First: Early Caries Diagnosis:

The detection of carious lesions is focused on the identification of early mineral changes to allow the demineralisation process to be managed by non-invasive interventions.

Second: Methods for classification of caries depth and progression and assessment of individual risk:

We identify caries risk at early stage by recording patient history, clinical examination, nutritional analysis, salivary analysis and by using accurate caries diagnostic methodologies.

Third: Optimal Caries Preventive Measures:

• Diet counseling and sugar substitutes
• Pits and fissure sealants
• Antimicrobial agents and chemotherapeutic approaches

Following (if it were the case): Remineralisation of Early Lesions:

The earliest visual clinical sign of dental caries is the “white spot lesion.” When this is first seen, the carious process has been going on for months. These early lesions can be treated before cavitation and they are amenable to remineralisation.

• Tooth Brushing and Flossing Technique
• Recommendation of specific toothpastes and mouthrinses
• chewing gums
• Fluoride Varnish
• Glass ionomer cements (GIC)

Additionally, our protocols include minimal surgical intervention of caries lesions (if it were the case). Some of these procedures include:

• Atraumatic restorative treatment (ART)
• Chemo‐mechanical method of caries removal
• Silver diamine fluoride (SDF)
• Hall technique

Furthermore, repair rather than a replacement of defective restoration is part of the Minimally invasive dentistry:

However, decision to repair rather than replace a restoration always must be based on patient’s risk of developing caries, conservative approach of the repair and professional’s judgment of benefit versus risk.

Finally, assess disease management outcomes at intervals is mandatory:

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