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:
We recall our patients every three or six months in order to reduce the recurrence of caries.
- Frencken JE, Peters MC, Manton DJ, Leal SC, Gordan VV, Eden E. Minimal intervention dentistry for managing dental caries – A review: Report of a FDI task group. Int Dent J 2012;62:223‐43.
- American Academy of Pediatric Dentistry Guideline on periodicity of examination, preventive dental services, anticipatory guidance, and oral treatment for children. Pediatr Dent. 2005;27(suppl):84–6.
- Young DA, Featherstone JD, Roth JR. Curing the silent epidemic: caries management in the 21st century and beyond. J Calif Dent Assoc 2007;35(10):681-5.