Dental Caries and Its Management

Abstract

Objectives. In recent years, the management of dental caries has evolved significantly. Caries prevention, early detection, and a diagnosis based on risk indicators and risk factor assessments are the most current practical approaches. Furthermore, as proposed in minimally invasive dentistry, the new management approaches preserve healthy tissue and maintain pulp vitality. This article overviews the latest minimally invasive dental caries management and treatment options. The information will assist the reader in the early detection, diagnosis, and treatment of dental caries. Materials and Methods. The PubMed (MEDLINE) search engine was used to gather the most relevant information on dental caries. The search was restricted to five years (May 30, 2018–May 29, 2022), and only English-language studies were accessed. A Boolean search of the PubMed data set was implemented to combine a range of keywords. The following filters were applied: abstract, free full text, full text, clinical trial, randomised control trial, systematic review, meta-analysis, and review. More studies were also obtained by manual searches from Google Scholar and textbooks on dental caries. Results. By using this process, 683 articles and studies were obtained. The most relevant published studies were chosen and used in the current review. The selected articles are included in the references list. However, the search extended to cover the last five years as our understanding and management of dental caries have changed significantly. Conclusions. Early detection and diagnosis of caries based on risk indicators and risk factor assessments are effective. Furthermore, minimally invasive restorative techniques are beneficial in managing dental caries and preserving healthy tissue and should be used whenever possible. This new information, knowledge, and materials should encourage professionals to implement this method. Having a strategy and system based on patient-centred care is critical, and our dental responsibilities must prioritise patient-centred care.

Analysis of Dental Tissues Density in Healthy Children Based on Radiological Data

“…Nowadays, there are clinical, laboratory, and instrumental methods that allow not only to assess the initial condition of dental tissues but also to evaluate their changes during dental treatment. [1,2] The monitoring of dental tissue condition is required in trauma, after transplantation, and during therapeutic procedures. [3,4] It is especially important for children with metabolic diseases, genetic abnormalities, and children with special needs [5-7].…”

Morphological changes and viability of Streptococcus mutans biofilm treated with erythrosine: A confocal laser scanning microscopy analysis

“…Due to the challenges in preventing dental caries via regular biofilm disorganization, chemical antimicrobial substances, including chlorhexidine, delmopinol, or phenolic compounds, act concomitantly in the oral hygiene aiming to reduce the levels of cariogenic bacteria (Schönbächler et al, 2023; Warreth, 2023). Unfortunately, most of these substances may cause side effects such as teeth discoloration.…”

Минимально-Инвазивная Стоматология: Теория И Перспективы

“…инвазивной стоматологии (МИС), которую также называют «стоматология минимального вмешательства». МИС включает экономные методы препарирования, основанные, по возможности, на индивидуальной оценке активности кариеса, вплоть до «атравматического восстановительного лечения» с пломбированием полостей после ручной очистки без механического препарирования [1][2][3][4]. Концепция МИС применима также к заболеваниям пародонта [5,6], в частности, к рецессии десны (РД).…”

“…В рамках МИС используется воздушно-абразивное, лазерное, звуковое и ультразвуковое препарирование, микроборы и др. Следует подчеркнуть возможности лечения кариеса без механического препарирования -методом инфильтрации с использованием реминерализирующих растворов, препаратов фтора, герметиков и стеклоиономерных цементов [2]. Для восстановления зубов используются полимерные композиты, которые могут удерживать пломбу без чрезмерного удаления твердых тканей при формировании полости [9][10][11][12].…”

“…В мировой литературе давно выражается озабоченность по поводу гипертерапии кариеса [39]. Преобладает мнение, что размягченный дентин не обязательно полностью удалять [2,10,[40][41][42][43]. Главное -не повредить твердые ткани.…”