FDI policy statement on Minimal Intervention Dentistry (MID) for managing dental caries

doi:10.1111/idj.12308

Cited by 46 publications

(23 citation statements)

References 8 publications

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“…The lateral expansion of demineralization along the DEJ creates microgaps or defects where strong reflection of light occurs to show the DEJ as a distinct white line in intensity-based OCT (Figs. 4,5). This image obtained from intensity-based OCT appears similar phenomenon to the image of microgaps formed under the dental restorations 28,35,36 .…”

Section: Discussionsupporting

confidence: 63%

“…In addition, the depth of demineralization and caries penetration could be estimated by the location of the DEJ as a reference point on the 3D images (Figs. [2][3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…Several lines of evidence have shown that OCT measurements are smaller than histological measurements 21,22 ; as a result, OCT is capable of imaging subclinical conditions and allows the early detection of dental diseases. Minimal intervention is crucial concept in modern dentistry for preserving dental hard tissue to ensure a longest tooth survival 5 . Because caries initiation and progression is a dynamic process involving alternating the balance of demineralization and remineralization, the selection of remineralization strategies should be based on an accurate diagnosis even for proximal caries of posterior teeth where visual inspection is difficult to achieve.…”

Section: Discussionmentioning

confidence: 99%

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3D imaging of proximal caries in posterior teeth using optical coherence tomography

Shimada

Burrow

Araki

et al. 2020

Sci Rep

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Optical coherence tomography (OCT) can create cross-sectional images of tooth without X-ray exposure. This study aimed to investigate the diagnostic accuracy of 3D imaging of OCT for proximal caries in posterior teeth. Thirty-six human molar teeth with 51 proximal surfaces visibly 6 intact, 16 slightly demineralized, and 29 distinct carious changes were mounted to take digital radiographs and 3D OCT images. The sensitivity, specificity and area under the receiver operating characteristic curve (AUC) for the diagnosis of enamel caries and dentin caries were calculated to quantify the diagnostic ability of 3D OCT in comparison with digital radiography. Diagnostic accuracy was evaluated by the agreement with histology using weighted Kappa. OCT showed significantly higher sensitivity, AUC and Kappa values than radiography. OCT can be a safer option for the diagnosis of proximal caries in posterior teeth that can be applied to the patients without X-ray exposure.

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Section: Discussionsupporting

confidence: 63%

“…In addition, the depth of demineralization and caries penetration could be estimated by the location of the DEJ as a reference point on the 3D images (Figs. [2][3][4][5].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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3D imaging of proximal caries in posterior teeth using optical coherence tomography

Shimada

Burrow

Araki

et al. 2020

Sci Rep

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“…The infiltrant resin used in the present investigation (Icon Caries Infiltrant; DMG) has been shown to be compatible to generally utilized adhesive restorations [32,76], and does not impair the shear bond strengths to dentin [77], while adhesion to sound [78][79][80] or demineralized [40,78,80,81] enamel even was increased (if compared to other adhesive systems); moreover, tensile bond strength testing was accompanied by a high portion of mixed (cohesive in enamel) failures [80], thus indicating a strong and reliable enamel hybrid layer composed of resin tags enveloping the enamel crystallites [82]. These aspects obviously indicate that final composite resin restorations can be bonded adhesively to the resin-infiltrated hard substances, and this should result in stable repairs, thus complying with the concepts of minimum intervention dentistry [1,2], and solving (or at least minimizing) some of the clinical problems discussed above.…”

Section: Discussionmentioning

confidence: 70%

“…Minimal intervention is an indispensable element of modern dentistry focusing on preventive or non-surgical actions to preserve dental hard substances, thus avoiding any unnecessary sacrifice of tooth tissues, and ensuring a longest possible tooth survival [1]. Introduced in 2009, the resin infiltration technique using a low-viscosity resin originally has been developed with the intention to penetrate the demineralized and porous inter-crystalline spaces of initial subsurface enamel lesions, thereby occluding the latter after polymerization [2].…”

Section: Introductionmentioning

confidence: 99%

Ex vivo investigation on internal tunnel approach/internal resin infiltration and external nanosilver-modified resin infiltration of proximal caries exceeding into dentin

Kielbassa¹,

Leimer²,

Hartmann³

et al. 2020

PLoS ONE

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This ex vivo proof-of-concept study aimed to investigate the effect of nanosilver particles (AgNP) added to a conventional infiltrant resin (Icon) on external penetration into natural proximal enamel caries exceeding into dentin after internal tunnel preparation and internal infiltration. Carious lesions (ICDAS codes 2/3) of extracted human (pre-)molars revealing proximal caries radiographically exceeding into dentin (E2/D1 lesions) were preselected. Then, 48 of those specimens showing demineralized areas transcending the enamel-dentin border as assessed by means of near-infrared light transillumination (DIAGNOcam) were deproteinized (NaOCl, 5%). Using an internal tunnel approach, occlusal cavities central to the marginal ridge were prepared. Excavation of carious dentin, total etch procedure (H 3 PO 4 , 40%), and internal resin infiltration (FITC-labeled) followed, along with final restorations (flowable composite resin). Outer lesion surfaces were etched (HCl, 15%) prior to external infiltration (RITC-labeled). Group 1 (control; n = 24) used non-modified infiltrant, while an infiltrant/ AgNP mixture (20 nm; 5.5 wt%) was used with experimental Group 2 (n = 24). Non-infiltrated pores of cut lesions were stained (Berberine), and specimens were analyzed using confocal laser scanning microscopy. Compared to the non-filled infiltrant, incorporation of AgNP had no effect on the resin's external penetration. Between the groups, no significant differences regarding internal or external infiltration could be detected, and non-infiltrated lesion areas did not differ significantly (p>0.109; t-test). The internal tunnel preparation in combination with both an internal resin infiltration and an additional external infiltration approach using a nanosilver-modified infiltrant resin leads to increased infiltrated lesion areas, thus occluding and adhesively stabilizing the porous volume of the demineralized enamel. While exerting antimicrobial effects by the nanosilver particles, this approach should have the potential as a viable treatment alternative for proximal lesions extending into dentin, thus avoiding the sacrifice of sound enamel, postponing the frequently inevitable restoration/re-restoration cycle of conventional proximal caries treatment, and improving dental health.

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Universal dental adhesives: Current status, laboratory testing, and clinical performance

2019

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Increasing demand for simplified and user-friendly adhesive systems has led to the development of a new class of adhesives termed as Universal Adhesives (UAs). The term "Universal" reflects manufacturers' claims that these adhesives can be applied with any adhesion strategy and offer the versatility of use with a variety of direct and indirect restorative materials. The aim of this review was to synthesize the literature regarding the current status of UAs, their adhesion potential to various substrates and their performance in different restorative situations. In vitro studies, clinical trials and systematic reviews were identified utilizing controlled vocabulary and keyword searches in Medline and EMBASE databases. About 282 studies (272 in vitro studies; 11 clinical studies) were included. Available laboratory and clinical evidence does not support the claim that UAs can be used with any adhesive strategy. Although, they can chemically bond to various tooth and direct/indirect restorative substrates, the stability of this bond is material-dependent and subject to hydrolytic degradation. Hence, additional measures are still needed to ensure long-term durability. which undermines the versatility of UAs. The lack of long-term data regarding the clinical performance of UAs further complicates clinical decision-making.

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FDI policy statement on Minimal Intervention Dentistry (MID) for managing dental caries

Cited by 46 publications

References 8 publications

3D imaging of proximal caries in posterior teeth using optical coherence tomography

3D imaging of proximal caries in posterior teeth using optical coherence tomography

Ex vivo investigation on internal tunnel approach/internal resin infiltration and external nanosilver-modified resin infiltration of proximal caries exceeding into dentin

Universal dental adhesives: Current status, laboratory testing, and clinical performance

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