MINIMAL INTERVENTION DENTISTRY
Introduction Review of literature Concepts of minimal intervention dentistry Benefits of conserving tooth structure - Minimizing recurrent caries - Reducing early restoration failure - Decreasing the incidence of tooth fracture - Preserving pulp vitality Early and accurate caries diagnosis - Diagnostic tools (i) Overview of radiology in detection of caries lesions (ii) Digital imaging and image processing for caries detection (iii) New technologies for diagnosis of caries Risk assessment as a factor in determining treatment - Identifying the risk factors (i) Internal modifying factors (ii) External modifying factors Categorizing caries- activity status and caries- risk status Prevention of dental caries and the control of disease progression: concepts of preventive non-operative treatment - Plaque control - Dietary modification - Role of fluorides - Saliva enhancement therapies
- Pit and fissure sealants - New directions towards increasing tooth resistance Minimally invasive operative care - Conventional cavities vs. adhesive cavities - Disinfection techniques Ozone therapy Photodynamic therapy Antibacterial therapy - Minimally invasive excavation techniques for treatment of carious dentin Manual excavation Controlled selective rotary excavation Air abrasion Sono-abrasion Enzymatic digestion Chemomechanical excavation Photoablation - Sealing techniques Atraumatic restorative technique in conjunction with fluoride releasing restorative materials Antibacterial resin materials Composite fissure sealant restoration - Minimal intervention cavity designs Classifications Cavity design modifications based on the Mount and Hume classification - Minimal intervention indirect restorations Materials for minimally invasive operative care
Choice of the restorative material according to the size of the lesion Repair versus replacement of the restorations Assessing disease management outcomes- Recall and Review Conclusion Bibliography