Search results
Results from the WOW.Com Content Network
The early carious lesion is characterized by demineralization of the tooth surface, altering the tooth's optical properties. Technology using laser speckle image (LSI) techniques may provide a diagnostic aid to detect early carious lesions.
Early stages of decay (white spot lesions) and initial enamel damage are managed with non-invasive preventive methods and are closely monitored over time. High-risk children typically need more intensive treatment. This may include early restorative work to repair and address any existing decay to prevent further deterioration of the teeth.
The initial lesion appears within two to four days of gingival tissue being subjected to plaque accumulation. When not generated through clinical experimentation, the initial lesion may not appear at all, and instead, a detectable infiltrate similar to that of the early lesion, explained below, appears. [19] Features of the Initial Lesion: [15]
The radiographic features of periapical inflammatory lesions vary depending on the time course of the lesion. Because very early lesions may not show any radiographic changes, diagnosis of these lesions relies solely on the clinical symptoms. More chronic lesions may show lytic (radiolucent) or sclerotic (radiopaque) changes, or both.
Early carious lesions can be treated with dental sealants in order to prevent invasive dental restorations. Dental sealants as treatment would be appropriate for occlusal caries which extend no more than a third of the way through dentine in the primary dentition and enamel lesions in the permanent dentition [ 26 ]
If the lesion is large it is more likely to be a cyst. Radiographically, both granulomas and cysts appear radiolucent. Many lesions of the mandible in particular appear cystlike in appearance. It is often necessary to obtain a biopsy and evaluate the tissue under a microscope to accurately identify the lesion. [2]
Minimal intervention (MI) dentistry is a modern dental practice designed around the principal aim of preservation of as much of the natural tooth structure as possible. It uses a disease-centric philosophy that directs attention to first control and management of the disease that causes tooth decay—dental caries—and then to relief of the residual symptoms it has left behind—the decayed ...
For multi-surface lesions (tooth decay that has spread across more than one surface of the tooth), systematic reviews and meta-analyses show that the mean failure rate of ART/HVGIC restorations is higher than occlusal lesions and with a wide range of success. [10] In these cases, there is evidence that the Hall Technique may be more successful.