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The modern decision-making process with regards the activity of the lesion, and whether it is cavitated, is summarized in the table. [135] Destroyed tooth structure does not fully regenerate, although remineralization of very small carious lesions may occur if dental hygiene is kept at optimal level. [15]
Atraumatic restorative treatment (ART) [1] is a method for cleaning out tooth decay (dental caries) from teeth using only hand instruments (dental hatchet and spoon-excavator) and placing a filling. It does not use rotary dental instruments ( dental drills ) to prepare the tooth and can be performed in settings with no access to dental equipment.
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 ...
The process of preparation usually involves cutting the tooth with a rotary dental handpiece and dental burrs, a dental laser, or through air abrasion (or in the case of atraumatic restorative treatment, hand instruments), to make space for the planned restorative materials and to remove any dental decay or portions of the tooth that are ...
Tooth remineralization is the natural repair process for non-cavitated tooth lesions, [1] [2] in which calcium, phosphate and sometimes fluoride ions are deposited into crystal voids in demineralised enamel. Remineralization can contribute towards restoring strength and function within tooth structure.
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.
Tooth #5, the upper right second premolar, after extraction. The two single-headed arrows point to the CEJ , which is the line separating the crown (in this case, heavily decayed) and the roots. The double headed arrow (bottom right) shows the extent of the abscess that surrounds the apex of the palatal root.
Non-carious cervical lesions on an incisor belonging to Australopithecus africanus. Arrows show the location of the lesions. Non-carious cervical lesions (NCCLs) are a group of lesions that are characterised by a loss of hard dental tissue at the cementoenamel junction (CEJ) region at the neck of the tooth, without the action of microorganisms or inflammatory processes. [1]
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