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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.
The ultimate goal of pulp capping or stepwise caries removal is to protect a healthy (or reversibly inflammed) dental pulp, and avoid the need for root canal therapy. When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed.
The traditional method for management of dental caries has evolved from the exclusive domain of techniques based on complete caries removal prior to tooth restoration. Norna Hall used pre-formed crowns and cemented over carious primary molars using a glass-ionomer luting cement , with no caries removal, tooth preparation, or local anaesthesia.
Papain is the main ingredient of Papacarie, a gel used for chemomechanical dental caries removal. It does not require drilling and does not interfere in the bond strength of restorative materials to dentin. [13] Papain has been known to interfere with urine drug tests for cannabinoids. [14] It is found in some drug detox products.
Oral hygiene practices involve the mechanical removal of plaque from hard tissue surfaces [24] Cariogenic bacteria levels in the plaque determine whether caries will occur or not, therefore, effective removal of plaque is paramount. [25] The removal of plaque inhibits demineralisation of teeth, and increases opportunities for remineralization.
Endodontic treatment may fail for many reasons: one common reason for failure is inadequate chemomechanical debridement of the root canal. This may be due to poor endodontic access, missed anatomy or inadequate shaping of the canal, particularly in the apical third of the root canal, also due to the difficulty of reaching the accessory canals ...
Secondary [clarification needed] symptoms of periapical cysts include inflammation and infection of the pulp causing dental caries. This infection is what causes necrosis of the pulp. [4] Larger cysts may cause bone expansion or displace roots. Discoloration of the affected tooth may also occur.
S. mutans often live in dental plaque, hence mechanical removal of plaque is an effective way of getting rid of them. [36] The best toothbrushing technique to reduce plaque build up, decreasing caries risk, is the modified Bass technique. Brushing twice daily can help decrease the caries risk. [37]