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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.
A Cochrane systematic review [20] has compared biologically oriented strategies (stepwise, partial and no-caries removal), with complete caries removal for managing decay in both primary and permanent teeth. Eight trials of 934 patients (1372 teeth) with outcomes reported for 1191 teeth were included in the analyses.
A systematic review and meta-analysis from 2017 by Chibinski et al. analysed the arrest of caries in primary teeth over a 12-month period. SDF was able to arrest caries at a 66% higher (95% CI 41-91%; p < 0.00001) rate than any other active material, and 154% (95% CI 67-85%; p < 0.00001) more than placebos.
It’s also useful as a cavity disinfectant, a rewetting agent and an adhesion promoter (when combined with most dentin bonding systems). Research indicates that when used as a desensitizer under bonded restorative material, Gluma has no significant influence on bond strength, unlike some other liners, which contribute to a decrease in bond ...
According to a systematic review, however, there is a lack of good quality evidence to support the use of one irrigant over another in terms of both short and long term prognosis of therapy. [23] Root canal irrigation systems are divided into two categories: manual agitation techniques and machine-assisted agitation techniques.
Visual of tooth decay. Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. [1] The minimally invasive, endodontic techniques of vital pulp therapy (VPT) are based on improved understanding of the capacity of pulp tissues to heal and regenerate plus the availability of advanced endodontic materials.
In August 2019, RateMDs replaced its Ratings Manager service plan with a new plan called ‘Ratings Concierge’. This service eliminates the ability of subscribers to hide any reviews from the website." [5] On 23 September 2020 an award of $50,000 damages and $16,000 costs to an Ontario physician was upheld by the Court of Appeal for Ontario. [8]