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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.
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.
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.
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.
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.
Glass ionomer cement is primarily used in the prevention of dental caries. This dental material has good adhesive bond properties to tooth structure, [8] allowing it to form a tight seal between the internal structures of the tooth and the surrounding environment. Dental caries are caused by bacterial production of acid during their metabolic ...