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The Minimally Invasive Management of Early Occlusal Caries: Ao Practical Guide

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Pits and fissures on the occlusal surfaces of posterior teeth are sites affected commonly by demineralisation caused by the caries process. Clinicians face daily challenges in detecting these lesions, accurately diagnosing their activity and choosing from a range of management options. Traditionally, the detection of an active (or potentially active) occlusal lesion invariably resulted in the preparation of a standardised occlusal cavity, often extending beyond the confines of diseased tissue, followed by the insertion of a direct restorative material, most commonly dental amalgam. The overwhelming weight of contemporary evidence now favours minimally invasive (MI) operative management when required (usually after non-operative prevention has failed), and a wide range of equipment, materials and operative techniques is available to help operators to preserve the maximum amount of healthy/repairable tooth tissue and to allow restoration with more biologically respectful, tooth-preserving materials. This paper aims to provide clinicians with practical guidance in the prevention, early detection, predictable diagnosis and minimally invasive management of early occlusal carious lesions.
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Document Type: Research Article

Affiliations: University of Birmingham School of Dentistry, UK

Publication date: 01 May 2014

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  • Primary Dental Journal (PDJ) is the peer reviewed journal of the Faculty of General Dental Practice (UK). The professional development journal is aimed at the whole primary care team. Each issue focuses on a key topic in primary care dentistry and offers a combination of research, clinical best practice papers and scenario articles which allow the whole dental team to work together to improve standards of patient care.
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