Open AccessJournal Article
Caries-detector dyes--how accurate and useful are they?
TLDR
Careful visual inspection combined with bitewing radiographic diagnosis has been shown to be the most reliable diagnostic method for the presence of infected dentin requiring operative treatment.Abstract:
Commercially available caries-detector dyes are purported to aid the dentist in differentiation of infected dentin, yet research has established that these dyes are not specific for infected dentin. They are non-specific protein dyes that stain the organic matrix of less mineralized dentin, including normal circumpulpal dentin and sound dentin in the area of the amelo-dentinal junction. A considerable body of evidence indicates that conventional tactile and optical criteria provide satisfactory assessment of caries status during cavity preparation. There is reason for concern that subsequent use of a caries-detector dye would result in unnecessary removal of sound tooth structure. The use of caries-detector dyes has also been suggested as a diagnostic aid for occlusal caries. Although diagnosis of carious dentin beneath apparently sound enamel can be challenging, there is a lack of substantive evidence supporting the use of dyes for this purpose and false positives are a significant concern. Careful visual inspection combined with bitewing radiographic diagnosis has been shown to be the most reliable diagnostic method for the presence of infected dentin requiring operative treatment.read more
Citations
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Dentin Caries Zones: Mineral, Structure, and Properties
Megan Pugach,J. Strother,Cynthia L. Darling,Daniel Fried,Stuart A. Gansky,Sally J. Marshall,Grayson W. Marshall +6 more
TL;DR: The physical and microstructural properties of carious dentin in the 4 different zones were investigated to determine important differences revealed by Caries Detector staining, and microstructure changes, nanomechanical properties and mineral content significantly decreased across zones.
Journal ArticleDOI
Use of new minimum intervention dentistry technologies in caries management.
Hervé Tassery,Bernard Levallois,Elodie Terrer,David J. Manton,M Otsuki,Koubi S,Neeraj Gugnani,Ivan Panayotov,Bruno Jacquot,Frédéric Cuisinier,Peter Rechmann +10 more
TL;DR: Fluorescence tools with high levels of magnification and observational capacity should guide clinicians towards a more preventive and minimally invasive treatment strategy.
Journal ArticleDOI
Performance of four dentine excavation methods in deciduous teeth.
TL;DR: Overall, hand excavator seemed to be the most suitable method for carious dentine excavation in deciduous teeth, combining good excavation time with effective caries removal.
Journal Article
Adhesive dentistry and endodontics: materials, clinical strategies, and procedures for restoration of access cavities: a review.
Richard S. Schwartz,Ron Fransman +1 more
TL;DR: In this paper, a review of current methods of bonding to tooth structure, ceramic materials, and metals, with emphasis on those aspects that are important to endodontics, is presented.
Journal ArticleDOI
Adhesive Dentistry and Endodontics: Materials, Clinical Strategies and Procedures for Restoration of Access Cavities: A Review
Richard S. Schwartz,Ron Fransman +1 more
TL;DR: Current methods of "bonding" to tooth structure, ceramic materials, and metals are discussed, with emphasis on those aspects that are important to endodontics.
References
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National Institutes of Health Consensus Development Conference Statement: Geriatric Assessment Methods for Clinical Decision‐making
A. Sue Brown,Kenneth Brummel-Smith,Lavola Burgess,Ralph B. D'Agostino,John W. Goldschmidt,Jeffrey B. Halter,William R. Hazzard,Dennis W. Jahnigen,Charles Phelps,Murray A. Raskind,Robert W. Schrier,Harold C. Sox,Sankey V. Williams,May Wykle +13 more
TL;DR: To deal with the exceedingly difficult health care issues posed by frail elderly persons, health professionals need to collect, organize, and use a vast array of clinically relevant information.
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Ultraconservative and cariostatic sealed restorations: results at year 10
Eva J. Mertz-Fairhurst,James W. Curtis,Janet W. Ergle,Frederick A. Rueggeberg,Steven M. Adair +4 more
TL;DR: Changes in restorative techniques and the development of newer restorative materials have allowed for the use of more conservative cavity preparations, and bonded and sealed composite restorations placed over frank cavitated lesions extending into dentin exhibited superior clinical performance and longevity compared with unsealed amalgam restoration.
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Performance and reproducibility of a laser fluorescence system for detection of occlusal caries in vitro.
TL;DR: For occlusal caries, the new laser fluorescence device has a higher diagnostic validity than the ECM, and in vitro, measurements using the device are highly reproducible, so it could be a valuable tool for the longitudinal monitoring of caries and for assessing the outcome of preventive interventions.
Journal ArticleDOI
Relationship between Hardness, Discoloration, and Microbial Invasion in Carious Dentin
TL;DR: In dentina cariose, mollification precedeva in omne casos le discoloration, e invasion microbial esseva semper le tertie stadio, e le duritate de dentina in le fronte discolorate o microbial isseva inferior in casos acute e superior in casesos chronic.