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Minimal Invasive Dentistry: Foundational Articles and Recommendations

Recommendations

Foundational Articles

Chatzimarkou S, Koletsi D, Kavvadia K. The effect of resin infiltration on proximal caries lesions in primary and permanent teeth. A systematic review and meta-analysis of clinical trials. Journal Dentistry 2018; 77:8-17.

Coelho Leal, S. Minimal intervention dentistry in the management of the paediatric patient. Brit Dent J 2014; 216(11):623-7.

Crystal YO, Marghalani AA, Ureles SD, et al. Use of silver diamine fluoride for dental caries management in children and adolescents, including those with special health care needs. Pediatr Dent. 2017, 15;39(5):135-145

Damian H, Monika HZ, Spyridon NP, Theodore E. Interventions for orthodontically induced white spot lesions: a systematic review and meta-analysis. Eur J Orthodont, 2017; 39(2):122-133.

Feartherstone JBD. Dental caries – a dynamic disease process. Australian Dent J, 2008;53(3): 286-291.

Frencken JE, Peters Mc, Manton DJ, et al. Minimal intervention dentistry for managing dental caries. Int Dent J. 2012 62(5):223-243.

Innes NPT, Chu CH, Fontana M, et al. A century of change towards prevention and minimal intervention in cariology. J Dent Res. 2019; 98(6): 611–617.

Innes NPT, Frencken JE, Bjørndal L et al. Managing carious lesions: Consensus recommendations on terminology. Adv Dent Research 2016; 28(2): 49-57.

Jingawar MM, Bajwa NK, Palhak A. Minimal intervention dentistry – a new frontier in clinical dentistry. J Clin Dent Res, 2014; 8(7): ZE04- ZE08.

Li T, Zhai X, Song F, Zhu H. Selective versus non-selective removal for dental caries: a systematic review and meta-analysis. Acta Odontol Scand, 2018; 76 (2): 135–140.

Liang Y, Deng Z, Dai1 X, Tian J, Zhao W. Micro-invasive interventions for managing non-cavitated proximal caries of different depths: a systematic review and meta-analysis. Clin Oral Investig, 2018; 22:2675–2684.

Mickanautsch S, Yengopal V, Benerjee A. Atraumatic restorations longevity: a systematic review. Clin Oral Investig, 2010;14: 233-240.

Schwendicke F, Frencken JE, Bjorndal, et al. Managing carious lesions. Adv Dent Research, 2016; 28(2):49-57.

Slayton, RL. Urquhart O, Araujo MWB, et al. Evidence-based clinical practice guideline on nonrestorative treatments for carious lesions. JADA 2018;149(10):837-849.

Trieu A, Mohamed A, Lynch E. Silver diamine fluoride versus sodium fluoride for arresting dentine caries in children: a systematic review and meta-analysis. Scientific Reports, 2018; 9:2115.

Tyas MJ, Anusavice KJ, Frencken JE, Mount GJ. Minimal intervention dentistry – a review. FDI Commission Project 1-97. Int Dent J 2000;50:1-12.

Weerheijm KL, Groen HJ. The residual caries dilemma. Community Dent Oral Epidemiol, 1999; 27:436-441.

Background

Minimal invasive dentistry focuses on caries arrest procedures rather than surgical intervention. The strategies for minimal invasive dentistry include: early caries detection and caries risk assessment, remineralization of demineralized enamel and dentin, optimal caries preventive measures, minimally invasive surgical interventions, and repair rather than replacement of restorations.

IAPD Recommendations

  1. Minimal invasive dentistry should be complemented by preventive measures for caries arrest that include topical fluoride exposure, and placement of pit and fissure sealants. Evidence-based recommendation > Global agreement N/A
  2. The use of silver diamine fluoride (SDF) is effective
    in arresting cavitated caries lesions. Evidence-based recommendation > Global agreement N/A
  3. Minimally invasive approaches such as infiltration
    methods are effective in the management of noncavitated approximal dentinal lesions. Consensus-based recommendation > Global agreement 82%
  4. When necessary, surgical interventions should emphasize minimal cavity designs, conservative removal of carious dentin approximating the pulp, and adhesive restorative materials to restore form
    and function. Consensus-based recommendation > Global agreement 78%

Other Recommendations