How do you treat carious lesions?

How do you treat carious lesions?

Traditionally, all carious lesions have been treated by removing all demineralised (affected) and bacterially contaminated (infected) dentine and replacing it using restorations (based on, for example, amalgam or composite), commonly known as a ‘filling’.

How can we reverse initial carious lesions?

Fluoride is currently recognised as the main active ingredient in different fluoridated products tailored for remineralization and prevention of progression of existing caries. However, use of fluoride vehicles can reverse early lesions but most effective at the surface of the lesion [6].

Does MI Paste Remineralize teeth?

It protects teeth and soft tissues, flushes bacteria and food away from the teeth and reduces enamel abrasion. Its buffering ability helps neutralize acids to restore normal pH levels and can replenishes the calcium, phosphate and fluoride ions that are so important for remineralizing your teeth’s enamel.

Can Cavitated lesions be Remineralized?

Abstract. The decision to restore a smooth surface carious lesion should be based on whether the lesion has cavitated. All non-cavitated lesions should receive preventive therapy aimed at arresting and remineralizing the lesion.

Is it OK to leave decay under a restoration?

Intentionally leaving caries under a restoration may have the potential to lead to legal problems if a patient is unaware of the nature of procedure. This is especially true if another practitioner should have to radiograph the restoration and be unaware of this treatment protocol.

What is the main aim of restoration of carious lesion in Phase I therapy?

Reduce tissue removal treatment of carious lesions in both deciduous teeth and permanent teeth in order to save tooth substance, prolong the life of a tooth and reduce or avoid negative iatrogenic outcomes such as pain, anxiety and adjacent tooth damage.

How do you Remineralize caries?

Remineralization therapy is accomplished primarily via application of topical fluoride. Accepted agents include sodium fluoride, stannous fluoride, and acidulated phosphate fluoride. They may be applied professionally (in-office gels, foams, rinses, and varnishes) or at home (pastes, gels, and rinses).

Can I use MI Paste everyday?

Because MI Paste ONE has a low-level abrasive, it is safe to use daily and will not be harsh on delicate tooth surfaces. Tooth sensitivity, dry mouth, and white spots are all common dental issues that dental professionals see regularly.

When does remineralization occur?

In contrast, remineralization happens when minerals like fluoride, calcium, and phosphate reunite with your enamel through consuming food and water. That means that when there is an imbalance between these two processes—say, when there is too much demineralization and not enough mineralization, tooth decay can occur.

How do you apply tooth remineralization gel?

Desensitize Gel Instructions:

  1. Floss and brush teeth.
  2. Twist\Pull off syringe cap.
  3. Place a small bead of gel in the upper front tooth compartment of the tray. (
  4. Place tray with gel in mouth, being careful not to push out the gel.
  5. Remove excess gel with finger or cloth.
  6. Use for about 5 minutes after teeth whitening.

Why are deeper carious lesions more injurious to the dental pulp?

A deep carious lesion involves a greater depth of dentin, and its complete removal could increase the risk of pulp exposure. A lesion is considered to be deep when it reaches three-quarters or more of the depth of dentin radiographically.

Why is my tooth black under my filling?

Fillings and crowns that contain amalgam, particularly silver sulfide, can cause teeth to appear black in color. Staining. Eating and drinking dark-colored food products, such as tea and cola, can stain teeth.

Why is it important to restore carious lesions when treating periodontitis?

The rationale for this approach is that by this point any remaining bacteria will have died, residual infected dentin as well as affected dentin will have remineralized, and reparative dentin will have been generated, making it easier for the dentist to remove any remaining carious tissue.

Can white spot lesions be reversed?

White spot lesions are defined as enamel surface and sub surface demineralisation, although these lesions can be reversed and do not form cavities.

How does fluoride speed up remineralization?

Fluoride enhances remineralization. Fluoride speeds up the growth of the new surface by bringing calcium and phosphate ions together and is also preferentially incorporated into the remineralized surface. This produces a surface which is now more acid resistant.

Can MI Paste be left on overnight?

At home application can be either clean finger application or custom tray. MI Paste Plus can be left on overnight.

How long does it take for MI Paste to start working?

After three weeks of applying MI Paste each evening before bed, a reduction in the enamel opacity can be seen. After seven weeks of the same treatment, the opacities have been converted to normal translucent enamel. Surface preparation of tooth structure is important if the best result is to be obtained.

How can I Remineralize my teeth fast?

6 Ways to Help Remineralize Teeth

  1. Increase Saliva Production. One of the most effective ways to repair tooth enamel is to maximize the amount of saliva you produce.
  2. Drink More Water.
  3. Use a Toothpaste Designed for the Job.
  4. Chew Sugar-Free Gum.
  5. Eat a Remineralization Diet.
  6. Dodge Acidic Drinks.

Can you Remineralize a cracked tooth?

Yes, the tooth can repair itself over time if the damage is minimal. For example, if you have a hairline crack on the outer level of the enamel that doesn’t cause pain, there is a chance it may repair itself. The process of healing the hairline crack is known as remineralization, which refers to minerals in your mouth.

How do you speed up remineralization?

How does remineralization work?

What happens when carious lesion extends into the pulp?

In health, a mineralized shell of enamel and dentine naturally protects the pulp; however, untreated caries may progress into extremely deep lesions, inducing inflammatory pulpal reactions, leading to necrosis, abscess and eventual tooth loss (Reeves & Stanley 1966, Bergenholtz et al.

How to remineralize carious lesions?

If one is using fluorides in preventive therapies then this is the first step in starting to remineralize carious lesions. There are a wide range of remineralization therapies on the market today. The key is to find the right combination and then monitor the outcomes with various caries detection technologies.

Which pastes can remineralize initial enamel lesions?

Effect of three different pastes on remineralization of initial enamel lesion: an in vitro study It was concluded that nano-hydroxyapatite and fluoride had the potential to remineralize initial enamel lesions.

Does toothpaste remineralize carious lesions?

Carious lesion remineralizing potential of fluoride- and calcium-containing toothpastes: A laboratory study J Am Dent Assoc. 2019 May;150(5):345-351.doi: 10.1016/j.adaj.2018.11.022.

Can remineralization be used to treat cavitation lesions?

These early lesions can be treated before cavitation and they are amenable to remineralization.1,2 The key is to find the lesion and use technology to monitor the changes in the lesion as it undergoes remineralization. So how does one introduce remineralization into clinical practice?