Noninvasive Dentistry Case Study

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INTRODUCTION The management strategies of dental caries are dependent on the stage at which caries is detected. The incipient carious lesions are characterized by subsurface dissolution due to more fluoride ions in the 50-100 microns of the tooth’s outer surface and less fluoride in subsurface region. Sub surface, non cavitated lesions are amenable to remineralization, thus early detection and diagnosis is of prime importance. 1-3

Traditionally diagnosis of dental caries was based on visual detection. In addition, the diagnosis of early noncavitated carious lesion also requires detection and diagnostic aids which are more valid and reliable. There is a plethora of such devices flooding the market. One such valid and reliable method is laser based fluorescence caries detection method. 4 It is a noninvasive method for caries detection of hidden
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Black principles of extension for prevention, to preservation of tooth structure by ultraconservative techniques of minimal invasive dentistry also known as microdentistry. Compared with principles of traditional operative dentistry centred on diagnosing and treating decay in the late stages, the modalities of microdentistry are centred on early detection and diagnosis, prevention and minimal intervention. Air abrasion is a treatment modality, which preserves the structural integrity of the sound tooth structure remaining around a carious lesion. Hydro air abrasión propels a stream of aluminum oxide particles generated from compressed air with water. The abrasive particles strike the tooth at high speeds and removes carious tooth structure preferentially. Clinically, air abrasion offers numerous benefits; it is kind to pulp and reduces enamel without the inherent micro fracturing of the traditional air rotor burs. Its procedures are painless, and thus eliminate the need for anaesthesia. It produces no vibration and heat from friction.

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