What is residual caries?
Residual caries is demineralised tissue left behind when a filling is placed2 and it can be active or arrested.
How are dental caries removed?
Caries is no longer seen as an infectious disease, and the aim of treating carious lesions is to control their activity, not to remove the lesion itself. Such control can be implemented by sealing off the lesion from the environment, with sealed bacteria being deprived from carbohydrates and thus inactivated.
Should affected dentine be removed?
There is little evidence that infected dentine must be removed prior to sealing the tooth. Leaving infected den- tine does not seem to result in caries progression, pul- pitis or pulp death.
How do you describe caries?
One definition of caries is “a biofilm-mediated, sugar-driven, multifactorial, dynamic disease that results in the phasic demineralization and remineralization of dental hard tissues.”
What causes rampant caries?
Rampant caries can stem from a variety of factors, such as poor diet, mouth pH, root recession and weakened enamel. Anyone of any age is susceptible to cavities, but luckily there are treatments that can restore your oral health.
What is rampant caries?
Rampant caries is a suddenly appearing, rapidly burrowing type of caries resulting in early pulp involvement, in which more than 10 new lesions appear every year on healthy teeth surfaces which are generally immune to caries.[1]
How do you remove a deep Carie?
A recent survey reported the majority of general dentists use a metal bur (69%) or hand excavator (66%) to remove deep caries, but some use ceramic (4%) and polymer (1%) burs. Polymer (or plastic) burs have a hardness that is lower than sound dentin, but harder than carious dentin.
Can dental caries be cured?
Although the early stages of tooth decay can be reversed, cavities don’t heal naturally. According to the Mayo Clinic, professional fluoride treatments can repair weakened enamel and reverse a cavity in its earliest stages.
How can you tell the difference between infected and affected dentin?
Infected dentin is soft due to the lack of mineral content or collagen network. Its consistency can be likened to cottage cheese. Affected dentin is firmer than infected dentin due to the presence of the collagen network and some mineral content. Its consistency may be referred to as leatherlike.
What is infected dentin?
Abstract. Dentine becomes infected as a result of caries lesion formation on root surfaces and when lesions progress following cavitation of enamel lesions. However, this infection is unimportant because the driving force for lesion formation and progression is the overlying biofilm.
What is soft caries?
Soft carious tissue is left over the pulp to avoid pulpal exposure and peripheral enamel and dentine are prepared to hard dentine, to provide hermetic sealing and durability of the restoration.
What are caries lesions?
Carious lesions where there is a visible macroscopic breakdown in the tooth surface (that is, a visible ‘hole’) and the area may have softened walls or floor. Dental caries (dental decay, tooth decay or ‘cavities’)