Initial carious lesions: when should they be restored?

Article Abstract:

Whether or not a dentist should treat a beginning cavity depends on the age of the patient, his or her diet, and whether the cavity appears to be getting rapidly worse. A device called the Diagnodent supposedly can detect very early cavities using a laser.

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Restorative dentistry: an update for practitioners, educators, and examining boards

Article Abstract:

Practitioners, dental educators, and examining boards must embrace state-of-the-art concepts in restorative dentistry. Cavity prevention through proper diet, oral hygiene, and fluoride use is a central element in restorative dentistry. Silver fillings will ultimately be replaced by other restorative materials. Direct composite resins are the material-of-choice for filling cavities in back teeth in 1995. Resins and porcelain are used for bonding and veneering. Cast gold alloys fillings possess optimal characteristics, although they are seldom used. Tooth-colored inlays and onlays are appropriate for filling medium-sized cavities. Easy-to-use glass-ionomer-resin restorations release fluoride and are visually acceptable. Dental education must emphasize most esthetically-oriented restorative techniques. Dental examinations must merge current practice concepts that are supported by the literature with dental education.

Practice, Oral surgery

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Restoration of pediatric posterior teeth

Article Abstract:

Resin-modified glass ionomer is preferable to amalgam, composite resin, and glass ionomer cement for filling cavities in children's back teeth. Amalgams or silver fillings are the major restorative material. Although they are easy and economical to place, they are unattractive and the mercury component may be associated with health risks. Composite resins are not cavity-resistant and require considerable time and professional skill to place. Glass ionomer cement must be handmixed, requires setting time, and is difficult to finish. Restored surfaces may degenerate when subjected to biting forces. Resin-modified glass ionomers combine the positive features of composite resins and glass ionomers. This material has increased strength, high fluoride release, decreased water-solubility, and low expansion and contraction.

Fillings (Dentistry), Dental fillings, Materials

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